HomeMy WebLinkAbout(#06) Microsurfacing, Florida Highway Products Inc440
THE MOUNTBATTEN SURETY COMPANY, INC.
Address for notice to the surety: BOND NO.: TREIB-000015-PP —�-
c% The Mountbatten Surety Co.
Attu: Corporate Counsel _
33 Rock Hill Road Performance Bond °°
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Bala Cynwyd, PA 19004 �--
Telephone 610-664-2324singwar reference to Contractor, Surety, Owner or other party shall be considered plural where applicable.
Facsimile -
610 664 2297 Cil
CONTRACTOR (Name and Address):
FLORIDA HIGHWAY PRODUCTS, INC.
3900 US HIGHWAY 17N
BARTOW, FL 33830
OWNER (Name and Address):
CITY OF SEBASTIAN, FL
1225 MAIN STREET
L SEBASTIAN, FL 32958
CONSTRUCTION CONTRACT
Date:
SURETY (Name and Principal Place of Business):
THE MOUNTBATTEN SURETY COMPANY, INC.
THIRTY THREE ROCK HILL ROAD
BALA CYNWYD, PA 19004
Amount: ONE HUNDRED TEN THOUSAND & 00/100 ($110,000.00) DOLLARS
Description (Name and Location): MICROSURFACING
BOND
Date (Not earlier than Construction Contract Date): FEBRUARY 179 2000
Amount: ONE HUNDRED TEN THOUSAND & 00/100 ($110,000.00) DOLLARS
Modifications to this Bond:
CONTRACTOR AS'PRINCIPAL
'r COn�pany (Corporate Seal)
jLORIDA HIGHWAY PRODUCTS, IN"
e and title : a _
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(+A n additional sign tur s ap a on Page
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ON THE ft -CORDS CW
JEFFREY K. BARTON
CLERK CIRCO ��
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WDA RIVER
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❑ See Page 3
SURETY
,
Company:
THE, MOUNTBATTEN SURETY. f
Name and Title: Richard
(FOR INFORMATION ONLY - Name, Address and Telephone) OWNER'S REPRESENTATIVE: (Architect, Engineer
AGENT or BROKER: other Party)
THE TREIBER GROUP LLC
377 OAK STREET
GARDEN CITY, NY 11530
AIA DOCUMENT A312 • PERFORMANCE AND PAYMENT BOND • DECEMBER 1984 ED. • AIA
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006
A312-1984 1
COU TERSIGNED:
Marvin Allan Foster, Jr.
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L The Contractor and the Surety, jointly and severally, bind
themselves, their heirs, executors, administrators, successors and
assigns to the Owner for the performance of the Construction
Contract, which is incorporated herein by reference.
2. If the contractor performs the Construction Contract, the Surety
and the Contractor shall have no obligation under this Bond, except
to participate in conferences as provided in Subparagraph 3.1.
3. If there is no Owner Default, the Surety's obligation under this
bond shall arise after.
3.1 The Owner has notified the Contractor and the Surety at its
address described in Paragraph 10 below that the Owner is
considering declaring a Contractor Default and has requested and
attempted to arrange a conference with the Contractor and the
Surety to be held not later than fifteen days after receipt of such
notice to discuss methods of performing the Construction Contract.
If the Owner, the Contractor and the Surety agree, the Contractor
shall be allowed a reasonable time to perform the Construction
Contract, but such an agreement shall not waive the Owner's right,
if any, subsequently to declare a Contractor Default; and
3.2 The Owner has declared a Contractor Default and formally
terminated the Contractor's right to complete the contract. Such
Contract Default shall not be declared earlier than twenty days
after the Contractor and the Surety have received notice as
provided in Subparagraph 3.1; and
3.3 The Owner has agreed to pay the Balance of the Contract
Price to the Surety in accordance with the terms of the
Construction Contract or to a contractor selected to perform the
Construction Contract in accordance with the terms of the contract
with the Owner.
4. When the Owner has satisfied the conditions of Paragraph 3,
the Surety shall promptly and at the Surety's expense take one of the
following actions:
4.1 Arrange for the Contractor, with consent of the Owner, to
perform and complete the Construction Contract; or
4.2 Undertake to perform and complete the Construction Contract
itself, through its agents or through independent contractors; or
4.3 Obtain bids or negotiated proposals from qualified contractors
acceptable to the Owner for a contract for performance and
completion of the Construction Contract, arrange for a contract to
be prepared for execution by the Owner and the contractor selected
with the Owner's concurrence, to be secured with performance and
payment bonds executed by a qualified surety equivalent to the
bonds issued on the Construction Contract, and pay to the Owner
the amount of damages as described in Paragraph 6 in excess of the
Balance of the Contract Price incurred by the Owner resulting from
the Contractor's default; or
4.4 Waive its right to perform and complete, arrange for
completion, or obtain a new contractor and with reasonable
promptness under the circumstances:
.1 After investigation, determine the amount for which it may
be liable to the Owner and, as soon as practicable after
the amount is determined, tender payment therefor to the
Owner, or
.2 Deny liability in whole or in part and notify the Owner
citing reasons therefor.
5. If the Surety does not proceed as provided in Paragraph 4 with
reasonable promptness, the Surety shall be deemed to be in default
on this Bond fifteen days after receipt of an additional written notice
from the Owner to the Surety demanding that the Surety perform its
obligations under this Bond, and the Owner shall be entitled to
enforce any remedy available to the Owner. If the Surety proceeds as
provided in Subparagraph 4.4, and the Owner refuses the payment
tendered or the Surety has denied liability, in whole or in part,
without further notice the Owner shall be entitled to enforce any
remedy available to the Owner.
6. After the Owner has terminated the Contractor's right to
complete the Construction Contract, and if the Surety elects to act
under Subparagraph 4.1, 4.2 or 4.3 above, then the responsibilities of
the Surety to the Owner shall not be greater than those of the
Contractor under the Construction Contract, and the responsibilities
of the Owner to the Surety shall not be greater than those of the
Owner under the Construction Contract. To the limit of the amount
of this Bond, but subject to commitment by the Owner of the Balance
of the Contract Price to mitigation of costs and damages on the
Construction Contract, the Surety is obligated without duplication
for.
6.1 The responsibilities of the Contractor for correction of
defective work and completion of the Construction Contract;
6.2 Additional legal, design professional and delay costs resulting
from the Contractor's Default, and resulting form the actions or
failure to act of the surety under Paragraph 4; and
6.3 Liquidation damages, or if no liquidation damages are
specified in the Construction Contract, actual damages caused by
delayed performance or non-performance of the Contractor.
7. The Surety shall not be liable to the Owner or others for
obligations of the Contractor that are unrelated to the Construction
Contract, and the Balance of the Contract Price shall not be reduced
or set off on account of any such unrelated obligations. No right of
action shall accrue on this Bond to any person or entity other than the
Owner or its heirs, executors, administrators or successors. �.
�0•
8. The Surety hereby waives notice of any change,
changes of time, to the Construction Contract or to
subcontracts, purchase orders and other obligations.
including
related W
9. Any proceeding legal or equitable, under this Bond may
be instituted in any court of competent jurisdiction in the
location in which the work or part of the work is located and
shall be instituted within two years after Contractor Default
or within two years after the Contractor ceased working or
within two years after the Surety refuses or fails to perform
its obligations under this Bond, whichever occurs first. If
the provisions of this Paragraph are void or prohibited by
law, the minimum period of limitation available to sureties
as a defense in the jurisdiction of the suit shall be
applicable.
AIA DOCUMENT A312 • PERFORMANCE AND PAYMENT BOND • DECEMBER 1984 ED. • AIA
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006
A312-1984 2
10. Notice to the Surety, the Owner or the Contractor shall be
mailed or delivered to the address shown on the signature page.
IL When this Bond has been furnished to comply with a statutory
or other legal requirement in the location where the construction was
to be performed, any provision in this Bond conflicting with said
statutory or legal requirement shall be deemed deleted herefrom and
provisions conforming to such statutory or other legal requirement
shall be deemed incorporated herein. The intent is that this Bond
shall be construed as a statutory bond and not as a common law
bond.
12. DEFINITIONS
12.1 Balance of the Contract Price: The total amount payable
by the Owner to the Contractor under the Construction
Contract after all proper adjustments have been made,
including allowance to the Contractor of any amounts received
MODIFICATIONS TO THIS BOND ARE AS FOLLOWS:
or to be received by the Owner in settlement of insurance
or other claims for damages to which the Contractor is
entitled, reduced by all valid and proper payments made
to or on behalf of the Contractor under the Construction
Contract.
12.2 Construction Contract: The agreement between the Owner
and the Contractor identified on the signature page, including all
Contract Documents and changes thereto.
12.3 Contractor Default: Failure of the Contractor, which has
neither been remedied nor waived, to perform or otherwise to
comply with the terms of the Construction Contract.
12.4 Owner Default: Failure of the Owner, which has
neither been remedied nor waived, to pay the Contractor
as required by the Construction Contract or to perform
and complete or comply with the other terms thereof.
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(Space is provided below for additional signatures of added parties, other than those appearing on the cover page.) N
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CONTRACTOR AS PRINCIPAL SURETYCD
Company: (Corporate Seal) Company: (Corporate Seal) C..n
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Signature: Signature:
Name and Title: Name and Title:
Address:
Address:
AIA DOCUMENT A312 • PERFORMANCE AND PAYMENT BOND • DECEMBER 1984 ED. • AIA 41)
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006
A312-1984 3
SURETY ACKNOWLEDGMENT
STATE OF NEW YORK { SS:
COUNTY OF NASSAU �
On this 17TH day of FEBRUARY in the year 2000, before me persona[iy came RICHARD GUARINI to me known, who being by me duly swom, did
depose and say that he resides in AMITYVILLE, NY; that he is the attorney-in-fact of THE MOUNTBATTEN SURETY COMPANY, INC. the
corporation described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to said instrument
is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation, and that he signed his name thereto by like order.
NOTARY PUBLIC STAMP JEAN C. SPEIRS
NOTARY PUBLIC, State of New York
No. 01 SP5073687
Ou iified in Nas�.au Counk,
Commission Expire,_ ivtarch 3, 20-D-1
NOTARY PUBLIC
INDIVIDUAL —PRINCIPAL
STATE OF SS:
COUNTY OF
On this day of 1GL_, before me, the undersigned personally came
to me personally known and known to
the individual described In and who executed
instrument and duly acknowledged to me that executed the same.
NOTARY PUBLIC STAMP
CORPORATION - PRINCIPAL
and appeared
me to be
the foregoing
NOTARY PUBLIC
STATE OF 00(i SS:
COUNTY OF� tk
On this T ay of �C , before ml paipe lel �� to me known,
who, being by me duly mom, did d and say that he resides at �J
that he is Vi%eA we.%,ic'len7 of FLORIDA HIGHWAY PRODUCTS. INC.
the corporation described in and which executed the foregoing instrument as principal; that he knows the seal of said corporation; that the seal
affixed to said instrument is such corproate seal; that it was so affixed by order of the Board of Directors of said corporation, and that he signed his
name thereto by Gke order.
NOTARY PUBLIC STAMP
o0AY P KAREN J. HENSLEY
COMMISSION # CC 654176
0 EXPIRES JUN 9, 2001
BONDED THRU
4OF P ATLANTIC BODING CO., INC.
PARTNERSHIP - PRINCIPAL
STATE OF SS:
COUNTY OF
On this day of , 19 , before me personally came _
personally known, and known to me to be a member of the firm of
acknowledged to me that he executed the same for the uses and purposes therein mentioned.
NOTARY PUBLIC STAMP
NOTARY PUBLIC
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NOTARY PUBLIC
THE MOUNTBATTEN SURETY COMPANY, INC.
Power of Attorney
KNOW ALL MEN BY THESE PRESENTS: That The Mountbatten Surety Company, Inc., a corporation of the Commonwealth of Pennsylvania, has made,
constituted and appointed, and by these presents does make, constitute and appoint
Richard Guarini, Irene M. Kowalski, Milena Langert, Gary Morrissey, Jean C. Speirs, and/or Robert G. Tynan all of Garden City,
New York
its true and lawful Attorney -in -Fact, to make, execute and deliver on its behalf insurance policies, surety bonds, undertakings and other instruments of a
similar nature as follows:
NOT TO EXCEED SIX MILLION DOLLARS— ---------------------($6,000,000.00)
Such Insurance policies, surety bonds, undertakings and instruments for said purposes, when duly executed by the aforesaid Attomey-in-Fact, shall be
binding upon the said Corporation as fully and to the same extent as if signed by the duly authorized officers of the Corporation and sealed with Its
corporate seal; and all the acts of said Attomey-in-Fact, pursuant to the authority hereby given, are hereby ratified and confirmed. Notwithstanding any
other term in this document to the contrary, the authority granted herein does not extend to the excution on behalf of the surety of releases of any
nature, claim settlements or compromises, consents of surety as they relate to release or reduction of retainage or final payment or agreements not of
the type generally construed to be contracts of suretyship or undertakings.
This appointment is made pursuant to the following By -Laws which were duly adopted by the Board of Directors of the said Corporation on August 28,
1992 with all Amendments thereto and are still in full force and effect:
"Article XII: Policies, Bonds, Recognitions, Stipulations, Consents of Surety, Underwriting Undertakings, and Instruments Relating Thereto.
Section 12-1. Insurance policies, bonds, recognitions, stipulations, consents of surety and underwriting undertakings of the Corporation, and releases,
agreements and other writings relating in any way thereto or to any Claim or loss thereunder, shall be signed in the name and on behalf of the
Corporation: a) by the Chairman of the Board, the President or a Vice President, and by the Secretary or an Assistant Secretary; or b) by an
Attomey-in-Fact for the Corporation appointed and authorized by the Chairman of the Board, the President, or a Vice President to make such signature;
or c) by such other officers or representatives as the Board may from time to time determine.
The seal of the Corporation shall if appropriate be affixed thereto by any such officer, Attomey-in-Fact or representative. The authority of such
Attomey-In-Fact and Agents shall be as prescribed in the instrument evidencing their appointment. Any such appointment and all authority granted
thereby may be revoked at any time by the Board of Directors or by any person empowered to make such appointment."
IN WITNESS WHEREOF, The Mountbatten Surety Company, Inc. has caused these presents to be duly signed and its corporate seal to be hereunto
affixed and duly attested this 15th day of November, 1999.
071
uit THE MOUNTBATTEN SURETY COMPANY, INC.
(Seal))Attest: By:
ry L. Brigg, Secre Kenneth L. Brier, Preside t Notarial Seal
Anthony T. Stewart, Notary Public
Lower Merton Twp., Montgomery County
Commonwealth of Pennsylvania My Commission Expires Aug. 5, 2002
County of Montgomery Member. PennsvIvaniaAssociationof Notaries
On this 15th day of November, 1999, before me personally appeared Kenneth L. Brier, President of The Mountbatten Surety Company, Inc. with whom 1
am personally acqua'.rtad, who, being by me duly sworn, said that he resides in the Commonwealth of Pennsylvania, that he is President of The
Mountbatten Surety Company, Inc., the corporation described in and which executed the foregoing instrument; that he knows the corporate seal of the
said Corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said
Corporation; and that lie signed his name thereto as President of said Corporation by like authority.
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(Seal) 7- (_� 7 - Notary Public
CERTIFICATE W
I, the undersigned Secrstary of me Mountbatten Surety Company, Inc. do hereby certify that the original Power of Attorney of which the foregoing is a (V
full, true and correct copy, is in full force and effect on the date of this Certificate and I do further certify that the Officer who executed the said Power of tV
Attorney was one of the Officers authorized by the Board of Directors to appoint an Attorney -in -Fact as provided in Section 12-1 of the By -Laws of The -0
Mountbatten Surety Company, Inc. This Certificate may be signed and sealed by facsimile under and by authority of the following provisions of the G_')
By -Laws of The Mountbatten Surety Company, Inc.: CD
"Section 12-2. The use of a printed facsimile of the corporate seal of the Corporation and of the signature of the Secretary or an Assistant Secretary on Cl
any certification of the correctness of a copy of an instrument executed by an authorized person pursuant to Article XII, Section 12-1 of the By -Laws
appointing and authorizing an Attomey-in-Fact to sign in the name and on behalf pf_'%; Cbrporation surety bonds, underwriting undertakings, or other kD
instruments described in said Section 12-1, with like effect as if such seal and 5Cf s*'g9ature had been manually affixed and made." W
In Witney Whereof, I have k�ereunto set my hand �n�! affixed the corporaaea(of the Corporation to these presents
this �S7 dayof February , 20 0
This power of attorney is only valid with Code # `" d the oridAl; lied stamp affixed hereto.
(seal) 4 ,"a`�r t 'el ,
Gary . Brag Secretary ((Stamp),
h+'*'.
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•]1-iP, MOUNTBAWEN SURETY COWANY, INC.
FINANCIAL STATEMENT
THE MOUNTBATTEN SLMIXY COMPANY, INC,
STATUTORY BMIS
DECEMBER 31,1998
ADMITTED A.SSPTS
I.IARILITIE,S, CAPIM AND
SURPLUS
Bonds, at amor ked cost
$ 2,021,059
Loss and loss adjustment vgmses
3 (4,223,284)
Cash anti short term _invcstmcnts,
Unearned premituns
1,783,439
at cost, which approximates market
2,613,088
Premium takes payable
56,766
Common Ires Auq. 5, 2x02 MY
.�
Fvdcral ir=mc txcs payablc
651,850
Total cash and investments
4,6349147
Due to rcinsurcr
434,000
Other habiMcs
36.RR6
Prcmium receivable
2,029,962
Reinsurance recoverables
2,222,226
Accrued investment income
21,803
Totol liabliics
(11260,343)
Due from parent
302,527
Prepaid reinsurance premiwns
54,505
Orher assets
11,893
Capital
1,200,000
Surplus3�6
Total capital and surplus 10,537,406
Total admitted assets $ 9 2063 Total liabilities, capital and surplus $ 9 27�Ob3
noel D. Cooperman, being duly sworn, says: That he is the Vice President and Chief Accounting Officer of THE
MOUNTAATTEN SURETY COMPANY, INC., and tl= the foregoing statement to the best of his knowledge old
belief is a fuU, true, and correct statement of the financial condition of the said Company on the 31'm day of Deco nbcr
31, 1998.
Statc Pennsylvania
County Montgomery
Sworn acid subscribed before me this 22-'a day of Apa 1999
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Notarial SoW
Anthony T. Stewart, Notary punas
Lower Menon jwp. Montgomery County
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Common Ires Auq. 5, 2x02 MY
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Member. ftvws kraft Assoc Jatton of Notaries
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Anthony Stewart, No Public
i't«rrnr Ttt�B Root Htu. Rono �• BMACYnnwo. l��A 19004 ^• (614) 884-2324 •- FAx (810) 694.229?
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Address tot notic:, U
c/o the Mountbatten Sure kHE MOUNTBATTEN SURETY
Attn: Corporate Counsel
33 Rock Hill Road
Bala Cynwyd, PA 1000
COMPANY, INC.
Telephone 61 r�-c 4
PaymentFacsimile, 610- _,� �' Bond
BOND NO.: TREIB-000015-PP
Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable.
CONTRACTOR (Name and Address):
FLORIDA HIGHWAY PRODUCTS, INC.
3900 US HIGHWAY 17N
BARTOW, FL 33830
OWNER (Name and Address):
CITY OF SEBASTIAN, FL
ftIt
o 1225 MAIN STREET
SEBASTIAN, FL 32958
CONSTRUCTION CONTRACT
Date:
SURETY (Name and Principal Place of Business):
THE MOUNTBATTEN SURETY COMPANY, INC.
THIRTY THREE ROCK HILL ROAD
BALA CYNWYD, PA 19004
IN THE RECORDS OF
JEFFREY K. BARTON
CLERK CIRCUIT COURT
INDIAN RIVER G0., FLA.
Amount: ONE HUNDRED TEN THOUSAND & 001100 ($110,000.00) DOLLARS
Description (Name and Location): MICROSURFACING
BOND
Date (Not earlier than construction contract Date): FEBRUARY 17, 2000
Amount: ONE HUNDRED TEN THOUSAND & W100 ($110,000.00) DOLLARS
Modifications to this Bond:
1 a g
r ' . •t 2
diOR AS PRINCIPAL
j Iuny tf' (Corporate Seal)
GRID' HIGHWAY PRODUCTS, INC.
Signature:
I4ai'and'itIe jpe�-�- I-� . (YLt 1 , AE� �5 v
(Any additional signatures appear on Page 3)
//
SURETY
Company:
THE MOUNTBATTEN SURETY
Name and Title: Ri
❑ See Page 3
(qo�orate Sell)
Wyo.,
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(FOR INFORMATION ONLY -Name, Address and Telephone) OWNER'S REPRESENTATIVE: (Architect, Engineer or C=)
AGENT or BROKER: other Party) Cil
THE TREIBER GROUP LLC �.D
377 OAK STREET Un
GARDEN CITY, NY 11530
AIA DOCUMENT A312 • PERFORMANCE AND PAYMENT BOND • DECEMBER 1984 ED. • AIA
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006
A312-1984 4
COUNTERSIGNED:
xaoi-_ "41S, -
Marvin Allan Foster, r.
L The Contractor and the Surety, jointly and severally, bind
themselves,, their -heirs, executors, administrators, successors and
assigns to the Owner to pay for labor, materials and equipment
furnished for use in the performance of the Construction Contract,
which is incorporated herein by reference.
2. With respect to the Owner, this obligation shall be null and
void if the Contractor.
2.1 Promptly makes the payment, directly or indirectly for all
sums due Claimants, and
2.2 Defends, indemnifies and holds harmless the Owner
from all claims, demands, liens or suits by any person or entity
who fiunished labor, materials or equipment of use in the
performance of the Construction Contract, provided the Owner
has promptly notified the Contractor and the Surety (at the
address described in Paragraph 12) of any claims, demands,
liens or suits and tendered defense of such claims, demands,
liens or suits to the Contractor and the Surety, and provided
there is no Owner Default.
3. With respect to Claimants, this obligation shall be null and
void if the Contractor promptly makes payment, directly or
indirectly, for all sums due.
4. The Surety shall have no obligation to Claimants under this
Bond until:
4.1 Claimants who are employed by or have a direct contract
with the Contractor have given notice to the Surety (at the
address described in Paragraph 12) and sent a copy, or notice
thereof, to the Owner, stating that a claim is being made under
this Bond and, with substantial accuracy, the amount of the
claim.
4.2 Claimants who do not have a direct contract with the
Contractor.
.1 Have fiunished written notice to the Contractor and
sent a copy, or notice thereof, to the Owner, within 90 days
after having last performed labor or last furnished
materials or equipment included in the claim stating, with
substantial accuracy, the amount of the claim and the name
of the party to whom the materials were furnished or
supplied or for whom the labor was done or performed; and
.2 Have either received a rejection in whole or in part
from the Contractor, or not received within 30 days of
famishing the above notice any communication from the
Contractor by which the Contractor has indicated the claim
will be paid directly or indirectly, and
.3 Not having been paid within the above 30 days,
have sent a written notice to the Surety (at the address
described in Paragraph 12) and sent a copy, or notice
thereof, to the Owner, stating that a claim is being made
under this Bond and enclosing a copy of the previous
written notice furnished to the Contractor.
5. If a notice required by Paragraph 4 is given by the Owner to
the Contractor or to the Surety, that is sufficient compliance.
6. When the Claimant has satisfied the conditions of Paragraph 4,
the Surety shall promptly and at the Surety's expense take the
following actions:
6.1 Send an answer to the Claimant, with a copy to the
Owner, within 45 days after receipt of the claim, stating the
amounts that are undisputed and the basis for challenging any
amounts that are disputed.
6.2 Pay or arrange for payment of any undisputed amounts.
7. The Surety's total obligation shall not exceed the amount of
this Bond, and the amount of this Bond shall be credited for any
payments made in good faith by the Surety.
S. Amounts owed by the Owner to the Contractor under the
Construction Contract shall be used for the performance of the
Construction Contract and to satisfy claims, of any, under any
Construction Performance Bond. By the Contractor furnishing and
the Owner accepting this Bond, they agree that all funds earned by
the Contractor in the performance of the Construction Contract are
dedicated to satisfy obligations of the Contractor and the Surety
under this Bond, subject to the Owner's priority to use the funds for
the completion of the work.
9. The Surety shall not be liable to the Owner, Claimants or
others for obligations of the Contractor that are unrelated to the
Construction Contract. The Owner shall not be liable for payment of
any costs or expenses of any Claimant under this Bond, and shall
have under this Bond no obligations to make payments to, give
notices on behalf of, or otherwise have obligations to Claimants
under this Bond.
10. The Surety hereby waives notice to any change, including
changes of time, to the Construction Contract or to related
subcontracts, purchase orders and other obligations.
11. No suit or action shall be commenced by a Claimant under this
Bond other than in a court of competent jurisdiction in the location in
which the work or part of the work is located or after the expiration
of one year from the date (1) on which the Claimant gave the notice
required by Subparagraph 4.1 or Clause 4.2 (iii), or (2) on which the
last labor or service was performed by anyone under the Construction
Contract, whichever of (1) or (2) first occurs. If the provisions of
this Paragraph are void or prohibited by law, the minimum period of
limitation available to sureties as a defense in the jurisdiction of the
suit shall be applicable.
12. Notice to the Surety, Owner or the Contractor shall be mailed
or delivered to the address shown on the signature page. Actual
receipt of notice by Surety, the Owner or the Contractor, however,
accomplished, shall be sufficient compliance as of the date received
at the address shown on the signature page.
13. When this Bond has been furnished to comply with a statutory
or other legal requirement in the location where the construction was
to be performed, any provision in this Bond conflicting with said
statutory or other legal requirement shall be deemed deleted
herefrom and provisions conforming to such statutory or other legal
requirement shall be deemed incorporated herein. The intent is that
this Bond shall be construed as a statutory bond and not as a
common law bond.
AIA DOCUMENT A312 . PERFORMANCE AND PAYMENT BOND • DECEMBER 1984 ED. • AIA
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006
A312-1984 5
14. Upon request by any person or entity appearing to be a
potential beneficiary of this Bond, the Contractor shall promptly
fiunish a copy of this Bond or shall permit a copy to be made.
15. DEFINITIONS
15.1 Claimant: An individual or entity having a direct
contract with the Contractor or with a subcontractor of the Contractor
to furnish labor, materials or equipment for use in the performance
of the Contract. The intent of this Bond shall be to include without
limitation in the terms "labor, materials or equipment" that part of
water, gas, power, light, heat, oil, gasoline, telephone service or
rental equipment used in the Construction Contract, architectural
MODIFICATIONS TO THIS BOND ARE AS FOLLOWS:
and engineering services required for performance of the work of the
Contractor and the Contractor's subcontractor's, and all other items
for which a mechanic's lien may be asserted in the jurisdiction where
the labor, materials or equipment were furnished.
15.2 Construction Contract: The agreement between the Owner and
the Contractor identified on the signature page, including all
Contract Documents and changes thereto.
15.3 Owner Default: Failure of the Owner, which has neither been
remedied nor waived, to pay the Contractor as required by the
Construction Contract or to perform and complete or comply with the
other terms thereof.
(Space is provided below for additional signatures of added parties, other than those appearing on the cover page.)
CONTRACTOR AS PRINCIPAL: SURETY
Company: (Corporate Seal) Company:
Signature:
Name and Title:
Address:
Signature:
Name and Title:
Address:
AIA DOCUMENT A312 • PERFORMANCE AND PAYMENT BOND • DECEMBER 1984 ED. • AIA
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006
(Corporate Seal)
A312-1984 6
SURETY ACKNOWLEDGMENT
STATE OF NEW YORK S SS:
COUNTY OF NASSAU �
On this 17TH day of FEBRUARY in the year 2000, before me personally came RICHARD GUARINI to me known, who being by me duly sworn, did
depose and say that he resides In AMITYVILLE, NY; that he is the attorney-ln-fact of THE MOUNTBATTEN SURETY COMPANY, INC. the
corporation described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to said instrument
is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation, and that he signed his name thereto by like order.
rUMIL: 11AMr W` ' — — --- --
NOTARY PUBLIC, State of New York
No. 01 SP5073687
Q+_r,,1ied in Nassau Cct,,ill., /
Cor , i s s i o n E, i:Iarch 0�
INDIVIDUAL —PRINCIPAL
STATE OF SS:
COUNTY OF
NOTARY PUBLIC
On this day of 19 before me, the undersigned personally came and appeared
to me personally known and known to me to be
the individual described in and who executed the foregoing
instrument and duly acknowledged to me that executed the same.
PUBLIC STAMP
NOTARY PUBLIC
CORPORATION - PRINCIPAL
STATE OF Ao rlda� SS:
COUNTY OF �j k✓
11,14-
l
On this o4ok day of Cthr-b" before meane• c to me known,
who, being by mQ duly rp, did
IR
Se say that he resides at. Q �r
that he is f n' of FLORIDA HIGHWAY PRODUCTS. INC.
the corporation described in and which executed the foregoing instrument as principal; that he knows the seal of said corporation; that the seal
affixed to said instrument is such corproate seal; that it was so affixed by order of the Board of Directors of said corporation, and that he signed his
name thereto by like order.
NOTARY PUBLIC STAMP
KARON J. HSNSLV
COMMISSION # CC 654176
EXPIRES JUN 9, 2001
VOF P- ATlANi1C BOIL THRu
NG co. INQ NOTARY PUBLIC
PARTNERSHIP - PRINCIPAL
STATE OF SS:
COUNTY OF
0
ao
On this day of 19 before me personally came to me '--
personally known, and known to me to be a member of the firm of and he duly W
acknowledged to me that he executed the same for the uses and purposes therein mentioned. IU
NOT
-O
G'�
CD
CJ1
NOTARY PUBLIC t-0
co
C
THE MOUNTBATTEN SURETY COMPANY, INC.
Power of Attorney
KNOW ALL MEN BY THESE PRESENTS: That The Mountbatten Surety Company, Inc., a corporation of the Commonwealth of Pennsylvania, has made,
constituted and appointed, and by these presents does make, constitute and appoint
Richard Guarini, Irene M. Kowalski, Milena Langert, Gary Morrissey, Jean C. Speirs, and/or Robert G. Tynan all of Garden City,
New York
its true and lawful Attomey-in-Fact, to make, execute and deliver on its behalf insurance policies, surety bonds, undertakings and other Instruments of a
similar nature as follows:
NOT TO EXCEED SIX MILLION DOLLARS ($6,000,000.00)
Such insurance policies, surety bonds, undertakings and Instruments for said purposes, when duly executed by the aforesaid Attomey-in-Fact, shall be
binding upon the said Corporation as fully and to the same extent as if signed by the duly authorized officers of the Corporation and sealed with Its
corporate seal; and all the acts of said Attomey-In-Fact, pursuant to the authority hereby given, are hereby ratified and confirmed. Notwithstanding any
other term in this document to the contrary, the authority granted herein does not extend to the excution on behalf of the surety of releases of any
nature, claim settlements or compromises, consents of surety as they relate to release or reduction of retainage or final payment or agreements not of
the type generally construed to be contracts of suretyship or undertakings.
This appointment is made pursuant to the following By -Laws which were duly adopted by the Board of Directors of the said Corporation on August 28,
1992.with all Amendments thereto and are still in full force and effect:
"Article XII: Policies, Bonds, Recognitions, Stipulations, Consents of Surety, Underwriting Undertakings, and Instruments Relating Thereto.
Section 12-1. Insurance policies, bonds, recognitions, stipulations, consents of surety and underwriting undertakings of the Corporation, and releases,
agreements and other writings relating in any way thereto or to any claim or loss thereunder, shall be signed in the name and on behalf of the
Corporation: a) by the Chairman of the Board, the President or a Vice President, and by the Secretary or an Assistant Secretary; or b) by an
Attomey-in-Fact for the Corporation appointed and authorized by the Chairman of the Board, the President, or a Vice President to make such signature;
or c) by such other officers or representatives as the Board may from time to time determine.
The seal of the Corporation shall if appropriate be affixed thereto by any such officer, Attorney -in -Fact or representative. The authority of such
Attomey-in-Fact and Agents shall be as prescribed in the instrument evidencing their appointment. Any such appointment and all authority granted
thereby may be revoked at any time by the Board of Directors or by any person empowered to make such appointment."
IN WITNESS WHEREOF, The Mountbatten Surety Company, Inc. has caused these presents to be duly signed and its corporate seal to be hereunto
affixed and duly attested this 15th day of November, 1999.
d��s���o THE MOUNTBATTEN SURETY COMPANY. INC.
(Seal) )1 Attest: By: &AAA,,
r AVOW �
Ory L. B gg, Secre Kenna L. Brier, Preside t Notarial Seal
Anthony T. Stewart, Notary Public
Lower Merton Twp., Montgomery County
Commonwealth of Pennsylvania My Commission Expires Aug. 5, 2002
County of Montgomery Member. PennsvivardaAssociationofNotaries
On this 15th day of November, 1999, before me personally appeared Kenneth L. Brier, President of The Mountbattgn Surety Company, Inc. with whom I
am personally ac quu:ntad, who, being by me duly swom, said that he resides in the Commonwealth of Pennsylvania, that he is President of The
Mountbatten Surety Company, Inc., the corporation described in and which executed the foregoing instrument; that he knows the corporate seal of the
said Corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said
Corporation; and that Ire signed his name thereto as President of said Corporation by like authority.
(Seal) 9 ?• r ��s�.,,�� - Notary Public
CERTIFICATE c)
I, the undersigned Secrstar of Time Mountbatten Sure Company, Inc. do hereby certify that the original Power of Attorney of which the foregoing is a �
9 �+ SuretyY fY 9 Y 9 9 �.
full, true and correct copy, is in full force and effect on the date of this Certificate and I do further certify that the Officer who executed the said Power of W
Attorney was one of the Officers authorized by the Board of Directors to appoint an Attorney -in -Fact as provided in Section 12-1 of the By -Laws of The
Mountbatten Surety Company, Inc. This Certificate may be signed and sealed by facsimile under and by authority of the following provisions of the N
By -Laws of The Mountbatten Surety Company, Inc.: N
"Section 12-2. The use of a printed facsimile of the corporate seal of the Corporation and of the signature of the Secretary or an Assistant Secretary on -p
any certification of the correctness of a copy of an Instrument executed by an authorized person pursuant to Article XII, Section 12-1 of the By -Laws G7
appointing and authorizing an Attomey-in-Fact to sign In the name and on behalf ofheCor
orition surety bonds, underwriting undertakings, or other p
instruments described in said Section 12-1, with like effect as if such seal and suciiiignature had been manually affixed and made."
In Witness Whereof, I have hereunto set my hand and affixed the corporate se itim `tran to.2hese presents
this 17 day of FebrUa —920 00 . r '�
This power of attorney is only valid with Code # TREIB000015—PP RdT� 'i �2i; gad sta4..!ffixed hereto.
. s s' Vii♦
(seal)
IL
-r. �.:.,,�";,*,fig
Ga .Bra Secretary�`� (Stamp)
rY BragV,
it
•_
THF, MOUI,TTBATT'EN SURETY COMPANY, INC.
FINANCIAL STATEMENT
THE MOUNTBATTEN SURETY COMPANY, INC.
STATUTORY DASIS
DECEMBER 31,1998
ADM1T'fRD A.SSRTS
C>
UARiT..TTJF.S, CAPITAL AND SURPLUS
Bonds, at amortiwd cost
$ 2,021,059
Loss and lots adjustment expenses
$ (4,2231284)
Cash and shoe t term investments,
Notarial 3aW
Anthany T- Stewart, Notary Puiblic
Lower Meno jWp., Mmrtga�tery Cocinty
Uaeanied premiums
1,783,439
at cost, which approximates market
2,613,088
Premium taxes payable
56,766
Federal income ta=s payable
651,850
Total cash and investments
4,634,147
Due to reinsurer
4340000
Other liabilities
36,886
Premium receivable
2,0291962
Rainsuz- nce recoverables
2,222,226
Ac civcd investment income
21,803
Total liabilities
(1,260,343)
Due from parent
302,527
Prepaid reinsurance premiwns
54,505
Orher assets
11,893
Capitol
1,200,000
Surplus
9.337.406
Total capital and sure s
10,537.406
Total admitted assets
$ 9,277063
Total liabilkies, capital and surplus
$ 9,277.063
3oel D. Cooperman, being duly sworn, says: That he is the Vice President and Chief Accounting Officer of THE
MOUNTAA'iTEN SURETY COMIWANY, INC., and thoz the foregoing statement to the best of his knowledge and
belief is a full, u ie, and correct statement of the financial condition of the said Company on the 31u day of DeccmbtT
31, 1998.
r
Seal
SLItC Pennsylvania
County Mosntgoinery
Sworn and subscribed before me this 22,ul clay of April, 1999
� ••ti. � • • moi•
r r • v. ��
Tm-nr Tt-w� Rome wia. Rona Bu.n CvNwm. PA 19004 ••• (610) 664-2324 FAX (610) 884.2297
C>
w
lO
JMD. V= Pres&d= =2dCNefAwourin6'0&=
N
Notarial 3aW
Anthany T- Stewart, Notary Puiblic
Lower Meno jWp., Mmrtga�tery Cocinty
-v
Ccrnmissfon Ires Aug, 5, 21O
CN
Member, Pennsyhrania Associatbn of Natenea
Anthony Stewart, Not public
Tm-nr Tt-w� Rome wia. Rona Bu.n CvNwm. PA 19004 ••• (610) 664-2324 FAX (610) 884.2297
Mar -16 - 00 02:44P hall arid- parme l 516 333 1638 P.02
�eER 4QG
TREIBER r GROUP
1m
IR?
A QmWry of Leadffship
1899 * Our 1000 Annivemary -
March 7, 2040
To: Tom Fursa, Parmel Agency
From: ,dean Speirs
The last two bonds we issued for Florida Highway Products were inadvertently issued
with the same bond number.
Therefore, enclosed is Endorsement to the bond for the City of Sebastian, making the
bond number TREIB-000014-PP.
Please forward to Florida Highway. They must sign and attest the Rider and have the
signature acknowledged by a Notary. It should then be sent to the City of Sebastian.
377 Oak Street • CS 601 • Garden City, Now York 11530-0601 • (516) 745-0800 • (718) 347-3100 • Fax (516) 745.0082
www.troiber-group.com
Mar -16-00 02:44P halland-parntel
516 333 1638 P.03
THE MOUNTBATTEN SURETY COMPANY, INC.
33 Rock Will Road, Bala Cynwyd, PA 190004
(610) 664-2324
ENDORSEMENT NO. 001
Attached to and forming part of Bond No. TREIB000015PP, effective on February 17,
2000, on behalf of Florida Highway Products, Inc. of 3900 US Highway 17N, Bartow, FL
33830, as Principal, in favor of City of Sebastian, FL, 1225 Main Street, Sebastian, FL 32958,
and in the amount of One Hundred Ten Thousand & 001100 ($110,000.00) DOLLARS.
It is understood and agreed that effective February 17,2000 the above captioned bond
shall be changed as follows:
"THE BOND NUMBER SHALL BE CHANGED TO: TREIB-000014-PP."
All other conditions and terms to remain as originally written.
Signed, sealed and dated this 7TH day of MARCH, 2000.
FLORIDA HIGHWAY PRODUCTS, INC.
Attest
By: k4-- 'd6��
Address fof notice to uie :xr is .
c/o The Mountbatten Surety CL
Attu: Corporate Counsel
33 Rodc Hill Road
Bala Cynwyd, PA 19004
Telephone 610.664 -?324
Facsimile 610-664-'_'2°7
THE MOUNTBATTEN SURETY COMPANY, INC.
Sy. AC4��.
Richard Gu d0,Aorney4n-fact
Mar -16 — 00 02:44P ha 1 l arid— parme l 516 333 1638 P.04
SURETY ACKNOWLEDGMENT
STATE OF NEW YORK SS'
COUNTY OF NASSAU
On this TM day of MARCH in the year 2M, balm me persoruYy came RICHARD GUAM to me known, who beeng by me duty mom. did
depose sad salt that he resides in AMU M" NY; that he is the attorney-in-fact of THE MOUNTBATTEN SURETY COMPANY. INC. the
corporation desalied in and which executed ft above instrument; that he knows the seat of said corporaticn; that the seal affbod to said mstrument
is such corporate seal that it was so affiked by order of the Board of Directors of said corporation, and that he signed his nam thereto by eke order.
NOTARY PUBLIC STAMP JL ►''v F,• ,` risr 0
NOTARY Pt t:, Stags of New York � It c
Ir
NOTARY PUBLIC
INDIVIDUAL — PRINCIPAL
STATE OF SS:
COUNTY OF
On this _ day of 19 before rne. the undersigned personally came and appeared
to trw personaRy known and known to me to be
the mdn xkW described in and who executed tits foregoing
instrument and duty grim to rrte that ex uteri the same.
CORPORATION - PRINCIPAL
STATE OF f 1 rt
SS:
COUNTY OF �%jt
On this ,A'h day ofi" before no •.JC�h n 1v to me known
who, being -g� dt�Iy swom, depose snd say that he rosidse at
OW he is 'CY �fin of FL.ORIL?A WW WAY PROQUCTS. INC.
the corporation described in and which executed the foregoing Instrument as principal; that he knows the seal of said corporation; that the seal
aft W to said instrunent is such c orproate *eel; that it was so often by order of the Board of Directors of said corporation, and that he signed his
ntwm #mobo by Ma ardent.
141 KAREN I NSNSLE1r
' COMMI�ON # CC 654176
i4li, DVIRf lUN 9.2001
PARTNERSHIP - PRINCIPAL
STATE OF SS'
COUNTY OF
On thea _ day of 19 before me pwrsonaRy came .
personadt knowm% and known to rrte to be a member of the firm of
acknowledged to me that he executed the same for the ton and purposes therein mentioned.
to me
and he duly
Mar -16-00 02:44P hal 1 and-parme l 516 333 1638 P-05
THE MOUNTBATTEN SURETY COMPANY, INC.
Power of Attorney
KNOW ALL MEN BY THESE PRESENTS: That The Mountbatten Surety Company, Inc., a corporation of the Commonwealth of Pennsylvania, has made,
constituted and appointed. and by these presents does make. constitute and appoint
Richard Guarini. Irene M. Kowalski, Milena Langof% Gary Morrissey, Jean C. Speirs, and/or Robert G. Tynan all of Garden City,
Now York
its true and lawful Attorney -in -Fact. to make, execute arid deliver on Its behalf insurance policies. surety bonds, undertakings and other instruments of a
similar nature as follows:
NOT TO EXCEED SIX MILLION DOLLARS Rd,6.000.000.00)
Such insurance policies. surety bonds. undertakings and instruments for said purposes. when duly executed by the aforesaid Attomey-ir•Fact, shall be
binding upon the said Corporation as fully and to the same extent as if signed by the duly authorized officers of the Corporation and seated with its
corporate seal. and all the acts of said Attomey-in-Fact, pursuant to the authority hereby given, are hereby ratified and confirmed. Notwithstanding any
other term in this document to the contrary, the authority granted herein does not extend to the excution on behalf of the surety of releases of any
nature. claim settlements or compromises. consents of surety as they relate to release or reduction of retainage or final payment or agreements not of
-the type generally construed to be contracts of suretyship or undertakings.
This appointment is made pursuant to the following By -Laws which were duly adopted by the Board of Directors of the said Corporation on August 28,
1952 with all Amendments thereto and are 9011 In full force and effect:
'Amite XII: Policies. Bonds. Recognitions. Stlputatkms. Consents of Surety. Underwriting Undertakings, and Instruments Relating Thereto.
Section 121. Insurance policies. bonds, recognitions, stipulations. consents of surety and underwriting undertakings of the Corporation, and releases,
amts and other writings retai ng in any way thereto or to any claim or loss thereunder. shall be signed In the name and on behalf of the
Corporatiar: a) by the Chairman of the Board, the President or a Vice President and by the Secretary or an Assistant Secretary: or b) by an
Aitomey4n-Fact for the Corporation appointed and authorized by the Chairman of the Board, the President. or a Vice President to make such signature.
or c) by such oiler officers or representatives as the Board may from time to time determine.
The seal of the Corporation shag If appropriate be affixed thereto by any such officer, Attorney -in -Fad or representative. The authority of such
Attomey4n-Fact and Agents shall be as prescribed in the instrument evidencing their appointment. Any such appointment and all authority granted
thereby may be revoked at any time by the Board of Directors or by any person empowered to make such appointment."
tN WITNESS WHEREOF. The Mountbatten Surety Company, Inc. has caused these presents to be duly signed and its corporate seal to be hereunto
affixed and duty attested this 15th day of November. 1999.
�`e"�' THE MourrrexrTwN Suueerr CouPANY. hoc.
�N
(Seal)) =, Attest: By:
ILI,�....,,r► ,f ry L. Brig
g. SecreW Kenneth Lrter.7Lower
Notertal Seal
• A��T. rtetyly l
wft
UWU
Commonwealth of Pennsylvania My Comndsstort Expires Aug .2002
County of Montgomery Member.PennsWanta AssociallonofNoWles
On this ISM day of November. 1999. before me personally appeared Kenneth L Brier. President of The Mountbatten Surety Company, Inc. with whom I
am personally apquairI.W. who, being by me duly sworn, said that he resides in the Commonwealth of Pennsylvania, that he is President of The
Mountbatten Surety Conipwry. Inc., the corporation described in and which executed the foregoing instrument; that he knows the corporate seat of the
said Corpmation: that the seal affixed to said instrument is such corporate seal: that it was so affixed by order of the Board of Directors of said
Corporatio<t: and that he signed his name thereto as President of said Corporation by tike audwrity.
(Seal) W7'•�i....,�� - Notary Public
CERTIFICATE
1, the undersigned Seerstary of rile Mountbatten Surety Company, Inc. do hereby certify that the original Power of Attomey of which the foregoing is a
fun. true and correct may. is in fail force and effect on the date of this Certificate and I do further certify that the Officer who executed the said Power of
Attorney was one of the Officers authorized by the Board of Directors to appoint an Attorney -in -Fact as provided In Section 12-1 of the By -Laws of The
Mountbatten Surety Cony. Inc. This Certificate may be signed and seated by facsimile under and by authority of the following provisions of the
By -Laws of The Mountbatten Surety Company. Inc.:
"Section 12-2. The use of a printed facsimile of the corporate seal of the Corporation and of the signature of the Secretary or an Assistant Secretary on
any certification of the correctness of a copy of an instrument executed by an authofted person pursuant to Article X11, Section 12-1 of the By -Laws
appointing and authorizing an Attorney -in -Fact to sign in the narne and on behalf of the Corporation surety bonds. underwriting undertakings. or other
Instruments described in said Section 12-1. with tike effect as if such seal and such signature had been manually affixed and made.'
In Witness Whereof. I have hereunto set my hand and affixed the corporate seal of the Corporation to these presents
this 7 day of March . 20 00 .
This power of attemey is only valid with Code # 00 . and Me original, red stamp affixed hereto.
(seal) A_ 1 ` � (Stern p)
Gary : B Secretary
Mar -16-00 02:45P halland-parmel 516 333 1638 P.06
I'M MO NYTBA"["TFN SURETY CVA NY. INC.
FINANCIAL STATEMENT
THE MOUNTBATTEN SURETY COMPANY, INC.
STATUTORY BASIS
DECEMBER 31,1898
Bonds, at aaortized Cost
C.ah and shun tam iavcsuncnts,
at cost, which approximates marina
Total cash and Lwestnmts
Prcmiam rocriv'able
Rrinsum= recoverables
A=nwd investment income
Due from parent
Ps+cpaid minor mce praniums
Urher assets
Total mWaed users
JcW D. Qop�, being duly sworn, says: Thar he is the vices Presidems and O dO Aecountug Officer of THE
MOUNTBA EN SURM'Y COMPANY, INC, and that the foregroing sme as:nt to tho best of his knowWge quid
beW is a full, true, and correct stnumem of the financial condition of the said Company on the 31a day of Dcccmbrr
31,1998.
Seal
State Pennsylvania
Conary IVtmmma y
Sworn atd subscr W before me this zw day of April. 19"
JodD. voeP detrsnd�iefA�000u�siMOToar
110cm saw
fLWW mWan 1%2- himmmikm r"
Stewart,
Ttoar Trwm tsooc th. Raine -- HLu.n e` mWvo. 0� IMXW — 0610) W4-=4 — FAx (Blo) W* -azo?
1JAR11.1'1 ES. CAPTt' L AND
SURPLUS
S 2,021.059
Lou and loss adjustmait menses
S (4,223,284)
Vammed premiums
1,7 93,439
b.�i
Pra nium tams payable
56,766
Fc&rA iucom taus payable
651,850
4,634,147
Due to nia
434,0 00
_surtz
Odmr '
b m
20P.962
2,222,226
21,803
Tata1 liabues
(1,264343)
302,527
54,505
11.893
Capiml
1,200,000
suPius
9,337,406
Total capital and swphe
to's
S 9r
Total lt*.Ik;lmgx capital and surplus
$ 9 77
JcW D. Qop�, being duly sworn, says: Thar he is the vices Presidems and O dO Aecountug Officer of THE
MOUNTBA EN SURM'Y COMPANY, INC, and that the foregroing sme as:nt to tho best of his knowWge quid
beW is a full, true, and correct stnumem of the financial condition of the said Company on the 31a day of Dcccmbrr
31,1998.
Seal
State Pennsylvania
Conary IVtmmma y
Sworn atd subscr W before me this zw day of April. 19"
JodD. voeP detrsnd�iefA�000u�siMOToar
110cm saw
fLWW mWan 1%2- himmmikm r"
Stewart,
Ttoar Trwm tsooc th. Raine -- HLu.n e` mWvo. 0� IMXW — 0610) W4-=4 — FAx (Blo) W* -azo?