Eyman License Bond-PlumbingSwiss
Corporate Solutions
April 29, 2022
CITY OF BLAIR - CITY HALL
218 S. 16TH ST.
BLAIR,NE 68008-0000
Re: Company Name Change(s)
Named Insured: TOM R. EYMAN DBA EYMAN PLUMBING, INC
Bond No: 9050852
Bond Term: 9/24/2021 - 9/24/2022
Name Change Effective Date: April 29, 2022
Dear Policyholder:
1-2-0
Swiss Re Corporate Solutions America Insurance Corporation
Swiss Re Corporate Solutions Elite Insurance Corporation
Swiss Re Corporate Solutions Premier Insurance Corporation
Swiss Re Corporate Solutions Capacity Insurance Corporation
1200 Main Street, Suite 800
Kansas City, MO 64105
T 800-255-6931
www.swissre.com
Swiss Re Corporate Solutions is streamlining the legal entity structure of its North American business to
reduce complexity, enable strategic growth and improve capital efficiency. As part of this effort, the
names of the below North America entities have changed.
We are enclosing a copy of Name Change Rider, which indicates that Washington International
Insurance Company has changed its name to Swiss Re Corporate Solutions Premier Insurance
Corporation. This form is now a part of your bond.
References to Washington International Insurance Company, if any, in your bond, certificate(s),
application(s), endorsement(s), or other forms or notices you may receive are replaced with Swiss Re
Corporate Solutions Premier Insurance Corporation. All other terms, conditions and exclusions within
your bond remain unchanged.
If you have any questions, please contact Tyler Sweet at Tyler_Sweet@swissre.com.
Sincerely,
Former Name
New Name
North American Specialty Insurance Company
Swiss Re Corporate Solutions America Insurance
Corporation
Washington International Insurance Company
Swiss Re Corporate Solutions Premier Insurance
Corporation
Cc: TOM R. EYMAN DBA EYMAN PLUMBING, INC
8506 S. 117TH ST.
LAVISTA, NE 68128
Swiss
Corporate Solutions
SWISS RE CORPORATE SOLUTIONS PREMIER INSURANCE CORPORATION
NAME CHANGE RIDER
This Rider is made part of and should be kept with your bond.
The name of WASHINGTON INTERNATIONAL INSURANCE COMPANY was changed to SWISS RE
CORPORATE SOLUTIONS PREMIER INSURANCE CORPORATION effective on April 29, 2022.
The following changes are made to your bond:
® All references to "Washington International Insurance Company" are changed to "Swiss Re Corporate
Solutions Premier Insurance Corporation."
All other terms, conditions or benefits remain unchanged.
As a condition precedent to the change of Surety name, the Obligee acknowledges and expressly agrees that the change
of Surety name does not constitute a new obligation and the liability of the attached bond shall not exceed the penal
sum stated and is not cumulative.
Swiss Re Corporate Solutions Premier Insurance Corporation
Home Office:
1450 American Lane, Suite 1100
Schaumburg, IL 60173
Swiss Re Corporate Solutions Premier Insurance Corporation
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Secretary
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SWISS RE CORPORATE SOLUTIONS
SWISS RE CORPORATE SOLUTIONS AMERICA INSURANCE CORPORA'T'ION FtkiA NORTH AMERICAN SPECIALTY INSURANCE COMPANY ("SRCSAIC")
SWISS RR CORPORATE SOLUTIONSPRFr131L•R INSURANCr CORPORATION FIKIA WASHINGTON INTERNATIONAL INSURANCE COMPANY ("SRCSPIC")
WESTPORT INSURANCE CORPORATION ("WIG")
GENERAL, POWER OF ATTORNEY
KNOW ALL MEN' BY THESE PRESENTS, THAT SRCSAIC, a corporation fluty organized and existing under laws of the State of Missouri; and
having its principal office in the City of Kansas City, Missouri, and SRCSPIC, a corporation organized and existing under the laws of the State of
Missouri and having its principal office in the City of Kansas City, Nfissotiri, and WIC, organized under the laws of the State of Missouri, and having its
principal office in the City of Kansas City, Missouri, each does hereby make, constitute and appoint:
ELISSA KENNY
JOINTLY OR SEVERALLY
tts.true and lawful Attorneys) -in -Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies; as surety, on contracts of suretyship as are or may be required or permitted by
law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this; auihoritysball excited the
amount of:
TWO HUNDRED MILLION ($200,000,000.00) DOLLARS.
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of both SRCSAIC and SRCSPIC at meetings ditty called and held on the l8th of November 2021 and WIC by written consent of its
Executive Committee dated July 1 &, 2011.
"RESOLVED, that any two of the President, any Managing Director, any Senior Vice President, any Vice President; the Secretary or any Assistant
Secretary be, and each or any of them hereby is, authorized to execute a Power of Attorney qualifying the attorney named in the given Power of
Attorney to execute on behalf of the Corporation bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to
attest to the execution of any such Power of Attorney and to attach therein the seat of the Corporation; and it
FURTHER RESOLVED, that the signature of such officers and the seat of the Corporation may be affixed to any such Power of Attorney or to
any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seat shall be
binding upon the Corporation when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached."
By
q �' - gsc"y a Q�'rt4 rE° 'fi�es3 Eau Janueor, senior Vice Prea4dent of BRCSAIC & Beater Ytm President
r s 3 >rk or SRCSPIC& staler vies rr"IdatoiWIC
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nn�y
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By_
�st`rq C +�`+,�+Pi}'� CerW Jgmwyid, Vtce Prrddrnt orSRCSAIC& Ytce President of MOM
& vke President of Wil:
ua,"au•`
IN WITNESS WHEREOF, SRCSAIC, SRCSPIC, and WICbave caused their official seals to be hereunto axed, and these presents to be sighed by their
authorized officers
this 29TH day of APRIL 2022
Swiss Re Corporate Solutions America Insurance Corporation
State of Illinois Swin Re Corporate Solutions Premier Insurance Corporation
County of Cook Westport Insurance Corporation
On this = day of APRIL 20 22, before me, a Notary Public personally appeared Erik Janssens , Senior Vice President of SRCSAIC
and Senior Vice President of SRCSPIC and Senior Vice President of WIC and .Gerald Ja wski , Vice President of SRCSAIC and Vice President of
SPCSPIC and Vice President of WIC, personally known to me, who being by me duty swom, acknowledged that they signed the above Power of Attorney
as officers of and acknowledged said instalment to be the volnntmt ac anti ilmd of their respective companies
$A.3Eattt A, rartt �:: "'w,
1Q - Aer4s+�m3et+a- e,e�at �''
w t t to Yosmin A, Patel, Notary
I, Jeffrey Goldberg, the duty elected Senior vice President andAssistautSecretary of SRCSAIC and SRCSPIC and WIC, do hereby certify that the above and
foregoing is a true and correct copy of a Power of Attorney given by said SRCSAIC and SRCSPIC and WIC, which is still in full force and effect,
IN WITNESS WHEREOF, Ihave set my hand and affixed the'scals`of die Companies this i?t?►�.day of = 20.L-.
gOLull
Jeffrey Goldberg, Senior Vice President &
rte;
Assistant Secretary ofSRCSAIC and
f W'
SRCSPIC and WIC
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Bond 9050852
LICENSE OR PERMIT BOND
KNOW ALL BY THESE PRESENTS, That we, Tom R. Eyman dba Eyman Plumbing, Inc.
as Principal, of 8506 S. 117th Street ,
(Street and Number)
LaVista Nebraska and the Washington International Insurance Company
(City) (State)
a Arizona corporation, as Surety, are held and firmly
bound unto City of Blair, Nebraska -
as Obligee, in the sum of
Five Thousand and 00/ 100-------------- --- -- ---- --------- ------ Dollars ($ 5,000.00 )
for which sum, well and truly to be paid, we bind ourselves, our heirs, executors, administrators, successors and assigns,
jointly and severally, firmly by these presents.
Sealed with our seals, and dated this 24th day of September 2007
THE CONDITION OF THIS OBLIGATION IS SUCH, That WHEREAS, the Principal has been or is about to be granted
a license or permit to do business as Plumbing Contractor
by the Obligee.
NOW, THEREFORE, if the Principal well and truly comply with applicable local ordinances, and conduct business in
conformity therewith, then this obligation to be void; otherwise to remain in full force and effect.
PROVIDED, HOWEVER:
1. This bond shall continue in force:
❑ Until or until the date of expiration of any Continuation Certificate executed by
OR the Surety
® Until canceled as herein provided.
2. This bond may be canceled by the Surety by the sending of notice in writing to the Obligee, stating when, not less than
thirty days thereafter, liability hereunder shall terminate as to subsequent acts or omissions of the Principal.
Tom R. Eyman dba Eyman Plumbing, Inc.
Principal
7 6 : �?4 E(IMI ( Y��
Washington International Insurance Company
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B
y Ma ry J. SpfekeK Z Attorney -in -Fact
S- 1235 /GEEF 2/01
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NAS SURETY GROUP
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATIONAL INSURANCE COMPANY
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under
laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International
Insurance Company, a corporation organized and existing under the laws of the State of Arizona and having its principal office in the City of Itasca,
Illinois, each does hereby make, constitute and appoint:
DAVID A. DOMINIANI, JOAN LEU, MAURA P. KELLY
SHARON K. MURRAY and MAURY J. SPIEKER
JOINTLY OR SEVERALLY
Its true and lawful Attomey(s) -in -Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by
law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amount of: TWENTY -FIVE MILLION ($25,000,000.00) DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held
on the 2e of March, 2000:
"RESOLVED, that any two of the President, any Executive Vice President, any Vice President, any Assistant Vice President, the Secretary or any
Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power
of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to
attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is
FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any
i
certificate relatin g thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures natures or facsimi le seal shall be
binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached."
gQ� &FU 4 G,
_= _: G fi'• = BY 3 o'CORPDRATE ;� E
�i SEAL i Steven P. Anderson, President & Chief Executive Officer of Washington International Insurance Company & C SEAL i o
w i2 1973 Q1 p Vice President of North American Specialty Insurance Company
u. $ ti ARIZONA r j
� d F!AMP`'. r `' i"�� G ies y� •'••......r•'"��1aJ
David M. Layman, Vice President of Washington International Insurance Company &
Vice President of North American Specialty Insurance Company
IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their
official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 25th day of May 20 ..
North American Specialty Insurance Company
Washington International Insurance Company
State of Illinois
County of Du Page Ss:
On this 25th day of May 20 07. before me, a Notary Public personally appeared Steven P. Anderson President and CEO of
Washington International Insurance Company and Vice President of North American Specialty Insurance Company and David M. Layman ,
Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company,
personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and
acknowledged said instrument to be the voluntary act and deed of their respective companies. /
"OFFICIAL SEAL"
SUSAN ANSEL
Notary pudic, Slateol UTA63 Susan Ansel, Notary Public
My Commission Expires ; rVM
I, James A. Carpenter the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington
International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North
American Specialty Insurance Company and Washington International Insurance Company, which is still in full force and effect.
IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies thisi y of 4 20�.
Cam.
James A. Carpenter, Vice President & Assistant Secretary of Washington International Insurance Company &
North American Specialty Insurance Company