20-101386-WSDOT Bond for Agreement and Permit-03-21-2022-V1,+t W
Washingto
Stats
wI/ Don t'ft'ft of Transportatlan
We,
Bond No. _
Federal Way Parcel A, LLC & Federal Way Parcel B, LLC
1084945
of
Individual Bond for
Agreement and Permit
King County Washington as
Principal, and The Hanover Insurance Company as Surety, are jointly and severally bound unto the State of
Washington in the sum of six Hundred Thirty Nine Thousand sIx Hundred Seventy R rx; ioo Dollars, for payment of which to the State of
Washington, we jointly and severally bind ourselves, our heirs, executors. administrators, and assigns, firmly by these presents.
Recitals
1. The Principal in pursuance of its operations has requested the permission of the Washington State Department of Transportation,
to construct improvements within the state's right of way.
2. The Washington State Department of Transportation, has agreed to allow the Principal to construct these improvements on a
portion of State Route No. 18 in King - County, Washington, under the provisions
of the agreement between these two parties hereinafter identified as agreement number UCB 1689
Now, Therefore, the condition of this obligation is such that if all the conditions of said agreement including the proper restoration of
slopes, slope treatment, topsoil, landscape treatment, drainage facilities and cleanup of right of way, are complied with according to
the terms contained in said agreement or permit by said Principal, through a period ending not more than one (1)
year(s) after date of completion of construction and upon receipt of a written discharge from the State, then this obligation shall
become null and void, otherwise this bond to remain in full force and effect.
WITNESS our hands and seals this
1st
NOTE: Please type or print below the signatures the
names of parties executing this Bond, together with official
title of each.
Washington State
Department of Transportation
Digitally signed by Ramin Pazooki
Ramin Pazooki Date: 2022.02.0118:16:26-08'00'
Signature and Date:
day of September 2021
Federal Way Parcel A, LLC
Principal: Federal Way Parcel B, LLC
Address: c/o Industrial Realty Group, LLC
I I I I I Santa Monica Blvd., Suite 800
Los Angeles, CA
Telephone 310-7
Signature and D e: 9-1-2021
,701
Printed. 9144440 4
Print Name
Title CAo
Surety: The Hanover Insurance Group
Address- 440 Lincoln Street
Worcester, MA 01653
Printed: Ramin Pazooki
Print Name Telephone.
Title: Utility & Developer Services Manager
Date:
630-217-9927
Signature and Date: �~ 9-1-2021
Printed. Tammy Killion
Print Name
Title. Attorney -In -Fact
DOT Form 224-049
Revised 03/2021
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OF ATTORNEY
THIS Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except In the manner and
to the extent herein stated.
KNOW ALL PERSONS BY THESE PRESENTS:
ThatTHE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing
under the laws of the State of New Hampshire and C.,TiZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the
laws of the State of Michigan, (hereinafter individually and collectively the ' Company') does hereby constitute and appoint,
Jeffrey Pike[, Martha Kinast, Karen Wallace, and/or Tammy Killion
Of The DeHayes Group of Fort Wayne, IN each individually, if there be more than one named. as its true and lawful attorneys) -in -fact to sign, execute.
seal, acknowledge and deliver for, and on its behalf, and as its act and deed any place within the United Slates, any and all surety bonds, recognizances,
undertakings, or other surety obligations_ The execution of such surety bonds recognizances, undertakings or surety obligations, in pursuance of these
presents, shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company, in their
own proper persons. Provided however, that this power of attorney Itm'ts the acts of those named herein, and they have no authority to bind the Company
except in the manner stated and to the extent of any limitation stated below
Any such obligations In the United States, not to exceed Ten Million and Noll 00 ($10,000,000) in any single instance
That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company, and said
Resolutions remain in full force and effect
RESOLVED: That the President or any Vice President. in conjunction with any Vice President, be and they hereby are authorized and
empowered to appoint Attorneys -in -fact of the Company, in its name and as it acts, to execute and acknowledge for and on its behalf as surety,
any and all bonds, recognizances. contracts of indemn ty, waivers of citation and all other writings obligatory in the nature thereof, with power to
attach thereto the seal of the Company Any such writings so executed by such Attorneys m-fact shalt be binding upon the Company as if they
had been duly executed and acknowledged by the regular y elected officers of the Company in their own proper persons.
RESOLVED: That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto, granted
and executed by the President or Vice President in conjunction with any Vice President of the Company, shall be binding on the Company to the
some extent as if all signatures therein were manually affixed, even though one or more of any such signatures thereon may be facsimile
(Adopted October 7, 1981 — The Hanover Insurance Company, Adopted April 14, 1982 — Massachusetts Bay Insurance Company; Adopted
September 7, 2001— Citizens Insurance Company of America)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE
COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by two Vice Presidents, this 2sth
day of July, 2017.
The Hanover Insurance Company
Massachusetts Bay Insuo-ance Company
Citizens Insurance Co�.any of America
John C Roche, EVP and President
rA
IA7'a S180�
THE COMMONWEALTH OF MASSACHUSETTS )
COUNTY OF WORCESTER ) ss
The Hanover Insurance Company
Masaachusetts Bay Insurance Company
Citizens insurance Company of America
V
James f3. Kacsiecki, Vice President
On this 2VI day of July, 2017 before me came the above named Vice Presidents of The Hanover Insurance Company, Massachusetts Bay Insurance
Company and Citizens Insurance Company of America, to me personally known to be the individuals and officers described herein, and acknowledged
that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance Company
and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and
subscribed to said instrument by the authoritv and direction of said Corporations.
AL OIANE J. MARINO nnnr rime
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I, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of
America, hereby certify that the above and foregoing is a full, true and correct copy of the Orig_nal Power of Attorney issued by said Compan.es, and do
hereby further certify that the said Powers of Attorney are still in force and effect
GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this 1" day of September, 2021
CERTIFIED COPY
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