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Home My WebLink About#1330- Deed; PLAT OF DEDICATION Portage Way RoadPLAT OF DEDICATION - Portage Way Road PORTAGE WAY ROAD SECTION 2.7 -C38N .4 R2P Co%ITY OF SOUTH NW CORNER SECTION 27 T 38N, R2E s 101-, ti . _. OCT I 8 1 S-� SCALE : Ins = 50' 0 50 160 AUGUST 23 1984 S89 58 30 E 494.58 f �I R 23 p 180.58' 180.58' 180.5B'� L 93.52' 151.62` 105.59" CURVE DATA C 92.87 ' 147.21' 104.09' 0 23c' 17' 45" 48006'26" 330 30 ' 0611 140 3612011 CHORD BEARING S78°22' 38"W N65058 17 11 E N 730 16 27 " E N 4 9 0 13' Iz," p )V'84 LE; AL DESCRIPTIO`': i _ A PARCEL OF !_Ai=!?; LOCATEI' I"� THE [d !./2 OF SECTION, Z-I T 3Rh!, R 'ZE, CITY OF SO�.!TIi BEND, COUNTY OF ST, .IOSEPIi, STATE OF INDIAPlA DESCRIBED AS FOI_LOI';S: COI "9E�iCI�JG AT TI'E "'' 7' THENCE S 00°01'-4n"W ALO•,M, TI!E k'!FST LINE OF SAID SECTIOr; 27 A DISTANCE OF :�.. CORt,ER OF SAID SE 2, , ° 6 ", i; u r F THE CENTERLINE OF PORTAt.jE ROAD; TrIE:VCE PJ 23 1� 1.5 ALONt, THE 1999. 65 FEET; THENCE S 89°58'30"E A D ISTANCE OF '2954, 33 FEET TO r.a�E S 66°c�3'45"1' A DISTAI'JCE OF 108,10 FEET TO A POINT ON A CURIE, CENTERLINE OF PORTAGE ROAD A DISTANCE OF 682.67 FEET; T�iE�� SAID CURVE HAVING A RADIUS OF 230.00 FEET AND BEING CONCAVE NORTHERLY, THENCE ALONG SAID CURVEAN ARC LEJNGTH OF 93,52 FEET, A CHORD LENGTH OF 92.87 FEET, AND A CHORD BEARIIG OF S 78022138"v', THENCE N 89°58'30'°!,! A DISTANCE OF 619,77 FEET TO THE ?1 I1' Z OF KGIMII`IG OF THIS DESCRIPTION, SAID POINT OF BE1INIVvC, BEING THE SW CORNER OF PORTAGE !!AY ROAD AS DESCRIBED I� DEED RECORD / 75, PACES 345--347, I'M THE OFFICE OF THE RECORDER OF „ IT 'OSEPH COUNTY; THENCE N 89'58'39"M A DISTANCE OF 629,00 FEET TO A POINT ON A CURVE, SAID CURVE HAVING A RADIUS OF 180,58 FEET AND BEING CONCAVE NORTHVIESTERLY; THENCE ALONG SAID CURVE AN ARC LENGTH OF 151.62 FEET, A CHORD LENGTH OF 147,21 FEET AND A CHORD BEARING OF 1-1 65058' 17"E; THENCE S 89°58'30"E A DISTANCE OF 494,58 FEET TO THE Nl'! CORNER OF SAID PORTAGE WAY ROAD AS DESCRIBED IN DEED RECORD 775, PAGES 345-347; THENCE S 00°01'30'W A DISTANCE OF 60.00 FEET TO. THE POINT OF BEGINNING, CONTAINING 0,738 ACRES: VIORE OR LESS, DEED OF LEDICATION: !,;'E TIME UNDERSI` "yED, PORTAGE PLACE ASSOCIATES, AN INDI.AJA PART`RERSt'IP, 0':1NERS OF THE DEAL ESTATE SHO11-- AND DESCRIBED HERE'Nl, DO HEREBY L-AY 'OFF, PLAT AIND -DEDICATE SAID, REAL ESTATE I'J ACCO DA CE `'!ITlJ TIME �riTIIIN PLAT, M,,'NERS CERT I F I CAT I O„ THIS IS TO CERTIFY TI1AT Ti-iE UNDERSIGiMED ARE THE 0"1NERS OF THIE LAND DESCRIBED IN THE PLAT, HEREIN, AIJD THAT THEY HAI,E CAUSED TILE SA!'IE TO BE SURVEYED AND SUBDIVIDED AS INDICATED THEREON, ;=01� THE USES AND PURPOSES THERE SET F0�4TN, A:!n DO HEREBY' 4CK,,01'.LEP�':E AID ADOPT TK SWIE Mr -ER TI;E STYLE AND TITLE TI-!ERYoi'' IE !D I CATEP, DATED THIS DAY OF , 1984 PORTAGE PLACE ASSOCIATES AN I ND IANA PARTNIERSH I P 404 COLUMB IA ;° :� �' � �� i' :: f:I W t.�'.t ' TA a3 i >TATE OF I"tDIAt A 7 SS Cn(J`J �' OF ST . NOSE"?„ ) BEi=ODE ^;E, T.'-,E UNDERSIGNED A!OTARY PUBLIC, IN .irYIJ , 0 THE COUP!7- A/YJr STATE I,�r�SO �iALI--Y APPEARED JOHN T. PI�.AIR, PrART';'ER IN PORTAC-E PLACE ASSOCIATES, AA' PARTNERS'r1IP, An!B ACI<''!0!rLEDCED THE EXECHALF'OF S; ID P ARTIV FOREGOING SFIP FOR :.,!STRUM?E`IT AS i! I S VOLUNTARY ACT AND DEED Of BE T; 1U;?POSES TI `:ERE I N EXPRESSED. AND � .In .�? IAf_ SEAL THIS 11 DAY C; -- -' 98�� , ERS!-!IP 4.04 COLUMB IA --I—— SOUTH BENWPHA I Ai'A 46u0.1 1 BY; I !! IR, P.4RTVF2 � � 5 r 'O 0 ;TnTF_ OF INDIA'-,A CCU;,TY OF ST. JoSEPI- -) Ss BE OBE ; IE, THE UNDERS.1„P;IE.O NOTARY PUBLIC, IN A Vo r0,4 TIIE COXIITY AlID STATE, PERSONALLY APPEARED JOHN T, P11.1 IR, PART'!ER Iind PORTAC;E PLACE ASSOCIATES, IV/ I !r!IA 'A PARTiNERSr1IP, AND AC10-1O!!LE.0CED THIE EXECUTIWV OF TILE FOREGOING I''!STSU'!ENIT AS HIS VOLUNTARY ACT AND DEED Ot`I BEHALF OF SAID PAR TIVE-PSH IP FOR T'!E PURPOSES TH'EREIN EXr°RESSEI) 1'IT'ESS n`iY HA!�,D AND t1OTARIAi_ SEAL THIS !-tom DAY GF T984, RESIrE±ff OF ST, JOSEPH COUNTY -Y COPIM I SS I O!"J EA, I RES 4a�.vn LA!p SURVEYORS CERTIFICATE; I, ROBERT CO!-1DLIANCE D. PAL't HEREBY CERTIFY THAT I At' A RE,ISTEREED LA ID SL;RVE.`%= REPRESENTS 111TH THE LAMS OF THE STATE OF I1•!DIANA; THAT PHIS DLAT TI{AT A SURVEY CO1'1PLETED OR CERTIFIED BY 11 ON 7-7 --T THE LOCATION, SH014N SIZE, TYPE, AND �IATER IAL OF ALL NONi TS? RE ACCL3 _-7�a� -- AND PROVISIONS THAT THE 1'10NU!IENTS !'II LL BE INSTALLED. IN ACCORDA�'JCE ', I T LH THE_- OF THE SUBDIVISION! ORDIANCE OF THE CITY OF SOUTH BEND, I DIANA. ROBERT D , PAL'17 REO L.S. No, S0307 STATE OF I�lDIAIIA iEUrit;��U r L�uvS{.ikJ �`l (I �il.�sy J ? 4 1 8? J' U'20 . p STA 1 E OF /`i' Q Taxing U"ii c` -� (DULY EN?� 1Q��r�:r' ,A U b f 1 O Rr ?ifiNA ST. 3QSEPH C 0., d. PLAT OF DEDICATION PORTAGE WAY ROAD I „ = 5O 1 APPROVED QY: SCALE DATE: 8 -23-84 SURVEYORS PALM a ASSOCIATES New Carlisle , Indiana DRAWN BY R. D. P. REVISED ENGINEERS DRA'.VING NUMBER RECORDER'S RECEIPT N 9 1344 South Bend, Ind.,_ t '�J :_� 19 Received of 0.., NO. AMOUNT DEEDS MORTGAGES MECHANICS LIENS 4 U.C.C. FILING I T RELEASES ASSIGNMENTS 4 4 POWERSOF ATTORNEY ART -OF INCORP. I 1 PLATS J MARGINAL RELEASES / MARGINALASSiGNMEf"TS f MISCELLANEOUS COPIESOF THE FOLLOWING: DEED —No. I MTG. —No. j —No. -No- -No. I —No. I � TOTAL y _ / 7 CHECK s CASH fi' S REFUND Enclosure TV i 0� ��R01, r f p 00 r I_j � - Ra- non 219-234-2073 South Bend, Indiana 46601 Re: Dedication Plat iarantee the construction of the !stward to the proposed Sugar Maple -eplaced with a Performance Bond. of Franey & Parr, no later than Please reply to: P.O. Box 1331, South Bend, Indiana 46624 ................... �neai� -----•---•-------------------- ------................... -............. ---••-........... • BX_ ... ck' '`�-4........ (Seal) ------- ......................... ------------------------------------------ ............... --••----••--•-- .............................. -----•-•-••-......---------- (Seal) THE-HANOVE# INSURANCE COMPANY $p......... ................................ Attorney -in -fact Brenda L. Davis Vom 141-059313 MRICA .EMMBERSoFFTHEE VRWr 404 S. Columbia, Suite 230 September 24, 1984 Mr. John Leszczynski City Engineer County -City Building South Bend, IN 46601 Dear Mr. Leszczynski: The Holladay p Cor oration 219-234-2073 South Bend, Indiana 46601 Re: Dedication Plat The enclosed check is to guarantee the construction of the extention of Portage Way westward to the proposed Sugar Maple Lane. This check will be replaced with a Performance Bond from the insurance company of Franey & Parr, no later than Friday, September 28, 1984. Sincerely, Daniel. C. Kovas DCK:rw Enclosure Please reply to: P.O. Box 1331, south Send, Indlana 46624 ...................................... (Seal) BS'- •1C- - . ........... (Seal) ...- ......... ....... ..... _............. ........................ ------------------------------------------- ----- --- (Seal) THE, HANQVER INSURANCE CQIYPANY Attorney -in -fact Brenda L. Davis 12: 1 �! 1-05436 h5E MHE flS OFTMGec �0 GROUP The Hanover Insurance Company Bond# BCZ 1515919 PERFORMANCE AND PAYMENT BOND SNOW ALL MEN BY THESE PRESENTS, That,....Associates 404 S:. Columbus, South Bend, Indiana 46601 ---...----------------------------------------------------------------- _...._....................._...--------------........-----......_......_......._.........--------------_.._........._—••-----......-----------.........._.....-.---•----- ------------ --- (hereinafter called the Principal), as Principal, and THE HANOVER INSURANCE COMPANY, a corporation organized and existing under the laws of tlic State of New Flam shire, having its Executive Offiices in the City of Worcester, Massachusetts (hereinafter called the Surety), as Surety, are held and firmly bound unto City..of.,South Bend.,.--Indiana-,hereinafter-,ref-owed... a.-as...'.:C tg................... ............... ....................... . --------------------------------------------- and to all persons who furnish labor or material directly to the Principal for use in the prosecution of the work hereinafter named, in the just and full sum of ------ 7--�?ousand..- a-.00lloo-_--_-----.--_----------.--.---_._---_--.--.------ --_(. 4.,0oo.,.Qo) ------Dollars, to the payment of which sum, well and truly to be made, the said Principal and Surety bind themselves, and their respective heirs, administrators, executors, successors and assigns, jointly and severally, firmly by these presents. cement, " "City" WHEREAS, the Principal has entered into a certain written with the I_aumdr, dated the . -___ 24t=h--------....day of -.---September--------------------- 19...$4._, to....CFOR)..Construction- of Portage_ Way in Connection- With The_ Maple -Lane_ Fours__Apartment--Complex,,_,South Bend, Indiana, ---------------------------------------------------------------------------------------------------------------------------------- Agreement which is hereby referred to and made a part hereof as fully and to the same extent as if copied at length herein. NOW, THEREFORE, THE CION OF THIS OBLIGATION IS SUCH, that if the said Principal shall fully indemnify the from and against a failure his part faithfully to perform the obligations imposed upon him under the terms of said m Mree and clear of all liens arising out of claims for labor and material entering into the work, and if the said Principal shall pay all persons who shall have furnished labor or material directly to the Principal for use in the prosecution of the aforesaid work, each of which said persons shall have a direct right of action on this instrument in his own name and for his own benefit, subject, however, to the MIS11111 priority, then, this obligation to be void, otherwise to remain in full force and effect; PROVIDED, HOWEVER, that no action, suit or proceeding shall be bad or maintained against the Surety on this instrument unless the same be brought or instit tee ocess served upon the Surety within one year after com le f the work mentioned in said w p ether such work d by the Principal, Surety or but if there is any maintenance period provided in theor which said Surety is liable, an action for maintenance may be brought within three months from the expiration of the maintenance period, but not afterwards. IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this instrument this--- _-- 2kh------------ ---- day of------ Septe01bez-----------_..._.., 19 ... �4 -- WITNESS : ------------------------------------------- - ----- ------------ ----- -------...... -........... Form 141-0598B Portage Place Associates ...... (Seal) ........................................ -------- -------............................. (Seal) TIl[E HANOVE INSURANCE C(�141I'11irTY B y Attorney -in -fact Brenda L. Davis MfM9fA50Q0V FTH�E AMERICA �f P APPLICATION FOR LICENSE BONDS AND BONDS OF GENERAL INDEti" ' Handled in either the Con+-- or Fidelity Drpartrn-1- f.r ConatrucUo^ .) The Hanover Insurance Company POWER OF ATTORNEY CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS: That T HE HANOVER INSURANCE COMPANY, a corporation organized and existing under the laws of the State of New Hampshas-�, doe:a b.er>uby constitute and appoint - W_.11iam (a, Franey, James J. Nevins, Ronald E. Parr and/or Brenda L. Da-%%,r i,s -- of Capitol Heights, MD, and each is its time and lawful Attomeys -rn-fact to sign, execute, seal, acknowledge and delivev for, and on its belarl=-,E� a, ito act and deeds at any place within the United State.% )r, if the following line be filled in, only within the area thereiat desiomeCr any and all bonds, recognia$nces, undes@skiegs,, contit-acts of indemnity or other writings obligatory in the nature thereof, as follows: Any such obligations in the United States, in any amount -- T And said Company hereby ratifies and confirrim all and whataOevev said Attornoy(o)-in-fact may lawfully do in the premises by virtue of these presents. This appointment is made under and by authority of the follow ng Recolution pa so-d by the Board of Directors of said Company at a meeting held (in the seventh day of October, 1981, a quorum being pros -nt and voting which resolution is still to effect: 'RESOLVED, That the Presidem or any Vice President, in conjurrtic, rrth any A,-ei-:Unt Vice President, be and tbey are hereby authorized and empowered to appointAttorneyarin-faet of the Company, in its name and w3 its cote, En e;;ezute ared acknowledge forand on its bebalf ae 5oretyany and all bonds, rec,Fizance3, contracts of indemnity, waivers of citation and all oeltnr wiitirho, obligatory in the nature thereof, with power to attach thereto the seal of the Company. Any such writinga sir a:ecuI i by euch Altorney�i�fce: sh, !r be pa binding upon the Company as if they had been duly executed and acitrtowledged by the rebttlarly elected offi"m of the Company in their cw;% proper persona." IN WITNESS WHEREOF, THE HANOVER INSURANCE COMFAKY hao caused these presents to be sealed with its corporate seat duly attested by its Vice President and its Assistant Vke President, this 1S t day of February 1984 (Seal; THE HANOVER INSURANCE COMPANY .,mod ..... .. ....... ice President ....... ............................. .aaistant 1 ace R-csider: THE COMMONWEALTH OF M ASSACHUSETTS COUNTY OF WORCESTER n,•tjtiav,, � S t jday of February i9 84• , before me came the above named ct `President•,. afid��s�istant Vice President of The Hanover Insurance Company, to me personally known to be the individuals and officers 4 c�eSe�i�e'il herein;`and'acknowledKed that the weal affixed to the preceding instntment is the corporate seal of The Hanover Insurance Company aisd't}iat the said curj3urate seal and their signatnrea as officers were duly affixed and subscribed aid instrument b the authority, d diioectio 0E S 'd 6q4�oratia)n. y", Notary Public '+.,`� ti' •.;t"yy My Commission Expires Mayr 1, 1985 `-J,��ie uriiierAgned Assistant Vice Pyreyident of The Hana►vec Insurance Company, hereby certify that the above and foregoing is a full, true and correct copy of the Oftg;—I Power (if Attorney issued by :said Company, and do hereby further certify that the said Power olAQetorney i9 still in force and effect_ This Certificate may be signed by fascirnile under and by atith(i3itt of the following resolution of the Board of Directors of The Hanove. insurance Company at a meefling held on the 7th day of October, 1981. —RESOLVED, Thal aiiv and rll Plnyern of Attoriic v, and {:ertifird d:opic . of,:tir3; t'os era a,f:tttnrnev and certification in re4p ct thereto, Fr4rated and executed by Ibf Pne,1iden@ urnnv dice Pmsidcnt in eon))�Vie(,Prs,;.irlfthetcompany aholl be hindinb un the Company to the came extent a.+ it'll] riKnatura:+ @Irer:or ucrc nain,saily aEfixt,d ewn tl,onrh orsc nY 11MITe of arsy lhereun may be facasmsle: C1'f EN under Ivry hand and the seal of said Company, at Worcester, Ma::sachu:setts, this,* 24th day of September 1>� 84 .��;lssisfene fee Pre3ick-at APPLICATION FOR LICENSE BONDS Agency Franey & Parr Bond No. BCZ1515919 AND BONDS OF GENERAL INDEMNITY 10 00Q Handled in either the Contract Amount $ or Fidelity Departments, but NOT Premium $ g"' �� for Construction or Supply Bonds. The Hanover Insurance Companies ., TME AMERICA GROUP ® The Hanover Insurance Company ❑ Massachusetts Bay Insurance Company Portage Place Associates _ Nameof Applicant ............ .........................-- --••--......- - - -- Age ....... .. --4 Please Print or Type) Business Address 404 S. Colunbus, South Bend, Indiana 46601 HomeAddress ---- *....................... .._...................._......-...--..............-........----..........................................__............_. When established? ... ..............I..... ..._......_... If a corporation, where incorporated?......................................................_.__._ If a firm or corporation, give full names and addresses of partners or principal officers. Name Title Home Address ......................... ............ ....... .... -- ...--.................................-............... ............... ......... .._ _ _ _.......... ... .......... ...------•............................ .......... ---------------- ................................. ....... ................ ................................... ..................... ............................ ............................... .. .... .........•-.......... --...................................... .-------- --------•-................ .................. ......... ........... ,.... ............. I——............. Amount of Bond $.._.1Q., wQ --- ,• ....................From what date is bond written?.SePtesnber... 4.,,, 1W--------- .- To whom given?- - ...Ciiy p South .Bend,.. Indiana ........ ......... ...-,___._...._ (If bond is given to a corporation, Arm or individual, give fall name and address.) For what term? ........... Indefinite .................. ..................... ._.._._......------------------------------- -- (If term of bond is indefinite, when will liability thereunder be terminated?) Describe briefly the nature of the bond required. ( Attach copy of bond.) (If the bond is to be given in pursuance of Statute. Ordinance or Regulation, attach hereto copy of such Statute. Ordinance or Regulation or make proper reference thereto. If in pursuance of written agreement with one to whom the bond in given, attach hereto exact copy of such agreement.) ................ .................................................................. ... ,....... ................... ..... ....... ..... .............. .... .............................. ........... _. --•..................................................................................... .. ....... ... . ..... ....... ... I ............ ,.........., ... .... ......... Has your application for this or any Corporate Surety bond ever been declined? ......... . .............. . ..... (When zund by what Cnmpnnp '1 What other Bonds and what Liability Insurance do you carry in connection with the business requiring this bond? FONANCiAL STATEMENT AS OF---- -------------------------------- ----- 19......... Cash —on hand ...............•--......_.-------------........ ........ ........................... _ .................. inBank ------------- -----•---- ---- .... ..------. ------------..._...------................................... {Name of Bank) inBank ........................................... ....................... ........ {Name of Banks Accounts Receivable Customers .............................--------------- ------.-----------.-. -------- Less: Reserve for Bad Debts .......... ---------------------.----------............................ _... NotesReceivable Customers ----------------------------------•------------------------------------------------- Less: Reserve for Uncollectible Notes ................. .................................................. Merchandise Inventory —Raw Material —How valued .................. _...._............. Work in Process —How valued ................................. Finished Goods —How valued ........................................ Marketable securities —(Attach detailed list) -.- ....... ...................... ....................... Land & Buildings (Attach detailed list showing location and title) .................... Less: Reserve for Depreciation ......................--..........----------------------- .....----------- Machineryand Equipment ..--•---...____............................................................................ Less: Reserve for Depreciation ......... ..... ...... ..... ..._-__............ ....................... ___ PrepaidCharges .... .................................................................. ............................................. ---------- - ---...................................................... .._...... .._.•------------- ------ ......._.......I....-. --------------• ------ ---....--••--•-------------------..................... .-------- ......................... I.,.......... Other Assets (Attach detailed list).............................................................................. TOTALASSETS---------------•--...---.............-----•........---•--•---......••••--...-----......................................... Notes Payable to Bank ($---------------- -........... due within year) ............. ... .... .........._ NoteB Payable to Others ($..................... ....due within year) ....... _ - _._...-- Encumbrances on Real Estate ($ ............................due within year) ........ Encumbrances on Equipment ($ ............................due within year) .............._ - Accounts Payable (Includes $.. . ......................Past Due) __.------- Due to Officers, Partners or Employees (Attach details) .................... . ........__ Due to Affiliateu or Subsidiaries.............................................................. ........ ........... AccruedExpenses ............... ................. .... ___ ........ ......... _.................................................... AccruedTave....._.._.................__........__....._.............................. . -• ..... ...................... Federal Income `'d'ages Accrued (Includes $.... ....... ..._.----- _.Past Due) .......... ................................. ............................................................................... ....... $------------- ----------- $....... ..................... $_----- .---- .... $-------------- ---- ---- --- $...... ....... ... I.......... 4....................... ..... ...... .................I.. ..... ..... ........................... ............. .--..................... .......... - ........................ Other Liabilities (Attach detailed list) ........... ............. ......... ............................. TOTALLIABILITIES ................................................................ ........................................................................... $............ ............. Capatal Stock ......-.. $............................ Paicl.in Surplus Earned Surplus . NETWORTH ...... ._ ..... . .............. . .. .... .----.......... - TOTAL LIABILITIES AND CAPITAL............................................................................ FORM 181.0114 (Rev. 3l82) $. ........ _.......... 1. State lines of business in which you are engaged and give particulars __......... .............................._ ...,.,_........._ 2. Give particulars of any lavti• suits, judgments or liens pending against you........ ................................. 3. Are purchases made in your name for the account of others?,., .. ................... 4. Give particulars of any indebtedness to the individual, firm or corporation to whom this bond is to be given .................------ - -----.._._..-- 5. Do you now have possession of any of their goods, wares, merchandise or other property?.... . Value $ . ..---- -- 6. Amount of liability as endorser or surety for others $ .................. ................... .......... .............. ............... 7. Ilave you ever been bankrupt or insolvent? ...... . ...... ........................'),- ----------------- (If yes, explain and attach separate Statement) 8. Have you arranged a bank loan for the purpose of handling this transaction? .-. ......... (Yes or No) If go, state------------ ------ ----------------- (Name of Bank) (Amount of Loan) ---------------------------------------------------- ----_.._------ —---------- —--------------------------------------- —---------------------------------------------- ---------- - (Date it Must be Repaid) (Security Given Bank for Repayment) 9. Do you carry Fidelity Bonds on ,your employees? ------------- —------------------ —------ —------ ----------------_------------------------------------ (State what amount and what company) 10. If applicant is an individual, just starting in business, or in business for himself less than five years, give names and addresses of former employers during the last 10 years, and dates of entering and leaving the serv- ice of such employers. (If more than one former employer, give this information in separate letter and attach to this application)---------------------------- ----- -- —----- —----------- —------------ ------------ —------ —---------------------------------- —--- — 11. If Applicant is a Warehouseman, state location and capacity of Warehouse or Elevator ---------------------- ---------- ---- 12. State what insurance carried on Warehouse and contents References: Persons or corporations well acquainted with you in a business way NAME BUSINESS I CITY AND STREET ADDRESS In consideration of the execution of the bond or bonds herein applied for the Undersigned hereby agrers: 1. To pay to The Hanover Insurance Company or YN'lassachusetts Bay Insurance Company (hereinafter referred to as the Company) an annual premium of S as long as liability shall continue under said bond or bonds, or any continuation or renewal thereof, or substitution therefor until such time as satisfactory evidence of termination has been filed with the Company. 2. To save and hold the Company free and harmless from any and all losses, damages, costs and expenses of whatever kind or na- ture by reason of the execution of said bond or bonds. 3. That the Company shall have the right to adjust, settle or compromise any claim, demand, suit or judgment upon said bond or bonds, and its decision in good faith to make any payment shall be.final and conclusive as to the fact and extent of the liability of the Undersigned. 24th Se tember 84 Signed, sealed and dated this. ---------- ---------- ------- ---_._.........._..day o£..._._..�----_.._------. ....... 19-........... If INDIVIDUAL sign here: witness:___ - If CO -PARTNERSHIP, co -partnership and all co-partners sign here: Witness:_......-------------------------------------------------------- Portage Place Associates Attest . ....................... -- .---......._......................_.... (Individually and as a co-partner) ...................... ........ ............ ................ ............ (Individually and as a co-partner) .............................. ...... .......... --....... .....- ....................... ._ (Individually and re a co-partner) IF CORPORATION sign here: .............. ............. ... - Marne of Corporation 1 .............................................. ---------------------------------------- ..(Seal) I'r eni dry l ADDITIONAL. INDEMNITY Inconsideration ol'Thr llanovcr In urance Company or 1lassachusetts ikiy In:iiratwt- Conipany (hereinafter referred to as the (:om- pany) executing the bond or bonds or procuring the execution of the honti or bond: ht-ri in applied for, and warranting sufficient interest to induce and justify it, eve jointly and severally join in the foregoing Agreement. Witness...... - -- The Holladay Corporation (Seal) -------------------------------------- -------- ------------------------------------- Indemnitor Witness STATE OF ... ... .................... ........ + aa. COUNTY OF........ ........................ ......... ....... y On this -------- _- ------day oi------•-- Indemnitor Address --- -----------(Sea 1) , 19--------------- before tne• lrersonally appeared----------------------------------•-------------------------------.--...------------------------------------------------.---- , known to ore to he the. person (s) whose name (s) (is) (are) subscribed to the foregoing instrument and a Ln «l l^ it that he exe- ruted the salm.. -------•--...-------------------------------------------•-----•---•----•••......-----•--- -- Notary Public 1h Connni�siuri -----------------------------------------------------