NebraskaI License BondNationwide Mutual Insurance Company
Bond Department
Nationwide 1100 Locust Department 2006
Des Moines, IA 50391-2006
Phone: 866-387-0457
Email: bondcomm@nationwide.com
License and Permit Bond
Bond No. 7901062068
KNOW ALL MEN BY THESE PRESENTS:
That we, CHAD VANDEVENTER DBA NEBRASKA. INDUSTRIAL REFRIGERATION INC
of LINCOLN , State of NE , as Principal, and
Nationwide Mutual Insurance Company, a corporation duly licensed to do business in the State of NE
as Surety, are held and firmly bound unto City of Blair
State of NE , in the penal Sum of Five Thousand and no/100 dollars ($5,000.00)
lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made,
we bind ourselves and our legal representatives, jointly and severally by these presents.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, that whereas, the said Principal has been issued
a license or permit described as follows: MECHANICAL by
the said Obligee.
NOW THEREFORE, if the said Principal shall faithfully perform the duties and in all things comply with the
laws and ordinances, including all Amendments thereto, appertaining to the license or permit described then this
obligation to be void, otherwise to remain in full force and effect from March 16, 2021
until March 15, 2022 unless extended by Continuation Certificate.
This bond may be terminated at any time by the Surety upon sending notice in writing, to the obligee with whom
this bond is filed and to the Principal, at the last known address, and at the expiration of thirty (30) days from the
mailing of said notice, this bond shall ipso facto terminate and the Surety shall thereupon be relieved from any
liability for any acts or omissions of the Principal subsequent to said date.
Dated this 16th day of March 2021
Shall save and keep harmless the City of Blair from all
loss or damage which it may sustain or for which it may become liable o account o the issuance of said license
or permit. s
CHA VE T R AJBt7 NDUSTRIAL REFRIGERATION INC
Principal
\� Nonwide Mutual Insurance)Company
DIANNE A KELLEAttorney-in-Fact
KNOW ALL MEN BY THESE PRESENTS THAT:
Nationwide Mutual Insurance Company, an Ohio corporation
Allied Property and Casualty Insurance Company, an Iowa corporation
Bond Number: 7901062068
Power of Attorney
AMCO Insurance Company, an Iowa corporation
hereinafter referred to severally as the "Company" and collectively as "the Companies" does hereby make, constitute and appoint:
DIANNE A KELLE
each in their individual capacity, its true and lawful attorney-in-fact, with full power and authority to sign, seal, and execute on its behalf any and all bonds and
undertakings, and other obligatory instruments of similar nature, in penalties not exceeding the sum of
Five Thousand and no/100 dollars ($5,000.00)
and to bind the Company thereby, as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Company; and all acts
of said Attorney pursuant to the authority given are hereby ratified and confirmed.
This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company:
"RESOLVED, that the president, or any vice president be, and each hereby is, authorized and empowered to appoint attorneys -in -fact of the Company,
and to authorize them to execute and deliver on behalf of the Company any and all bonds, forms, applications, memorandums, undertakings,
recognizances, transfers, contracts of indemnity, policies, contracts guaranteeing the fidelity of persons holding positions of public or private trust, and other
writings obligatory in nature that the business of the Company may require; and to modify or revoke, with or without cause, any such appointment or
authority; provided, however, that the authority granted hereby shall in no way limit the authority of other duly authorized agents to sign and countersign any
of said documents on behalf of the Company."
"RESOLVED FURTHER, that such attomeys-in-fact shall have full power and authority to execute and deliver any and all such documents and to bind the
Company subject to the terms and limitations of the power of attorney issued to them, and to affix the seal of the Company thereto; provided, however, that
said seal shall not be necessary for the validity of any such documents.'
This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company.
Execution of Instruments. Any vice president, any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all
approved documents, Instruments, contracts, or other papers in connection with the operation of the business of the company in addition to the chairman of
the board, the chief executive officer, president, treasurer or secretary; provided, however, the signature of any of them may be printed, engraved, or
stamped on any approved document, contract, instrument, or other papers of the Company.
IN WITNESS WHEREOF, the Company has caused this instrument a sealed and duly attested b the signature of its officer the 2711 day of February, 2019.
e,
��_�0 ��`N Antonio . Albanese, Vice President of Nationwide Mutual Insurance Company, AMCO Insurance
OA
�' Company, Allied Property and Casualty Insurance Company
SEAL:} j ACKNOWLEDGMENT
•. aart:sxr .
Ar STATE OF NEW YORK, COUNTY OF NEW YORK: ss
,,IN ',`=�I On this 27th day of February. 2019, before me came the above-named officer for the Company
aforesaid, to me personally known to be the officer described in and who executed the preceding
♦_, Instrument, and he acknowledged the execution of the same, and being by me duly sworn, deposes
►
.uW.M , and says, that he is the officer of the Company aforesaid, that the seal affixed hereto is the
corporate seal of said Company, and the said corporate seal and his signature were duty affixed
= and subscribed to said instrument by the authority and direction of said Company.
////
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Commission Expires September 16, 2021 Notary Pubic
MY C—Nsslon Eepket
CERTIFICATE September 16, 2021
I, Laura B. Guy, Assistant Secretary of the Company, do hereby certify that the foregoing is a full, true and correct copy of the original power of attorney issued
by the Company; that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of directors and the same has
not been revoked or amended In any manner; that said Antonio C, Albanese was on the date of the execution of the foregoing power of attomey the duly elected
officer of the Company, and the corporate seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority of said board
of directors; and the foregoing power of attorney is still in full force and effect.
IN WITNESS WHEREOF,hereunto subscribed my name as Assistant Secretary, and affixed the corporate seal of said Company this 16th day of
Marc Al1LUULL S.
Assistant Secretary
BDJ 1(02-19)00
Nationwide Mutual Insurance Company
1100 Locust, Dept. 2006
Des Moines, IA 50391-2006
Nationwide General Application Phone: 866-387-0457
-=-d,Email:bondcomm@natiomvide.com
Bond Number: 7901062068
AGENT G T A INSURANCE GROUP ADDRESS 4200 LUCILE DR STE A200, LINCOLN, NE 68506-6028
1. Name of Applicant CHAD VANDEVENTER DBA NEBRASKA INDUSTRIAL REFRIGERATION INC
Address 6921 W REMINGTON DR LINCOLN NE 68532
2. Type of Bond License and Permit - Compliance
3. Amount of Bond $ 5,000.00
4. To Whom Payable City of Blair
FED ID#
INDEMNITY AGREEMENT
The undersigned applicant and indemnitors (collectively referred to as "Indemnitors") hereby request Nationwide Mutual Insurance Company (collectively
referred to as "Company") to become surety for the above bond(s), or any bond(s) in substitution for or in succession of the said bond(s), The Indemnitors
certify that the information and statements provided to the Company for the purpose of securing this bond(s) are true and correct and further jointly and
severally agree:
1. the Company is authorized and empowered, without notice to or knowledge of the Indemnitors, to assent to any change whatsoever in the
bond(s), to execute or consent to the execution of any continuations, extensions, renewals, enlargements, modifications, changes, or alterations of the bond(s)
and to execute any substitute or substitutes therefor, with the same or different conditions, provisions, and obligees and with the same or larger or smaller
penalties, it being expressly understood and agreed that the indemnitors shall remain bound under the terms of this Agreement even though any such asset by
the Company does or may substantially increase the liability of said Indemnitors.
2. that the Company is hereby authorized to make any inquiry as may be necessary from financial institutions, persons, firms, credit reporting
agencies and other entities in order to confirm and verify information provided to the Company by the indemnitors as an inducement for the issuance of the
bond(s) or for the continuance of such bond(s).
3, to pay to the Company the usual annual premium until such time as the Company has been provided with satisfactory and conclusive evidence
that all liability under the bond(s) has been terminated and no further liability exists.
4. to perform all the conditions of such bond(s) and to indemnify and save the Company harmless from any and all liability, demands, losses, costs,
damages and expenses, including attorney and counsel fees, which the Company may sustain or incur by reason of or in consequence of the execution of such
bond(s) by the Company, or incurred in obtaining a release of liability or evidence of termination under such bond(s) or incurred by the company in enforcing
any provision of this agreement.
5. that upon demand by the Company for any reason whatsoever, to deposit funds with the Company in an amount sufficient to satisfy any claim
against the Company by reason of such bond(s).
6, that the Company shall have the exclusive right to adjust, settle or compromise any claim under such bond(s) unless one or more of the
Indemnitors shall, in writing, request the Company to litigate such claim and shall deposit immediately with the Company collateral satisfactory to the
Company in kind and amount.
7. that the itemized statement of loss and expense incurred by the Company, swom to by an officer of the Company, shall be prima facie evidence
of the fact and extent of the liability of the Indemnitors to the Company.
8. that the Company may decline to become surety on any bond(s), and in case it does acta s surety the Company shall have the right to withdraw or
cancel any bond(s) whenever it shall see fit; and in any event the Company shall not be required to disclose the reason upon which its action is based and shall
not be responsible for any loss or damage that may be sustained by reason of such action.
9. that in the event of any payment by the Company, the indemnitors shall pay the Company interest on such amounts at the maximum legal rate
from the date such payments are made.
This agreement of Indemnity shall be deemed effective as of the date of execution of the bond(s) even though it may be signed subsequent to this date.
CHAD VANDEVENTER DBA NEBRASKA IN
lDUSTRIAL REFRIGERATION INC
( m of p
Y i
G I B
(Dae Signed) (Indemmtor CHAD VANDEVENTER
(Date Signed) (Indemnitor) CHAD VANDEVENTER
(Date Signed) (Indemnitor \ Spouse)
(Date Signed) (Indemnitor)
(Date Signed) (Indemnitor \ Spouse)
NOTE: If Applicant or Indemnitor is a corporation, the corporate name must be signed in full, with the officer's name and title on the line below and the seal of the corporation
affixed. If a co -partnership, the firm name must be signed and each member of the firm must sign individually.