HomeMy WebLinkAboutChange Order & PCA - Randolph St Basin Emergency Repair - Proj No 116-083D - HRP Construction Co.10
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ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by
MICHAEL BOND, Pee President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which
are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate,
constitute, and appoint Barbara E. PEARSON, Nicole L. BICKNELL, Mark E. WOBBE, Debra K. HULL, Jennifer L. KASZNIA,
William J. CERNEY, III, Theresa M. BURNS and Megan E. RIESENBERG, all of South Bend, Indiana, EACH its true and lawful
agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds
and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies,
as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the
ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL
AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By -Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 14th day of April, A.D. 2016.
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
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Secr•etaf y Vice President
Michael McKibben Michael Bond
State of Maryland
County of Baltimore
On this 14th day of April, A.D. 2016, before the subscriber, a Notary Public of the Slaw of Maryland, duly commissioned and qualified, MICHAEL
BOND, Vice President, and MICHAEL MCKIBBEN, Secretary, of the Companies, to me personally known to he the individuals and officers described in
and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is [he said
officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate
Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written.
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Maria D. Adamski, Notary Public
My Commission Expires: July 8, 2019
POA-F 044-4495
Final Waiver of Lien
State ofIndiana, County of _ St. J o s e p h SS;
Nancy Knapik being duly swom that he/she is the SEcretary/Treasurer
(Name of Officer) (Title) _
of HRP CONSTRUCTION INC. havingcontracted With City of South Bend, Dept, of Public Works
(Contractor) (Owner)
to furnishocitalnmaterials and/or labor asfollows: Randolph Street Basin Emergency:.Repair
(Description)
for a project known as Randolph Street Basin Emergency Repair
(Nams 00rojeot)
located at Randolph Street
and owned by City of South Bend, Board of Public Works
(Owner)
and does hereby fii rther state on the behalf of the aforementioned subcontractor/supplier:
(PARTIAL WAIVER) that there is due from the Contractor the sum of
Dollars $
Q receipt of which is hereby aolutowledged; or
Q the payment of which Iias been promised as the sole consideration for this Affidavit and ltitsal Waiver of Lien -which is given
solely with respect to said amount, and which waiver shall bu effective only upon receipt of payment thereof by the
undersigned;
FINAL WAI'VEi<t) that the final balance due &orn the eontraotor the sum of
Nine Thousand Two Hundred Twenty Nine Do lars and 77/100 �} 9,225.77
:receipt of'which is hereby acknowledged; or
Q thepayment of which has been promised as the sole consideration for#his Affidavit and Final Waiver of Lien which shall
become effective onlyupon receipt of such payment.
THEREFORE, the undersigned waives and releases unto the Owner of said premises, any and ail liens or claims whatsoever
on the above -described property and improvements thereon an account of labor or material or both, lttrnished b the undersigned
thereto, subject to limitations or conditions expressed herein, If any; and further certified that no other party has any claim or right to a
Iien on account of any work performed or material Airnished to the undersigned for said project, and within the scope of this Affidavit
and Waiver of Lion.
HRP CONSTRUCTION INC.' By
(Finn) Authorize presentative)
STATEOFINDIANA ) Nancy Knapik, Secretary/Treasurer
) SS;
ST. JOSEPH COUNTY )
Before me, the undersigned, a Notary Public, In and for sold County and State, personally appeared
and admowledged the execution of the foregoing Affidavit and Waiver of Lien.
IN WITNESS WIMMOF, I have hereunto subscribed my name and affixed my official seat on the 1 8 t h day of
May- 200 201,7
Notary Public Signature
My Commission Expires: 3 / 6 / 2 4
Cindy Uaheste
Residing its St. . Joseph^ County, Indiana Notary Publio Name
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