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Capitoljndcmnity Corporation
H WIL ANN L EXED,
BOND OF EXECUTOR, ADMINISTRATOR, ADMINISTRATOR WIT ESTATE
GUARDIAN OR TRUSTEE, INCLUDING SALE OF REA]
L Li
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RT OF CALJFORNM
5%?3‘11‘43 gegm BERNAgDm md No. c1c1921589
SAN BERNAnmNo msmlc rcase #. PR0532300325
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of California San Bernadine County Court 1 1 207““
State ,
MAY
In the matter ofthe Roseann San Miguel IN PROBATE
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BY___
J Mm ESPFXC}. DEPUTV
KNOW ALL MEN BY THESE PRESENTS:
and the Capitol Indemnity Comoration a
as principal, ,
That we, Roxann San Migyel ,
are held and firmly bound unto the Judge of
the
, as Surety,
the state of California
corporation duly licensed to do business in dollars, to
sum of Ninty-Two Thousand and Zero Cents ($ 92,000.00 )
County Court of the aforesaid County, in the we bind oursel ves and our legal
to be made,
in office, for which payment, well and truly
be paid to the said County Judge or his successor
these present s.
representatives, jointly and severally, firmly by
Sealed and dated this 5th day of ng ,
2023
strator ,then
lly perform his duties as Admini
The condition ofthis obligation is such, that if the principal herein shall faithfu
otherwise it shall be and remain in full force and
effect.
this obligation shall be void,
are made a part hereof by reference as if fully
The conditions of this bond as set forth by the laws of the State of California
incorporated herein.
Roxann San Miguel
In Presence of:
(Seal)
Principal
Witness to Principal
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(5&1),
l
Principal
‘5 _\-j
Wimess to Principal ‘
Capitollndemnity Corporation
_
ACKNOWLEDGEMENT OF CORPORATE SURETY
(Corporate Officer)
State of
County of
to me personally known, who
day of before me appeared ,
On this , ,
Corporation a corporation; that the seal
aforesaid officer of the Capitol Indemnity
,
being by me duly sworn, did say that he is the
ment was signed and sealed in behalf of
is the corporate seal of said
corp oration, and that said instru
affixed instrument
to the forgoing
ledged said instrument to
id officer, by authority of its Board
of Directors; and the aforesaid officer acknow
said corporation by the aforesa
be the free act and deed of said corporation.
My Commission Emires: (Notary Public)
County,
ation
Page 1 of 1
Copyright2006, Capitol Transamerica Corpor
SBD 004 (08-06)
CAPITOL [NDEIWNITY CORPORATION
POWER OF ATTORNEY Bond Number
a corporation of the State of Wisconsin, having its
KNOW ALL MEN BY THESE PRESENTS, That the CAPITOL INDEMN ITY CORPORATION,
principal ofim in the City of Middleton, Wisconsin, docs make, consmute
and appoint
-—-——-———-——~- -—-——--—————-————-
—-————-——-—-—--—--——-—-———-—--——EST ER SADUSKY; SHAHESTA PI-HLIPS-——-————-—-——
seal and deliver for and on its behalf, as surety,
and as its act and deed, any and all
itstrue and lawful Attomey(s)—in-fact, to make, execute,
provided that no bond or undertaki ng or contract of suretyship executed under this authority shall
bonds, undertakings and contacts of suretyship,
exceed in amount the sum of
NOT TO E(CEED: $20,000,000,00 -——-~
—-—----—-——-——--—-—---—-—-——-——-ALL WRITTEN INSTRUMENTS IN AN AMOUNT
of the following Resolution adopted by the Board of
This Power of Attorney is signed and sealed by facsimile under and by the authority
grantnd and is
at a meeting dulycalled and held on the 15th day
of May, 2002.
Directors of CAPITOL INDEMNITY CORPORATION and they hereby
Vice Vice Pmideng Secretary or Treasurer, acting individually or otherwise, be
“RESOLVED, that the President, Executive President,
of executing and attesting bonds and undemkings,
a Power of Anomey for the purposes only
are granted the power and authorization to appoint by
attomey(s)-in-fact, each appointee to
resident vice—presidents, assistant secretaries and
and other writings obligatory in the nature thereof, one or more and seal of the Company may be afixed
of this company; the signature of such oflicers
have the powers and duties usual to such offices to the business or certificate bearing such facsimile
or to any certificate relating thereto by facsimile, and any such power of anomey
to any such power of attorney
certified by facsimile sigmures and
signatures or facsimile seal shall be valid and binding
upon the Company, and any such power so executed and
with respect to any bond or undemking or other writing obligatory in the nature
facsimile seal shall be valid and binding upon the Company
in the fixture
at any time.”
revoked, for cause, or without cause, by any of said ofiicers,
thereof to which it is attached. Any such appointment may be
that the power and authority hereby given
to the
In connection with obligations in favor of the Florida Department of Transportation only, it is ageed
ng and construction contracts
and consents for the release of retained percentages and/or final estimates on engineeri
Attomey-in—Fact includes any all
State of Florida Department of Transportation
tion. It is fully understood that consenting to the
required by the State of Florida Department of Transporta s under its bond,
r and/or assignee, shall not relieve this surety company of any of its obligation
making payment of the final estimate to the Contracto its
agreed that the power and authority hereby given
to the
In connection with obligations in favor of the Kentucky Depanment of Highways only, -
it is
of such intent has been given to the Commissioner
prior written personal notice
Attorney-in-Fact cannot be modified or revoked unless .
days prior to the modificat ion or revocation
Depamnent of Highways ofthe Commonwealth ofKentucky at least thirty (30)
has caused these presents to be signed by
officer undersigned and its
CAPITOL INDEMNITY CORPORATION
its
IN WITNESS WHEREOF, the
corporate seal to be hereto affixed duly at&ested, this lst day of Ianuary, 2020.
CAPITOL INDEMNITY CORPORATION
Ryan J; Bymes CfiZi§;§$.
WmW Senior Vice President,
ChiefFinancial Oficer and Treasurer
Suzanne M. Broadbent
Assistant Secretary
Iohn L. Sennott, Ir.
Chief Executive Ofiicer and President
STATE 0F WISCONSIN
COUNTY 0F DANE 5.5.:
sworn, did depose and say: that
John L. Sermon, Jr., to me lmown, who being by me duly
On the lst day ofJanuary, 2020 before me personally came President of CAPITOL INDEWITY
ut; that he is ChicfExe cutive Officer and
he resides in the County of Hartford, Slate of Connectic said corporation; that the
above instrument; that he knows the seal of the
CORPORATION,the corporation described in and which executed the Board of Directors of said corporation and that he signed his name
that it was so afiixed by order of the
sea] affixed to said instalment is such corporate seal;
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thereto by like order. ”Io
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5; David J. Regele
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Notary Public, Dane Co, WI
23%. """"
My Commission Is Permanent
STATE OF WISCONSIN S S"
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I/I/qumIm\\~\
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COUNTY OF DANE
ofi'lce stated below, now the incumbent in CAPITOL INDEMNITY CORPORATION, a Wisconsin Corporation,
I, the undersimed, duly elected to the ’m full force and has not been
CERTIFY that the foregoing attached Power of Attorney remains
authorized to make this certificate, DO PEREBY now
revoked; and furthermore, that the Resolution of
the Board of Directors, set forWPower of Attorney is in force.
Signed and sealed at the City of Middletm’z,’ sue Qz‘ WisconsSn figs 5 day of
20g.
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Mm%y,wm
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Andrew B. Diaz—Matos
Senior Vice President, General Counsel and Secremry
BOND. You HAVE ANY QUESTIONS CONCERNING THE
DOCUMENT HAS BEEN GENERATED‘ FOR A SPECIFIC
IF
THIS Clc-cp0A_M (Rev, 01.2020)
AUTHENTICITY 0F THIS DOCUMENT CALL 800.475.4
450.
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Capitoljndcmnity Corporation H WIL ANN L EXED, BOND OF EXECUTOR, ADMINISTRATOR, ADMINISTRATOR WIT ESTATE GUARDIAN OR TRUSTEE, INCLUDING SALE OF REA] L Li . 3;: ! L. - - - RT OF CALJFORNM 5%?3‘11‘43 gegm BERNAgDm md No. c1c1921589 SAN BERNAnmNo msmlc rcase #. PR0532300325 . q of California San Bernadine County Court 1 1 207““ State , MAY In the matter ofthe Roseann San Miguel IN PROBATE -._\-““z......_‘_-_“._. BY___ J Mm ESPFXC}. DEPUTV KNOW ALL MEN BY THESE PRESENTS: and the Capitol Indemnity Comoration a as principal, , That we, Roxann San Migyel , are held and firmly bound unto the Judge of the , as Surety, the state of California corporation duly licensed to do business in dollars, to sum of Ninty-Two Thousand and Zero Cents ($ 92,000.00 ) County Court of the aforesaid County, in the we bind oursel ves and our legal to be made, in office, for which payment, well and truly be paid to the said County Judge or his successor these present s. representatives, jointly and severally, firmly by Sealed and dated this 5th day of ng , 2023 strator ,then lly perform his duties as Admini The condition ofthis obligation is such, that if the principal herein shall faithfu otherwise it shall be and remain in full force and effect. this obligation shall be void, are made a part hereof by reference as if fully The conditions of this bond as set forth by the laws of the State of California incorporated herein. Roxann San Miguel In Presence of: (Seal) Principal Witness to Principal ' ,:' . (5&1), l Principal ‘5 _\-j Wimess to Principal ‘ Capitollndemnity Corporation _ ACKNOWLEDGEMENT OF CORPORATE SURETY (Corporate Officer) State of County of to me personally known, who day of before me appeared , On this , , Corporation a corporation; that the seal aforesaid officer of the Capitol Indemnity , being by me duly sworn, did say that he is the ment was signed and sealed in behalf of is the corporate seal of said corp oration, and that said instru affixed instrument to the forgoing ledged said instrument to id officer, by authority of its Board of Directors; and the aforesaid officer acknow said corporation by the aforesa be the free act and deed of said corporation. My Commission Emires: (Notary Public) County, ation Page 1 of 1 Copyright2006, Capitol Transamerica Corpor SBD 004 (08-06) CAPITOL [NDEIWNITY CORPORATION POWER OF ATTORNEY Bond Number a corporation of the State of Wisconsin, having its KNOW ALL MEN BY THESE PRESENTS, That the CAPITOL INDEMN ITY CORPORATION, principal ofim in the City of Middleton, Wisconsin, docs make, consmute and appoint -—-——-———-——~- -—-——--—————-————- —-————-——-—-—--—--——-—-———-—--——EST ER SADUSKY; SHAHESTA PI-HLIPS-——-————-—-—— seal and deliver for and on its behalf, as surety, and as its act and deed, any and all itstrue and lawful Attomey(s)—in-fact, to make, execute, provided that no bond or undertaki ng or contract of suretyship executed under this authority shall bonds, undertakings and contacts of suretyship, exceed in amount the sum of NOT TO E(CEED: $20,000,000,00 -——-~ —-—----—-——-——--—-—---—-—-——-——-ALL WRITTEN INSTRUMENTS IN AN AMOUNT of the following Resolution adopted by the Board of This Power of Attorney is signed and sealed by facsimile under and by the authority grantnd and is at a meeting dulycalled and held on the 15th day of May, 2002. Directors of CAPITOL INDEMNITY CORPORATION and they hereby Vice Vice Pmideng Secretary or Treasurer, acting individually or otherwise, be “RESOLVED, that the President, Executive President, of executing and attesting bonds and undemkings, a Power of Anomey for the purposes only are granted the power and authorization to appoint by attomey(s)-in-fact, each appointee to resident vice—presidents, assistant secretaries and and other writings obligatory in the nature thereof, one or more and seal of the Company may be afixed of this company; the signature of such oflicers have the powers and duties usual to such offices to the business or certificate bearing such facsimile or to any certificate relating thereto by facsimile, and any such power of anomey to any such power of attorney certified by facsimile sigmures and signatures or facsimile seal shall be valid and binding upon the Company, and any such power so executed and with respect to any bond or undemking or other writing obligatory in the nature facsimile seal shall be valid and binding upon the Company in the fixture at any time.” revoked, for cause, or without cause, by any of said ofiicers, thereof to which it is attached. Any such appointment may be that the power and authority hereby given to the In connection with obligations in favor of the Florida Department of Transportation only, it is ageed ng and construction contracts and consents for the release of retained percentages and/or final estimates on engineeri Attomey-in—Fact includes any all State of Florida Department of Transportation tion. It is fully understood that consenting to the required by the State of Florida Department of Transporta s under its bond, r and/or assignee, shall not relieve this surety company of any of its obligation making payment of the final estimate to the Contracto its agreed that the power and authority hereby given to the In connection with obligations in favor of the Kentucky Depanment of Highways only, - it is of such intent has been given to the Commissioner prior written personal notice Attorney-in-Fact cannot be modified or revoked unless . days prior to the modificat ion or revocation Depamnent of Highways ofthe Commonwealth ofKentucky at least thirty (30) has caused these presents to be signed by officer undersigned and its CAPITOL INDEMNITY CORPORATION its IN WITNESS WHEREOF, the corporate seal to be hereto affixed duly at&ested, this lst day of Ianuary, 2020. CAPITOL INDEMNITY CORPORATION Ryan J; Bymes CfiZi§;§$. WmW Senior Vice President, ChiefFinancial Oficer and Treasurer Suzanne M. Broadbent Assistant Secretary Iohn L. Sennott, Ir. Chief Executive Ofiicer and President STATE 0F WISCONSIN COUNTY 0F DANE 5.5.: sworn, did depose and say: that John L. Sermon, Jr., to me lmown, who being by me duly On the lst day ofJanuary, 2020 before me personally came President of CAPITOL INDEWITY ut; that he is ChicfExe cutive Officer and he resides in the County of Hartford, Slate of Connectic said corporation; that the above instrument; that he knows the seal of the CORPORATION,the corporation described in and which executed the Board of Directors of said corporation and that he signed his name that it was so afiixed by order of the sea] affixed to said instalment is such corporate seal; \w\\\\\m‘xlmmu/J,fi thereto by like order. ”Io $9}. Rs QD AR; '- -' é; 5; David J. Regele q........ a \o ‘ ~ Notary Public, Dane Co, WI 23%. """" My Commission Is Permanent STATE OF WISCONSIN S S" ' I 44%” o; I/I/qumIm\\~\ “w“ COUNTY OF DANE ofi'lce stated below, now the incumbent in CAPITOL INDEMNITY CORPORATION, a Wisconsin Corporation, I, the undersimed, duly elected to the ’m full force and has not been CERTIFY that the foregoing attached Power of Attorney remains authorized to make this certificate, DO PEREBY now revoked; and furthermore, that the Resolution of the Board of Directors, set forWPower of Attorney is in force. Signed and sealed at the City of Middletm’z,’ sue Qz‘ WisconsSn figs 5 day of 20g. . ,, - — . \ “\“wlmnnuml/fllli ‘ /\\ . 4 w Mm%y,wm 1" ' / Andrew B. Diaz—Matos Senior Vice President, General Counsel and Secremry BOND. You HAVE ANY QUESTIONS CONCERNING THE DOCUMENT HAS BEEN GENERATED‘ FOR A SPECIFIC IF THIS Clc-cp0A_M (Rev, 01.2020) AUTHENTICITY 0F THIS DOCUMENT CALL 800.475.4 450.