20130731082116789.pdfDate Posted 4 `0,/,, 2ol
Expiration-
Bond No
EARTH SUBSIDENCE AND LANDSLIDE HAZARD AREA (ESLHA)
SITE RESTORATION
FROZEN FUND ACCOUNT
Edmonds Building Permit No. / -2C,
Project Address r 6--! 2 k .h & J
Developer/Owner
WHEREAS, hereinafter referred to as
"The Principal", has applied to the City of Edmonds, hereinafter referred to as "The City", to
construct1_10 c® located at IS $ 0
within City limits.
WHEREAS, as required by City Ordinance #3632, this form will certify that this Surety has
a bond for the above referenced project. This bond is established for restoration and/or other
repairs or stabilization measures, as required by Edmonds Community Development Code
Chapter 19.10.050A.
NOW, THEREFORE, the undersigned agent, u authorized to verify
and control financial information on the referenced account, in the State of Washington,
hereinafter referred to as "The Bank", agree and bind themselves, their heirs, executors,
administrators and assigns, unto the City in the sum of $moi cc)d , lawful money of the
United States, according to the following terms and conditions:
1) The total sum indicated will be withheld by this Banking Institution from disbursements,
to any entity other than the City of Edmonds or its designee. Only written authorization from
the City shall cause release of the Bond.
2) If the Principal does not complete all repairs and/or restorations within 24 hours of
service of written notice, then the Banking Institution shall, upon demand by the City remit to
the City within ten (10) days of receipt of said demand, the amount of this Bond or such lesser
amount as may be specified in the demand, so that the repairs can be installed or completed
immediately to City standards. Such funds shall also be paid to the City for emergency repairs
undertaken to stabilize the site, public improvements, or utilities and/or adjacent structures,
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where it is impossible or impractical to provide the 24 hour notice to correct. The Banking
Institution shall not be liable to the owner for disbursement of said funds to the City of
Edmonds or on its behalf.
3) In the event the Principal fails to complete any of the above repairs or restoration within
the time period specified by the City, its employees and agents shall have the right at their sole
election to enter onto said property for the purpose of completing the repairs. This provision
shall not be construed as creating an obligation on the part of the City or its representatives to
complete such repairs or restorations.
4) In the event any lawsuit is instituted by the City, the Principal or the Banking Institution
to enforce the terms of this Bond or to determine the rights of any party hereunder, the
prevailing party in such litigation shall be entitled to recover from the losing party its costs,
including reasonable attorneys' fees, incurred as a result of such lawsuit.
S) This bond shall remain in full force and effect until occupancy approval on the structure
is granted by the City Building Official.
DATED this - ® day of
BI�nking Institution
Off ice+/Titl e
IOU - X33-. C'�k
Address/Phone
Bond Number /O-Cc-
-elop r/Owner/Priin�cipal
Print Name
Mailing Address
Phone Number
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STATE OF WASHINGTON)
ss.
Countyof
On this lb day of '2 -(-))3, before me, the undersigned, a
Notary Public in and for the State g oo , duly commissioned and sworn, personally appeared
A G- to me know to be the
of �(:�� _, the corporation
that executed the fo oing instrument, and acknowledged the said instrument to be the free and
voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath
state that SN, was authorized to execute said instrument�and °"��'
WI NESS my hand and o ici I seal hereto affixed the day and year first above written.
SU NNE M. TAITiNGFONG— -
-- 77—
STATE OF WASHINGTON
NOTARY PUBLIC in and for the State of
NOTARY PUBLIC Washington, Residing at v
MY COMMISSION EXPIRES
09-09-16
WNER ACKNOWLEDGEMENT
STATE OF WASHINGTON)
) ss.
County of j �) )
On this day of UtA , before me, the undersigned, a
Notary Public in a for the State of Washington, duly commissioned and sworn, personally appeared
Q_ vU 't) o 1 ) to me kn w to be the
QTY of
and acknowle d the said instrument to be the
free and voluntary act and-deed-oof-sa-W-paste-rd p, for the uses and purposes therein mentioned, and
on oath state that )(A �.!.
was authorized to execute said instrument.
WITNESS my hand and official seal hereto affixedLe day"yearov t
AY ILUU NOTARYr the State of
STATE OF WASHINGTON
Washington, Residing at
NOTARY PUJ LIC
PAY COMMISSION EXPIRES
11-12-16
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