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7805 SW HUNZIKER ROAD-1 FILE NO. �10-1a H17NZIKER ST. -• 7805 STR. OPN. PERMIT City of Tigard INSPECTION REQUEST for V13"ECTION TIMEPERMIT NO DATE : D AT E ISSUED WNFR,q NAME : ADDRESS: A-k vt -Z 1 4- ONTRACTOR * *EST : ,Air, L-1, Watel-El , visual j Loboratory 0 tESULT' Approved Disapproved 0 Pending Lj KETCH. 710 I N S P Ct% DATE OtE Attach supplemental test data here i " 01 APPLICATION STREET IMPR( -MENT/EXCAVATION COPY TO: ( OR DIN/.,.�:E NO. 14-14 IWHITEI FILE ELUE) INSP. bldgq (INSTRUCTIONS ON 1EPARATE SHEET) 1,ELL OWI -OTHER AOANc (PINK) APPLICANT APPROVED APPLICATION NO.: -72- NOT ZNOT APPROVED CITY OF TIGARD, OREGON FEE ANIT.: S �� 4• •r PENDING FEE. PMT. 0 CITY HALL RECEIPT c: PENDING SECURITY p PUBLIC WORKS DEPARTMENT BY - - DATE ? PENDING AGENCY "UK" ❑ Application and Progreso Record _ - - - - - MAINTENANCE BOND N M44j Lim61 PENDING INFORMATION C] FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED ANNUAL PENDING VARIANCE ❑ EXPIRATION DATE: PERMIT NO2_L.`. _L_ 7'L BY: (1) APPII_ICO.-i ION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT NAPA! ADDRESS CI PHONE CONTRACTOR �/ �� 4417 � CITY _-..... _ -pMONE PLANS BY �-s- 4e-el 4 h� �G,O'f, D/��Oy ,fJCITY .- NA E � E CITE--- ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 6-21 0 0, - - _ - - DOLLARS (2) EXCAVATION DATA: row 6- ICE USE: N/ir%- -- 0.02 X i = f__��• STREET DESCRIPTION PROGRESS & INSPECTION STATUS NAME SUTYPEATE REMARKS /TYPE LENGTH WIDTH DEPTH M TEM IA& QUANTITY ITEM D /TYPE BY / ^ STREET F 1!v!['/ F�- r I f -y ♦ /! (� INSP CD c_ur ,?c R TION '7— E Q _ U ESTIMATED STREET OPENING DATG,:__�[. S/ ' E - S ESTIMATKD STREET CLOSING DATE: 7i T E ___ D (3) SECURITY NO.'�z'�'e/74936CASECURITY AMj.: $ ZC'� ; CSTREET LOSED SURETY CO,: _[�ZK e4S1_1F1C T Y'j� y FINAI �— rERTIr1E_D_CHE_CK 0 C^9m 11p _bONY INSPEC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL �— SPECIAL PROVISIO / CONDITIONS: FEATURES: EXCAVATION LOCATION AND EXTENT. Llnc/r7 I p��Kr I 1 - f ,►� .. I I CURB - dIAKI , Ita -- - .r _ _. - — - - - - cor _ 1 1 L IItja i sfI I I I I ( I (5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO/A�q 74 �1_1111L���N'�� TS TO CONDUCT WORK WHERE RIGHT-UF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALI. PERTINENT LAWS AND CONSTRUCTION SPECIFICATPONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY UJJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS J:' :I1,N4 �7 APPLICANTS SIGNATURE: f A Jif tom_-. 0ATE r / ii *2 'Al rS". '��a APPLICATION - STREET IMPRC "MENT/EXCAVATION COPY TO: n (WHITF) FILE ORDIN— .;E Nn. 74-14 U1 (BLUE) INSP (INSTRUCTIONS UN SEPARATE SHEET) G (YELLOWI OTHFR AGENCY ❑ (PINK) - APPLICANT APPROVED U APPLICATION NO.: NOT APPROVED ❑ CITY OF TIGARD, OREGON FEE AM r. $ PENDING FEE PMT. ❑ CITY IIALL RECEIP,- NO. PENDING SECURITY ❑ PUBLIC WORKS DEPA R TMEN T BY __ . DATE I PENDING AGENCY "OK" ❑ Application and Progress Record MAINTENANCE BOND N_ PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED 0 ANNUAL. PENDING VARIANCE ❑ EXPIRATION DATE: —�. PERMI r NO DATE ISSUED [ [ , P Y. (1) APPLICAI ION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL _ _- AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT _ -— -- — MF ADDRESS_--- CITY PHONE CONTRACTOR T- ---PHONE PLANS BY ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): -_ DOLLARS (2) EXCAVATION DATA: FOR OFFICE USa ❑MIN. 0.02 X f STREET _ DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT '-JT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY —_— TYPE LENGTH WIDTH DEPTH ITEM h QUANTITY --- STREET - ------ INSPEC- __ R TION /- 7t c7A ,se.,w - U ESTIMATED STREET OPENING DATE: � 1. S __. ESTIMATED STREET CLOSING DATE: � [— —_- E D TREET (3) SECURITY NO. — -_ SECURITY AM1.: $ CLOSED SURETY CO.: FINAL " CERTIf IEt:I CHECK LI CASH Cl YOND_L' INSPEC. j4) PLOT PLAN INDICATE SITE P6;eTINENT PHYSICAL _ SPECIAL PROVISIONS/CONDITIONS: FEATURES; EXCAVATION LOCATION AND EXTENT. 1 I I 1 -- I l I I 1 I I ---- I 1 I I I (5) NOTE: THE CITY OF TIGARD DOES NOT. HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT OF WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APOLICANTS ACTIONS. APPLICANTS SIGNATURE — —�_ DATE / / CITY OF TIGARD—12420 S.W. MAIN--TIGARD,OREGON 97223 DA fE _ ;� _ 2 V ,� RECEIPT -� -_--s f AMOUNT:$ NAME: ' � --- OLLARS ADDRESS: - CASH: _ (CH EC2K- Pont / +OF M.O.: -- ACCT. + PiRMIT! !UR<%NAROt !"AMOUNT SEWER BILLINGS �'--- 40-364 _ BUSINESS LICENSE $-- 05-331 PLUMBING PERMIT 05-332 $ MECHANICAL PERMIT 05-332 — -- BUILDING PERMIT 05-333 SEWER CONNECTION — - 40-363 SEWER INSPECTION 40-365 _ SYSTEM DEV.CHARGE 25-366 PARK DEV.CHARGE #1 30-367 _ PARK DEV.CHARGE #2 30-368 _ ZONING ADJUSTMENTS05-362 _ TOTALS RECEIVED BY: L 5�.. _ -----__z PtRMIT NUM!!R!A!!1 tD: --- 4 NumbM 0411 7-0 Nu_`mb!r Arn��uM _Numbs 0- " �` Amount RECEIPT' 0385 API '_ICA N FOR CONTRACT THE /ETNA ',UALTY AND SURETY COMPANY BOND A1..j AGREEMENT OF h .,rd, Connecticut 06115 INDEMNITY AND FOR SECURITY LIFE&CASUALTY North Plumbing, Inc. Field Office Bund Number 42 SD 017493 BCA The undersigned, hereinafter called Applicant, hereby applies to THE ,£TNA CASUALTY AND SURETY COMPANY, hereinafter called ,Etna, for a bond or bonds, hereinafter called Bond,to be provided in connection with a contract, hereinafter called Contract, entered into, or to be entered into, between Applicant and City of Tigard The performance required by the contract is referred to herein as the Project and is described as follows: Location 7805 SW Hunzi.ker Road, .Tig , Oregon Description of Work Installation of akstorm sewer If Award Has Been Made: Date of Contract Contract Price not to exceed $5,200.00 In consideration of ,Etna's providing the Bond and as an inducement therefor, Applicant I-lereby: 1. Agrees to pay all premiums which fall due until the Bond has been exonerated and discharged and,Etna has been provided with competent legal evidence of this fact.The premium shall be at the rate in force as of the effective date of the Bond,as applied to the Contract amount, and will be adjusted to correspond with any increase or decrease of the Contract amount. 2. Agrees to exonerate and indemnify,Etna from and against any and all loss and expense of whatever kind including interest, court costs and counsel fees, hereinafter referred to as Loss, which it may incur or sustain as a result of or in connection with: (1) the providing of the Bond, (2) the enforcement of this agreement. To this end Applicant promises: (a) To promptly reimburse ,Etna for all sums paid on account of such Loss and it is agreed that (1) originals or photocopies of claim drafts, or of payment records kept in the ordinary course of business, including computer print• outs,verified by affidavit, shall be prima facie evidence of the fact and amount of such Loss, (2),Etna shall be entitled to charge for disbursements made by it in good faith, under the belief that it was li.tble,or that such disbursement was necessary or expedient. (b) To deposit with ,Etna on demand the amount of any reserve against such Loss which Xtna is required, or deems it prudent to establish, whether on ac.ount of an actual liability or one which is, or may be, asserted against it, and whether or not any payment for such Loss has been made. .(S-891-T) 12.74 CAT. 17391)7 PRINTED IN U.S.A. 1 Grants to Atna a security interest in: (a) All tools, plant, equipment and materials of every nature and description used or needed for the Project. (b) All sums which are and which may become payable to Applicant under or in connection with the Contract and all sums due or to become due from any source as a result of claims for damage and the like sustained or asserted by Applicant in connci tion with the Project. 4. Authorizes Atna at its discretion and at anytime to file this Agreement as a financing Statement under the Uniform Com- mercial Code. 5. Agrees that Atna may enforce said security interests and may demand and secure possession of all property and funds sub- ject thereto upon the happening of any of the following: (a) Failure to pay premium for this Bond, or any other Bond, furnished by Attie to Applicant, when due. (b) If Applicant is an individual, upon his death, disappearance, incapacity or conviction of a felony. (c) Default in the performance of,or in the payment of bills in cunnc,tion with,the Contract,or of any other Contract for which Atna has provided bond, whether or not such default is formally declared. (d) Insolvency of Applican!. (e) The bringing of any proceedings alleging the insolvency of Applicant. (f) The bringing of any proceedings depriving Applicant of the use of any equipment used or needed in the work. (g) Notice to kt,a of any fact or circumstance which it reasonably interprets as justification for the enforcement of its security rights. 6. Directs all persons or organizations from whom funds subject to this security agreement are or become payable to pay such funds to Atna upon its demand, and relieves such persons and organizations from any responsibility for inquiry into the grounds for such demand. 7. Authorizes Attie, in the event it enforces the security interests granted hereby, to exercise and enjoy all right and title of the Applicant with respect to: (a) Tools, plant, equipment and materials used in or needed for the Project. (b) Subcontracts and other agreements for the furnishing of labor, tools, plant, equipment and/or materials to be used in or for the Project. 8. Agrees that funds realized by Atna through the exercise of the security rights granted hereby may be applied by the Atna in discharge of the obligations of Applicant which are set forth in Paragraphs 2, 2(a)and 2(b)of this agreement, and to like obligations which may exist with respect to any other bond which Atna may have issued for Applicant. 9. Agrees that Atna may procure the Bond herein applied for from other surety or sureties,or that Atna may arrange for par- ticipation by other surety or sureties as co-surety, and that in either event such other surety or sureties shall have the benefit of this agreement and the right to enforce it. 10. Agrees that the validity and effect of this agreement shall not be impaired by, and neither Applicant nor Indemnitor(s) need be notified of, the Attie's consent or failure to consent, to changes in the terms and provisions of the Bond,or of any obligation or performance secured by the Bond. 11, Waives notice of any fact or information coming to the attention of the Atna which affects, or might affect, its rights and liabilities, or those of any other party hereto. 12. Agrees that rights under this agreement are supplemental to and not in derogation of Atna's legal and equitable rights as Surety and that neither the filing of this agreement under the Uniform Commercial Code nor the assertion of rights hereunder shall be onstrued as a P giver of other rights, including the right of subrogation. utc uuuu ur�ruy appucu Sul 13 a utu ut pIupuaat uunu,anu a uic%.uuuact tb awanoeu it)nppot ant,nppocant nereoy agrees: (a1 Applicant is not obligated to obtain from.Etna, nor is Etna obligated to provide performance,payment or other final bund or bonds. (b) In the event tEtna does prt..,ue the final bond or bonds this Agreement shat. .,e deemed to have been entered into with respect to such final bond or bonds. Executed this 28th day of July ig 78 L SJ Individual Applicant (Debtor') Witnes, (LS.) Partnership Applicant (Debtor') By _ _— Partner Attest \ 42 e Nfirth Pltm)binq, Inc. (L_S.i Bernice I. NOrth Secretary Corporation Applicant (Debtor') Mailing Address of Applicant (Debtor') Wesley G. North President Address of Surety (Secured Party*): THE fTNA CASUALTY AND,SURETY COMPANY SURETY (Secured Party') By As a further inducement to the ktna to provide the Bond herein applied for and in consideration therefor, I (we) hereby execute this Agreement as Indemnitor(sl and jointly and severally agree to be bound by and to perform all the terms,provisions and promises of this Agreement. If indemnitors are indi%iduals sign here: Witnesses: \I �_„ Witness as to r v��tw � es .—.� '[�"pr Witness as to 'Bernice I. North Wit ness as to — (I..S.) Witness as u, _ tl4S_t Witness as to _ (L.5 Witness as to __-- -- (L.S.) Witness as to _— (L.Sj If indemnitor a partnership or corporation ign herr: (LS-) Partnership or Corporation t L.S.1 Witness ---By Witness.----- --By- Witness By Witness Witness --By-- Witness --BY Witness Witness (L.S. Witness_—___---- By -- � J ''f IIF DESIGNATIONS "DEBTOR" AND -SECURED PARTY" ARE USED IN ORDER TO COMPLI' V(W1111 THE UNIFORM COMMERCIAL CODf.. b � RTIFIED COPY OF REE;:c.UTION At a regular/special meeting of the Board of Directors of duly called and held on the day of ,19 a quorum being present,the following Resolution was ad,)pted: "WHEREAS,this Company is materially interested in the transaction(s) in which (1) has applied or will apply to THE )ETNA CASUALTY AND SURETY COMPANY for bond(s) or undertaking(s); and WHEREAS, THE /ETNA CASUALTY AND SURETY COMPANY has executed or is willing to consider the execution of such bond(s)or undertaking(s),as surety,upon being furnishes'.with the written indemnity of this Company; THEREFORE. BE IT RESOLVED, that(2) of the Company be and her,-by is (are) authorized to execu;e on behalf of the Company, any agreement or agreements of in. demnity required by THE A'sTNA CASUALTY AND SURETY COMPANY as a prerequisite to the execution by it of the bond(s)or undertaking(s) for (1) in connection with the matter(s) or transaction(s) described in the agreement of indemnity required by said THE /ETNA CASUALTY AND SURETY COMPANY, and the proper attesting officer of the Company be and hereby is authorized to affix the corporate seal to such agreement or agreements of indemnity and subscribe Eis natne thereto, attesting the same." 1. Secretary of have compared the foregoing Rrsolution with the original thereof,as recorded in the Minute Book of sai,:Company,and do certify that the same is a correct and true transcript therefrom and of the whole of said original Resolution. Given under my hand and seal of the Company in the City of State of this day of ,19 Sul retary (1) Insert name and address of Principal or Applicant. (2) Insert name and title of officer(s). , THE /ETNA CASUALTY AND SURETY COMPANY Hartford, Connecticut 06115 BOND # 42 SB 017493 BCA CONTRACT BOND (Miscellanenus—NOT Construction) KNOW ALL MEN BY THESE PRESENTS,That we North Plumbing, Inc. of 17120 SW Shaw Street, Aloha, Oregon 97005 ,as Principal, (hereinafter called Principal) and THE )ETNA CASUALTY AND SURETY COMPANY, a cor- poration organized and existing under the laws of the State of Connecticut with its Home Office in the City of Hartford, Connecticut, as Surety (hereinafter called Surety) are held and firmly bound unto City of Tigard of Tigard, Oregon ,as Obligee, in tl.e full and just sum of FIVE THOUSAND TWO HUNDRED AND 140/100 DOLLARS ($ 5,200.00 ------- ),lawful money of the United States of America,to be paid to the said Obligee,successors or assigns; for which payment,well and truly to be made,we hind ourselves,our heirs,executors,administrators,successors and assigns,jointly and severally,firmly by these presents. WHEREAS the Principal has entered,or is abut to mtgr,into a written Agreement with the Obligee for Installation of a Storm Sewer at 7805 SW Hunziker Road, Tig Oregon as is more specifically set forth in said Agreement,to which reference is hereby made; NOW,THEREFORE,THE CONDITION OF THIS OBLIGATION IS SUCH that if the Principal shall well and truly perform and carry out the covenants,terms,and conditions of said,Agreement,then this obligation to be void;otherwise to remain in full force and effect. Sealed with our seals and dated this 28th day of July 1978 Witness: .. ... . .. .. . ... . . ... . . . . . . . . . . . ...NorthPlumbing, Inc...... ... .. (SEAT) `U,te.lpep . .. . . . . . . . . .. . . .. . . . ... . . . . .. . .. . . . ��?���Q.. .�`� ..... (SEAL) 1 ," , THE )ETNA CASUALTY AND SURETY CiyIOlCPA1S'Y,' , Maki L.Fly Nit}iolson AttrirneX-in-fart: I I I (S 1933) td.2 63 .........«.,.,rte... P J' THE/ETNA CASUALTY AND SURETY COMPANY r*�aartford, Conneclirul 08115 • LIFE d CASUALTY , POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEYS)-IN-FACT KNOW ALL MEN BY THESE PRESENTS, THAT THE ATNA CASUALTY AND SURETY COMPANY, a corporation duty organized under the laws of to Stele of Caroecticut,and having its principal office in the City of Hartford,Cnunty of Hartford.State of Connecticut,hath made,constituted and appointed,and does by these presents make, constitute end appoint Vicki L. Nicholson — — of Portland, Oregon its true and lawful Attorneys-in-Fact,with full power inial autharlty hereby conferred to sip+, axacuto and seknowlodge. of any place within IN) United States. or, If the following Ione be Idled In, with-n the nrea thorn deslgnat.d , the following inslrumentis). by his sole slgnalure and act,any and all bonds,recoanizances,Lvntrocte of Indemnity,and other writings obligatory In the native of a Ixn+d,reorignirance,or con- ditional undertaking, aiA any and all consents Incident thereto not exceeding the sum of FIVE HUNDRED T11011SAND ($500,000.00) DOIIARS - I and to bind THE ATNA CASUALTY AND SURETY COMPANY,thereby as fully and to the same extent as If the soma were signed by the duly authorized ofttoers of THE,ETNA CASUALTY AND SURETY COMPANY,and all the acts of sold Attorneys-In-Fact,pursuant to the authcvhy herein given,are hereby ratified and oon• finned This appointment is made under and by authority of the following Standing Resolutions of said Company which Resolutions aro now in full force and eHed: VOTED.That each of the following officers:Chairmen,Vice Chairmen.President,Any Executive Vice President,Any Senior Vice President,Any Vice President, Any Assistant Vice President,Any Secretary,Any Assistant Socratary,may from time to time appoint Resident Vice Presidents,Resident Assistant Secretaries, Attorneys�in•Fact,and Agents to act lot and on behalf of tht Company end may give any such appointee such authority as his certificate of authority may prescribe to sign with the Company s name and seal with the Company's seal bonds,reengnuzances,contracts of Indemnity,and other writings obhgslary in the nature of a bond.recap ance,or conditional underlakmg,end any of said officers or the Board of Directors may at any lime remove any such appointee and revoke the power and authority given him VOTED:Thst any bond,rer:ogmzanee,contract of Indemnity,or writing obligatory M the nature o1 a bond,recognizance,or conditiont.,undertaking shalt be valid and binding upon the Company when lel signed by the Chairman,the Vice Chairman,the president,an Executive Vice Resident,a Senior Vice Paaidenl,a Vke Resident,An Assistant Vice President or by a Resident Vice President,pursuant to the power prescribed in the cerlificals of Authority of such Resident Vice Resident,and duly attested and poled with the Compsny's sed by a Secretary or Assistant Secretary or by a Resident Assistant Secretary,pursuant to the power prescribed In the cerb6cate of authority of such Resident Assistant Secretary;or Ib)duly executed lunar Reel.If ruquirad)by one or more Attarnays•In•Faet pur. Sunni to the power preerribed in his or their certificate or certificates of authority. Thie Power of Attorney and Certificate of Authority to signed and sallied by facsimile under and by authority of the following Standing Resolution voted by Ohs Board of Directors of THE AFTNA CASUALTY AND SURETY COMPANY which Resolution is now in full face and effect: VOTED-That the signature of each of the following ofhcarr Chairman,Vice Chairman,Resident,Any Exarutive Vice Resident.Arty Semlor Vice Resident,Any Vice Resident Any A.tsistant Vice Pres0anl,Any Secretary.Any Assistant Secretory,and the seat of the Company may he affixed by facsimile loony power of attorney or to eny certificate relating thereto appointing Resident Vice Rosidents, Resident Assistant Socre'sries or Athrneys.in•Fact for purposes only of executing and attesting bonds and undwtnkingo and other writings obligatory in tris nolur:i thereof,and any such power of eltarhey Of certificate bearing such fee- Simile sig+aturs or facsimile seal shell be valid slid binding upon the Company and any such power sal executed and cartlfied by sL,:h facsimile signature and fee. simile seal shall be valid and binding upon the gumpany in the future with respect to any bond or undertaking to which it is attached. IN WITNF.SS WHFRFOF, THE rETNA CASUALTY AND SURETY COMPANY has caused this instrument to be%,gnotl by its Secretary and its corporate seal to be hereto affixed this 29th day of App Ig 76 }�^"°`'• THE ETNA CASUALTY AND SURETY C MPANY t�A�,.. By __ _ State of Connecticut as NrtfSecretary ead County of Hartford h On this -29th day of April ger 76 , before me personally came O. Q. SWAM to me known. who, being by me duly swum, did depose and coy that he is Secretary at TIE ATNA CASUALTY AND SURETY COMPANY,the e.»porstion described in end which executed the above Instrument:that he mews the feel of said core purabm.that the seal affixed to the sold instrument is such corporate seal;and that he executed the short Instrument on behalf of the mrpordltn by Authority of his Ioffice under the Standing Resolutions thereof •'.'•oro c:f — ____ .__ My i:omminbn a.plr halt, tg�a Notary"to CERTIFICATE I the undersignedABeistslnt .Slee-etary of THE tETNA CASUALTY AND SURETY COMPANY,a flock corMnlion of the State cl Connecticut_DO HEREBY CERTIFY that the#trop g end attached Power of Attorney and Certificate of Authority remains in lull fares and hes not Moen revoked; And furgermcre. that the Standing Resolutions of the Board of Directors. as eel lath in the Certificate of Authority, are now In force Signed and Sealed at the(tome office of the Companyin the City of Hertford. State of Connecticut Doled this 28th day of July • Ig 78 ((off aunoan t; Cl/ cora.,, Assistant Secretary --� 1E•4023-01 IMI 12-11 IN D N U7.A. ..