HomeMy WebLinkAboutSouthland Construction Fisher Road Release of Lien -2004 03 16
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CONTRACTOR'S RELEASE OF LIEN FORM
Before me. the undersigned authority in said County and State, appeared
Daniel L._Carr who.. being first duly swom, deposes and says that he is Preside'Q.t of
iSouthland-fonstruction. In.ca company and/or corporation authorized to do business under the laws of
Florida, which Is the contractor on the Project known as Fisher Road Roadway Imcrovernents
located in Sem1.noIe County, Florida, with the City of Winter SDrinQ8, dated
I \ the ..2.th. day of September . 2003. that the said deponent is dUly authorized to make
this affidavit by resolution of the Board of Directors of said company and/or corporation; that
deponent knows of hislher own knowledge that said contract has been complied with in every
I particular by said contractor and that all parts of the work have been approved by the Owner's
Engineers; that there are no bills remaining unpaid for labor, material, or otherwise, in connection
with said contract and work, and that there are no suits pending against the undersigned as
l contractor or anyone in connection with the work done and materials furnished or otherwise under
said contract. Deponent further says that the final estimate which has been submitted to the Owner
.. simultaneously with the making of this affidavit constitutes all claims and demands against the
1 Owner on account of said contract or otherwise, and the acceptance of the sum Specified In said
final estimate will operate as a full and final release and discharge of the Owner from any further
claims, demands or compensation by contractor under the above contract. Deponent further
'agrees that all guarantees under this contract shall and be in full force from the date of this release
as spelled out in the Contract Documents. .
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STATE OF FLORIDA
COUNTY OF
Orange
The foregoing instrument was aCknowledged before me this JI/ !l Joy.
Daniel L. Carr. (Name of Person Acknowledged) as President
(type of authonty , e.g. Officer, tru~tee, attorney in fact) for ~nllt'hl .<Inn Construction, Inc.
(name of ~arty ~n ~half of whom Instrument was executed) and Is personally known to me or has
produced Identification. _
(DATE) by
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Notary Public - State of Flori
Cox Hansbrough
~i MvCommllllon DDOa7152
." IxpIrea Mlrch 31. 2008
(SEAL)
* National Fire Insurance Company of Hartford
We, t~e ~ having ~eretofore ex~cuted a performance bond for the above-named co tractor
$ covElnng project and section as descnbed above in the sum o~v~n au~dred tYTlve :qQtfclc 9>>. d
712,804.00 ) h b th n r" QI1'1:' d.Q aril.cft:fltH,.'
th' , ere y agree ~t the Owner may make full payment of the final estimate including
e retained percentage, to saId contractor. '
eight
It i~fully und~rstood that the 9ra~ting o~ the right ~o the Owner to make payment of the final
est~ma~ to saId ~ntractor and/or Its assIgns, shall In no way relieve this surety company of its
obhgatlon~ under Its bond, as set forth in the speCifications contract and bond pertaining to th
above prOJect. · e
0064S.1
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* National Fire Insurance Company of Hartford
IN WITNESS WHEREOF, the *, has caused this instrument to be executed on its behalf
by its Resdient Agent and/or its cJuly authorized attorney in fact, and its corporate seal to be
hereunto affixed, all on this lQth day of MRl"rh, 2004
of Hartford
Attomey in Fa a Resi nt Agent
Frank B. Ferguson
(Power of Attorney must be attached if ex
END OF SECTION
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00645-2
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POWER OF ATTORNEY APPOINTING INDNIDUAL ATTORNEY-IN-FACT
.
Know AU Men By These Presents, That Continental Casualty Company, an Illinois corporation, National Fire Insurance Company of Hartford, a
Connecticut corporation, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania corporation (herein called "the CNA Companies"),
. are duly organized and existing corporations having their principal offices in the City of Chicago, and State of Illinois, and that they do by virtUe of the .
signatures and seals herein affixed hereby make, constitute and appoint
Frank B Ferguson, Individually
of Windermere, FL, their true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on their behalf
bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - for any and all surety bonds and any and all consents
required by the State Department of Transportation of the State of Florida, incident to the release of retained percentages and/or estimates on engineering
and/or construction contracts - and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly
authorized officer of their corporations and all the acts of said Attorney, pursuant to the authority hereby given is hereby ratified and
confirmed. .
This Power of Attorney is made and executed pursuant to and by authority of the By-Law and Resolutions, printed on the reverse hereof, duly
adopted, as indicated, by the Boards of Directors of the corporations.
In Witness Whereof, the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto
affixed on this 21st day of April, 2003.
Continental Casualty Company
National Fire Insurance Company of Hartford
American Casualty Company of Reading, Pennsylvania
Vice President
State Of Illinois, County of Cook, ss:
On this 21st day of April, 2003, before me personally came Michael Gengler to me known, who, being by me duly sworn, did depose and say: that
he resides in the City of Chicago, State of Illinois; that he is a Senior Vice President of Continental Casualty Company, an Illinois corporation, National
Fire Insurance Company of Hartford, a Connecticut corporation, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania corporation
described in and which executed the above instrument; that he knows the seals of said corporations; that the seals affixed to the said instrument are such
corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said corporations and that he signed his name thereto
pursuant to like authority, and acknowledges same to be the act and deed of said corporations.
C:~ GJ,AM)
Eliza Price. · . Notary Public
OFFICIAL. SEAL.
ELIZA PRICE
NOTARY pueuo, STATe OF ILLINOIS
IIfY COMMII810N _9: 01117101
My Commission Expires September 17, 2006
CERTIFICATE
I, Mary A. Ribikawskis, Assistant Secretary of Continental Casualty Company, an Illinois corporation, National Fire Insurance Company of
Hartford, a Connecticut corporation, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania corporation do hereby certify that the
Power of Attorney herein above set forth is still in force, and further certify that the By-Law and Resolution of the Board of Directors of the corporations
printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporations this
16th day of March 2004
Form F6853
Continental Casualty Company
National Fire Insurance Company of Hartford
American Casualty Company of Reading, Pennsylvania
~a~
Mary A. ika lOs . Assistant Secretary