LIFT STATION 45 FORCE MAIN REPLACEMENT - 17-0016-UT - PUBLIC WORKS BOND - POA - PUBLIC CONSTRUCTION BOND 033897P Nielson, Mosholder & Associates
A member of Nielson & Company, Inc.
4380 St. Johns Pkwy, Ste. 110, Sanford, Florida 3)2771
(407) 330-3990
PUBLIC WORKS BOND
in compliance with Florida Statutes 255.05 (1)(a)
PUBLIC CONSTRUCTION BOND
BOND NO: 033897P
Contractor Name: TLC Diversified. Inc.
Address: 2719 17"' Street East
Palmetto, F1, 34221
Phone No: 941-722-0621
Surety Company: Westfield Insurance Company
Surety Address: PO Box 5001
Westfield Center, OH 44251
Surety Phone No: 330-887-0101
Owner Name: City of Clearwater
Address: Engineering Dept.
100 S. Myrtle Avenue
Clearwater, FL 33756,
Phone No: 727-562-4747
Obligee Name:
(if different for property owner)
Obligee Address:
Obligee Phone No:
Project Name: Lift Station 45 Force Main Replacement-, Project No.17-0016-UT,
Clearwater. Florida
Project Location: Pinellas County,Florida
Legal Description: Lift Station 45 Force Main Replacement-, Project No.17-0016-U1'
,
Pinellas County, Clearwater, Florida
POWER NO. 0994592 00 Westfield Insurance Co.
General Power of Attorney Westfield National Insurance Co.
Ohio Farmers Insurance Co.
CERTIFIED COPY Westfield Center, Ohio
Know A//Afen by These Presenti;,That WES]F]ELD INSURANCE,COMPANY,WFSTFIFLD NATIONAL INSURANCE COMPANY and OHIO
FARINIERS INSURANCE COMPANY,corporations,hereinafter referred to individually as a-'Company"and collccuel% as-'Comparnes"duly organized
and existing tinder the lanes of the State cif Oleo,and having their principal offsce',,in Wesifield Center,.Medina County-Ohio,do by these Presents make,
constitute and appoint DON BRAMLAGE,LAURA D.MOSHOLDLR,EDWARD M.CLARK,JOINTILVOR SEVERALLY.
of SANFORD and State ofFL their true arid lawful Anorneyls)-m-Fact,with toll power arid authority hereby confenred in their names,place and Stead,to
execute,acknowledge and deliver any and all bonds,recrignizances,undertakings,or other instruments or contracts of suret-sship---
LIMITATION: THIS POWER OF ATTOWNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIEN(A
MORTGAGE GUARANITE,OR BANK DEPOSITORY BONDS.
and in bind any of the Companies thereby as fully and to the same extent as ifsUch bonds%%ere signed by die President,scaled vivth the corporate seal of
applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-m-Fact may do in the premises Said
appointment is made under and by authority of the fiellowing resolution adopted by the Board ofDrrectori of each of the WFSTFIFTI) INSURANCE
COMPANY.WES1T ILLD NAEIONAL 1N§URANCF.COMPANY.and 01110 FARMF-RS INSURANCE COMPANY
BE Elf RESOLVED,that the President any`Scraor Fxecutive,any Secretary or my Fidelity, &Surety Operation,.;FXCCLILIVeor other Fxecianive
shall be and is hercb.% vest with frill power and authorr'I4L to appoint rrrle one or more suitable persons as Anornev(s)-in-Fact to represent arid act for
and on behalf ofthe Company subject to die following provisions:
'Ehe Attorricy-in-Pact may be given full power and authority for and in the name of and on behalf ofthe Company,to execute acknowledge and
deliver ariv, and all bonds.recognizances.contracts,agreements of int and other conditional or obligatory undertakings and ally and all notices
arid documents"urcelling or terminating the Corripany's liability thereunder,and any such instrianCokS,SO executed by any such Attorney-in-Fact Shall
be as bridint,upon The Company as il'signed by the President and scaled and attested by the Corporate Secretary
"BE IT FURTUIER RESOLVED that the signature of airy Such designated person and the seal of the Company heretrifore or hereafter affixed
to any power of attorney or any certificate relating thereto by facsimile. arid any power of attorney ur certificate hearing facsimile Signatures Or
facsinule seal shall be \r1hd and binding upon tile Company \Nqth respect to anv bond or undertaking to which it is attached" (Each adopted at a
rhe ora,held on Fcbruar, 8,2000
hi 11,1111ess Illiereo
,/, WFSTFIFLD INSURAN(1_, COMPANY, WESTFIELD NATIONAL I'NSURANCF COMPANY, and OH10 FARMERS
INSURANCE COMPANY have caused these presents to be signed by their National Surety Leader and Senior Executive and their corporate seats
to be hereto affixed this l6th day of'October,A D.2017
_1111,, WESTFIELD INSURANCLCOMPANY
]A NATR)NAL INSURANCE COMPANY
Corporate V" Wf STFIF
01110 FARMERS INSURANCE COMPANY
Seals
1,Z
11 TE o
L
Aflixed SEAL SEA
-111"", 000
Dennis P.Bans,
Nanonal Surery Leader orad Senior Lieculive
State of,Ohio
County'rli'Mcclina SS
Oil this 16th day of October, A D 2017; before roc Personally came Dennis P. Bans.to me knomr.who.being by me LILAIV s%witil.did depose and
say,that lie resides in Wooster,011io,that he is National Surely Leader and Senior Executive ofWESTFIELD INSURANCE COMPANY,WEST 111:ED
NATIONAL INSURANCE COMPANY. and 01110 FARMERS INSURANCE COMPANY, the companies described in and which executed the above
instrument,that he knoos the seals of said Companies,that the seals affixed to said instrument are such corporate seals.that they were so affixed by order of
tile Board ofDirectors,ofsard Companies,and that he siglied his name thereto,by like older
',
Notarial o fLy P
Seal
ffil Xed
T*:: David A.Kotnik Attornev at Law,Aoiarl Public
z
(P b My Commission Does Not Expire(See 147 03 Ohio Rev iwsd Code)
"ss
State(it'Ohio
County of Medina ss
CERTIFICATE
1, Frank Carrino, Secretary of the WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY, and 01,110
FARMERS INSURANCE COMPANY,do hereby CColtv that the above and foregoing is a true and correct copy ofa Power ol`Attorney,executed by said
Companies.which is still in full force and effect.and furthermore.the resolution-,;of1he Board ofDirectors,set out in the flower of Attorney are in fall force
and effect
In fVimc%5s 117hereqf I have hereunto set my hand and affixed the seat of'sard Company at Westfield Center,Ohio.this dal'
A D,
0 . O� NAL
.. ..........La 4v . B%
3 74 t+
4
Z "Al
SEAL SEAL Frank C'arrino.Secretary
io
- . 1046
RPOAC (0 .......
............
..*...........