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1704 Family Dollar/Garrard Const Mtn Bond' I Transmittal Memorandum �C 1877 - To: Finance Department Date: May 5, 2015 From: Mike Cash Email: Micheal.Cash @sanfordfl.gov lqoq Dept.: Planning & Dev. Services Phone: 407.688.5148 Subject: Bond information for CAE system (To be forwarded to City Clerk's Office) Project Name: Family Dollar Project Address: 1111 Celery Avenue Bond Type: X Maint. /Agreement ❑ Letter Of Credit ❑ Cashier Check ❑ Performance ❑ Certified Check ❑ Cash Bond ❑ Cash Deposit ❑ Construction Loan Agreement Bond number: 4036476 Amount: $ 14,250.00 Bond Holder Name: Garrard Construction Group, Inc. Bond Holder Address: 1960 Satellite Blvd. Suite 2300, Duluth, GA 30097 Bond Holder Phone: 770 -822 -1944 Bond Obligation: installation of 3 runs of 6" 1 cleanouts, and miscellaneous connecting pipes Surety Name: Westfield Insurance Co. Email: bstone(a garrardgroup.com rated pipes below pond bottom plus an outfall if necessary for pond recovery Surety Address: One Park Circle, Westfield Center, OH 44251 -5001 Surety Phone: Effective Date: April 27, 2015 (City's acceptance) Alarm date: January 26, 2016 (90 days prior to expiration date) Email: Expiration date: April 27, 2016 (One (1) years from acceptance) TADevelopment Review \04- Engineering\Bonds\2015\Bond information - Family Dollar - 1111 Celery Ave.doex Maintenance Bond Warranty Term in years Westfield Insurance Co. Westfield Group sM One Park Circle, P O Box 5001 Westfield Center, OH 44251 -5001 Band Number 4036476 MAINTENANCE BOND KNOW ALL BY THESE PRESENTS, That we, Garrard Constriction Group, Inc. 1960 Satellite Blvd. Suite 2300 Duluth GA 30097 as Principal, and WESTFIELD INSURANCE COMPANY, a corporation organized under the laws of the State of Ohio and duly authorized to do business in the State of, FL as Surety, are held and firmly bound unto City of Sanford 300 N. Park Ave.. Sanford. FL 32771 -1244 as Obligee, in the penal sum of Fourteen Thousand Two Hundred and Fifty Dollars and No /Cents ($ 14 250.00 ), to which payment well and holy to be made we do bind ourselves, our and each of our heirs, executors, administrators, successors and assigns jointly and severally, firmly by these presents. WHEREAS, the said Principal entered into a Contract with the Obligee, dated the 4th day of September 2014 , a copy of which is hereto attached and made a part hereof, for Family Dollar Store 1111 Celery Ave., Sanford, FL 32771 - Installation of 3 runs of 6" perforated pipes below the pond bottom plus cleanouts, and miscellaneous connecting pipes, and an outfall. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal shall guarantee that the work will be free of any defective materials or workmanship which become apparent during the period of 1 One year(s) following completion of the Contract then this obligation shall be void, otherwise to remain in full force and effect, provided however, any additional warranty or guarantee whether expressed or implied is extended by the Principal or Manufacturer only, and the Surety assumes no liability for such a guarantee. Signed, sealed and dated this 27th day of April , 2015 PRINCIP Garrard 6onitruction Group, Inc. B Seal (Witness) :WESTFIEL�DIN'JIIIRANCE COMPANY Seai nifer Anderson ent Manager Surety (Witness) StepheVPff. Hatinon , Attorney -in -Fact BD 5951 (01 -2004) General POWER NO. 1011172 01 Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. CERTIFIED COPY Ohio Farmers Insurance Co. Westfield Center, Ohio Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a "Company" and collectively as "Companies," duly organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio, do by these presents make, constitute and appoint STEPHEN M. HARMON, J. CLAYTON SNELLINGS, JOINTLY OR SEVERALLY of ATLANTA and State of GA its true and lawful Attorney(s) -in -Fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of suretyship- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE OR BANK DEPOSITORY BONDS. and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s) -in -Fact may do in the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: "Be It Resolved, that the President, any Senior Executive, any Secretary or any Fidelity & Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s) -in -Fact to represent and act for and on behalf of the Company subject to the following provisions: The Attorney -in -Fact. may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary." "Be it Further Resolved, that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting held on February 8, 2000). In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their National Surety Leader and Senior Executive and their corporate seals to be hereto affixed this 21st day of MARCH A.D., 2014 . Corporate t��lt�C*s 4r• �• fit, Affixedvr ra. +s `''Pi1nN �C �y''., .•'•a,. ;sG'.; �,.• '"" a F�' ,r ••••., •• WESTFIELD INSURANCE COMPANY WESTFIELD NATIONAL INSURANCE COMPANY j:' ZQ OHIO FARMERS INSURANCE COMPANY rg4•Si+IrE'rL _N SL'tit. 11348 : !i • State of Ohio "IrrI 1.I.t`` j •tMigtsN.N.N••? By: Dennis P. Baus, National Surety Leader and County of Medina ss.: Senior Executive On this 21st day of MARCH A.D., 2014 , before me personally came Dennis P. Baus to me known, who, being by me duly sworn, did depose and say, that he resides in Wooster, Ohio; that he is National Surety Leader and Senior Executive of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above instrument: that he knows the seals of said Companies; that the seals affixed to said instrument are such corporate seals; that they were so affixed by order of the Boards of Directors of said Companies; and that he signed his name thereto by like order. Notarial 4"k Seal L Affixed ,�P�I ", � • David A. Kotnik, Attorney at Law, Notary Public State of Ohio M y Commission Does Not Ex Sec. 147.03 Ohio Revised Code County of Medina ss.: �_ �` "�',t`, Expire ( ) z4TFOF0 I, Frank A. Carrino, Secretary of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which is still in full force and effect; and furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are in full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this- day of A.D. 20 IAL ,,rest watir.,, .rrr,rrl ,.rr'•w•aggW. M • „`. �• "s (n.. SEAL Scmtay „r•.. 184® 1 �• ':Zi • o , .,_ 4 • , • ;� , Frank A. Carrino, Secretary '' aur.nla`'• �'rgit••u.•n••s`s. BPOAC2 (cci:tbined) L06 -02) GARRA -1 OP ID: JA 44� CERTIFICATE OF LIABILITY INSURANCE 04/28/2015 04 /2 812 0 1 5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER Snellin s Walters Agencyy� Inc. 1117 Perimeter Ctr West W -101 NAME: Sandra Reid P "o "E 770- 508 -3019 ac No): 77O- 399 -9880 Arc No Ell: E-MAIL I sreid sneilin swalters.com Atlanta, GA 30338 Stephen M. Harmon, ARM, AAI INSURERS AFFORDING COVERAGE NAIC # INSURERA:The Phoenix Insurance Company EACH OCCURRENCE INSURED Garrard Construction Group, In INSURER B: Travelers Indemnity Co /America 25666 One Sugarloaf Centre 1960 Satellite Blvd - Ste 2300 Duluth, GA 30097 INSURER C: Travelers Insurance 25674 INSURER D: CNA Insurance Co 01/01/2016 pD EMISES Ea occurcence $ 500,00 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE DDL B POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY DT- CO- 3F613606- PHX -15 01/01/2015 01/01/2016 pD EMISES Ea occurcence $ 500,00 CLAIMS -MADE FXI OCCUR MED EXP (Any one person) $ 5,00 PERSONAL 8 ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,00 POLICY X PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1000000 $ > > BODILY INJURY (Per person) $ A X ANY AUTO DT- CO- 3F613606- PHX -15 01/0112015 01/01/2016 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE PER ACCIDENT $ X HIRED AUTOS X NON -OWNED AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,00 AGGREGATE $ _ 1.0_,000,00 C EXCESS LIAB CLAIMS -MADE DT- CUP- 3F613606- TIL -15 01/0112015 01101/2016 DIED I X I RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? F—] (Mandatory in NH) NIA DT- CUP- 3F613606- TIL -15 01/0112015 01101/2016 X DR LIM T OTH- ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 A Equipment Floater DT- CUP- 3F613606- TIL -15 01/01/2015 01101/2016 LSd /Rntd 100,00 D Builders Risk 5091046336 01/01/2015 01/01/2016 Mo Rept 10,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS r VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Installation of 3 runs of 6" perforated pipes below the pond bottom (a total of about 600 feet) plus cleanouts, and miscellaneous connecting pipes, and an outfall - Family Dollar Store 1111 Celery Ave., Sanford, FL 32771- 1244 17.1i109114*1RV SAN FO -1 The City of Sanford 300 N. Park Ave. Sanford, FL 32771 -1244 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD 9 GARRARD Date: 4 -24 -2015 City of Sanford Attn: Mike Cash, Planning Engineer 300 N. Park Avenue Sanford, FL 32771 -1244 Project: Family Dollar 1111 Celery Ave Sanford, FL 32771 Mike, The estimated cost to install 3 runs of 6" perforated pipes below the pond bottom (a total of about 600 feet) plus cleanouts, and miscellaneous connecting pipes, and an outfall will be about $14,250.00. Thanks. Thank y , Brent Stone Development Manager