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Permission is dern6y yioen to -S// �O rI F!?
to occupy for purposes
in front of eslale /1)
ofsidema ofslreel.
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r✓�is permi!rs�miledlo �P c I (� 20 / su6 ecl to IFie
provisions of lSe ord.rirances andslal)les in relalion!o cslreels andlSie,9nspeclion
and Gonstruclion of-Turrdnys in ISie Ci6(of cSalem. -
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Effective Date: June 1st, 2016
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fi Western Surety Company v
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LICENSE AND PERMIT BOND
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u KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 62801162
That we, Stephen Whittier
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of Salem State of Massachusetts as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of
Massachusetts , as Surety, are held and firmly bound unto the
City of Salem , State of Massachusetts , as Obligee, in the penal
sumof One Thousand and 00/100 DOLLARS ($1, 000.00 ),
lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made,
we bind ourselves and our legal representatives, firmly by these presents.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been
licensed Sidewalk City of Salem
by the Obligee.
NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply
with the laws and ordinances, including all amendments thereto, pertaining to the license or permit
applied for, then this obligation to be void, otherwise to remain in full force and effect until
June 1st 1 2017 , unless renewed by Continuation Certificate.
This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class
U.S. Mail, to the Obligee and to the Principal at the address last known to the Surety, and at the expiration
of thi tyaa� ° fieWays from the mailing of said notice, this bond shall ipso facto terminate and the Surety
shg1�41h� eW,po 7 ' lieved from any liability for any acts or omissions of the Principal subsequent to said
dal������w...t 9-..b e number of years this bond shall continue in force, the number of claims made
ag�n' his bo z the number of premiums which shall be payable or paid, the Surety's total limit of
Iffit ll�y shall notld&&ulative from year to year or period to period, and in no event shall the Surety's total
filidll
,41tyftaA%Ia,Yijkptxceed the amount set forth above. Any revision of the bond amount shall not be
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Dateq'Y�Ysissb°'•4a¢' 1st day of June 2016 '
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Pr ncipal
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SEAL WEST E SURETY) COMPANY
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Paul T.Br flat,Vice President v
n Forth 532-12-2015
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ACKNOWLEDGMENT OF SURETY
STATE OF SOUTH DAKOTA 1 ss (Corporate Officer)
COUNTY OF MINNEHAHA I
On this 1st day of June 2 016 ,before me,the undersigned officer,
personally appeared Paul T. Bruflat ,who acknowledged himself to be the aforesaid
officer of WESTERN SURETY COMPANY, a corporation, and that he as such officer, being authorized so to do, executed
the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as such
officer.
IN WITNESS WHEREOF,I have hereunto set my hand and official seal.
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i M. BENT
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iSEAL SOUTH DAKOTA SQL s Notary Public—South Dakota
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My Commission Expires March 2, 2020 ACKNOWLEDGMENT OF PRINCIPAL
STATE OF 1 as (Individual or Partners)
COUNTY OF )
On this day of ,before me personally appeared
known to me to be the individual described in and who executed the foregoing instrument and acknowledged to me
that—he executed the same.
My commission expires
Notary Public
ACKNOWLEDGMENT OF PRINCIPAL
STATE OF (Corporate Officer)
COUNTY OF as
On this day of ,before me personally appeared
who acknowledged himself/herself to be the
of , a corporation,and that he/she as
such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing
the name of the corporation by himself/herself as such officer.
My commission expires
Notary Public
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Western Surety Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and
authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut,
Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine,
Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey,
New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina,
South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United
States of America,does hereby make,constitute and appoint
Paul T. Bruflat of Sioux Falls ,
State of South nakota its regularly elected Vice Presldent
as Attorney-in-Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for and on
its behalf as Surety and as its act and deed,the following bond:
One Sidewalk City of Salem
bond with bond number 62801162
for Stephen Whittier
as Principal in the penalty amount not to exceed: $ 1,000.00
Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety Company
duly adopted and now in force,to-wit:
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate
name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the
Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attorneys-in-Fad or agents who shall have authority to issue bonds,policies,or undertakings in the name of the Company. The corporate seal is
not necessary for the validity of any bonds, policies,undertakings, Powers of Attorney or other obligations of the corporation. The signature of any
such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
Vice President with the corporate seal affixed this 1st day of June ,
2016
ATTEST WESTE N URET COMPANY
By— Z7Y-14t
._. L.Nelson,Assistant Secretary Paul T ruflat,Vice President
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STATE OF SOUTH DAKOTA •
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COUNTY ....
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On this 1st day of June 2016 before me, a Notary Public, personally appeared
Paul T. Bruflat and L. Nelson
who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as Vice President
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the
voluntary act and deed of said Corporation.
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a J. MOHR as
a ^ NOTARY PUBLIC SQL^ a
S, SEAL SOUTH DAKOTA s
a a My Commission Expires June 23, 2021 Notary Public
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To validate bond authenticity,go to www.cnasurety.com >Owner/Obligee Services>Validate Bond Coverage.
Form F1975-1-2016 ����