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•' DUPLICATE ORIGINAL'*
5T.
TOWER/STRUCTURE/EQUIPMENT
REMOVALBOND
APR 12 2018 Location of tower/structure/equipment:
2626 SW Crane Creek Ave., Palm City, FL
ode County, Permitting Site ID: FP01
FA # 10070078
Bond Number: 09046910
KNOW ALL MEN BY THESE PRESENTS:
THAT New Cingular Wireless PCS, LLC, 5201 S. Congress Ave., Boca Raton, FL 33487 as
Principal, and Fidelity and Deposit Company of Maryland, a corporation duly organized under the laws
of the State of Maryland as Surety, are held and firmly bound unto St. Lucie County, Planning and
Development Services, 2300 Virginia Ave., Fort Pierce, FL 34982 as Obligee, the penal sum of Five
Thousand and NO/100 Dollars ($5,000.00) for the payment of which, well and truly to be made, we bind
ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by
these presents, the liability of the surety being limited to the penal sum of this bond regardless of the
number of years the bond is in effect.
WHEREAS, the Principal has entered into a written agreement with the property owner for the
placement of a tower, structure or equipment furnishing telephone, television or other electronic media
service, which agreement sets forth the terms and conditions which govern the use of such towers,
structures or equipment and which agreement is hereby specifically referred to and made part hereof, and
WHEREAS, the St. Lucie County ordinance and/or the property owner, requires the submission of
a bond guaranteeing the maintenance, replacement, removal or relocation of said facility,
NOW THEREFORE, the condition of this obligation is such, that if the above bounden Principal
shall perform in accordance with the aforesaid ordinance and/or agreement, and indemnify the Obligee
against all loss caused by Principal's breach of any ordinance or agreement relating to the maintenance,
replacement, removal or relocation of a tower, structure or equipment, then this obligation shall be void,
otherwise to remain in full force and effect unless cancelled as set forth below.
THIS BOND may be cancelled by Surety by giving thirty (30) days written notice to the Obligee by
certified mail. Such cancellation shall not affect any liability the surety has incurred under this bond prior
to the effective date of the termination.
PROVIDED that no action, suit or proceeding shall be maintained against the Surety on this bond
unless the action is brought within twelve (12) months of the cancellation date of this bond.
SIGNED this 22nd day of June, 2011.
New Cingular Wireless PCS, LLC
Principal: By T Mobility Corporation its manager
�p I Art Kirchoffer
O By: '1 girTw SUrel
CJGP��( Gourly a• tlElt-1'LS�' e
Surety: Fidelity and Deposit Company of Marytt
By:
Cynthia L. Choren, Attorney -in -
Non -Resident License No. P061�3iirjf 0i ..�
Q,yea+�� ,p't,
a.v r.p.�
S'1'Ki'L
OF Missouri
City of St. Collis
On this 22nd
ACKNOWLEDGMENT BY SURETY
} ss.
day of June
appeared Cynthia L. Choren
, before me
_ 2011 personally
known to me to he the Attorney-iu-
Fact of
,tile
corporation
drat executed lire willun instrument, and acknowledged to me dat such corporation executed the same.
1N WITNESS WHEREOF, 1 have hereunto set my hand and allixed my ollic•i:l seal, at my ollicc in lire :doresaid
County, the day:md year in This certificate first above written.
KAREN L ROIDER
Notary NL fl ifMlssmnd - No1ary Seal
Star
Commissiortd for SL Lools C4
My Commission Uves, March 17, 2014
Oammssion Numher..10401551
My Commission Expires: March 17, 201•f
(Seal)
S-02301GEEF 2198
�7" Z� UdL"
Karen L. Rider
Notary Public in the Slate of Missouri
City of St. Louis
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a
corporation of the State of Maryland, by FRANK E. MARTIN JR., Vice President, and GERALD F. HALEY, Assistant
Secretary, in pursuance of authority granted by Article VI, Section 2, of the By -Laws of said ,any, which are set forth on
the reverse side hereof and are hereby certified to be in full force and effect on the d : ereby nominate,
constitute and appoint Pamela A. BEELMAN, Cynthia L. CHOREN no R. FRANK, Karen
L. ROIDER, Debra C. SCHNEIDER and Sandra L. HA is a and lawful agent
and Attorney -in -Fact, to make, execute, seal and del' s c . as its act and deed: any and all
bonds and undertakings, and the execut' s or u dance of these presents, shall be as
binding upon said Company, as 0,�0 uses, as if they had been duly executed and
acknowledged by it > el toff easl)A�}y y at its office in Baltimore, Md., in their own proper persons.
This power of alto �t% t cs t of Pamela A. BEELMAN, Cynthia L. HANAK, Heidi A. NOTHEISEN,
JoAnn R. FRANK, 1 ar �I ebra C. SCHNEIDER, Sandra L. HAM, dated December 12, 2007.
The said Assistant does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article VI,
Section 2, of the By -Laws of said Company, and is now in force.
IN WITNESS WHEREOF, the said Vice -President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 3rd day of December,
A.D.2009.
ATTEST:
'wD DEvpyr,
++ eve o
s
9 IEM
r
State of Maryland ss.
City of Baltimore
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
U By:
Gerald F. Haley Assistant Secretary
Frank E. hfartln Jr. Vice President
On this 3rd day of December, A.D. 2009, before the subscriber, a Notary Public of the State of Maryland, duly
commissioned and qualified, came FRANK E. MARTIN JR., Vice President, and GERALD F. HALEY, Assistant Secretary
of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being
by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid,
and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal
and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of
the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above
written.
Constance A. Dann Notary Public
My Commission Expires: July 14, 2015
POA-F 079-0626
CHANGE RIDER ** DUPLICATE ORIGINAL **
To be attached to and form apart of Bond No. 09046910
in the amount of$ 5,000.00 issued by Fidelity and Deposit Company of Maryland
on behalf of New Cingular Wireless PCS, LLC
in favor of St. Lucie County, Florida
It is understood and agreed that the bond described above is hereby modified so as to
Change the Location of Tower/Structure/Equipment
From: 2626 SW Crane Creek Ave., Palm City, FL - FA #10070078
To: 14101 Angel Road, Ft. Pierce, FL - FA 910070085
It is further expressly understood and agreed that the aggregate liability of the Fidelity and Deposit Company of
under said bond to the obligee
herein mentioned shall not exceed the amount stated above.
Nothing herein contained shall be held to vary, alter, waive, or extend any of the terms, agreements, conditions or
limitations of the above -mentioned bond, other than as above stated.
Signed, sealed and dated this 21st day of November
5-4173/GE 2t98
2011
Fidelity and Deposit Company of Maryland c • 7 4
C
N tark'1Y '
BY: 1 mil C.
q
Cynthi L. Choren - ;" o e -t Fac s, o
Non -Resident License No. P061380 ?
41I13�
a••+..�,.a..6 o
xDP
ACKNOWLEDGMENT BY SURETY
S'1'A'FE.
OF Missouri
City of SL Louis } ss.
Oil this 21 st
day of November
appeared Cynthia L. Choren
, before me
2011 personally
known to me to be die Altorney-in-
Fact of
Fidelity and Deposit Company of Maryland
, the
corporationthat excc-uted the within instrument, and acknowledged to me oral such corpomtion executed die same.
IN WITNESS WIiEREOF, I haw hen unto set my hand and affixed my official seal, at my office in the aforesaid
County, lire day and year in this certificate first above written.
KAREN L. ROIDER
Nuftwuc - No" Seal
Ma a n1 Missouri
Commissloned for St Louls CN
My Cowissloo, mires: March 17.2014
Commssrar, Numtrer.10401551
My Colmnission Expires: March 17.2014
(Seal)
5-0230/GEEF 2/98
Karen L. 1 oiler
Notary Public in the Stale of Missouri
City of St. Louis
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a
corporation of the State of Maryland, by FRANK E. MARTIN JR., Vice President, and GERALD F. HALEY, Assistant
Secretary, in pursuance of authority granted by Article V I, Section 2, of the By -Law, which are set forth on
the reverse side hereof and are hereby certified to be in full force and effalijay
cr, ynominate,
constitute and appoint Pamela A. BEELMAN, Cynthia L. CHOREN an R. FRANK, Karen
L. ROIDER, Debra C. SCHNEIDER and Sandra L. HA a and lawful agent
and Attorney -in -Fact, to make, execute, sea] and d 1' s as its act and deed: any and all
bonds and undertakings, and the execuC s or u once of these presents, shall be as
binding upon said Company, as �� o �es, as if they had been duly executed and
acknowledged by tit ei tilt Pd'o y at its off -ice in Baltimore. Md., in their own proper persons.
This power of alto es t ROof Pamela A. BEELMAN, Cynthia L. HANAK, Heidi A. NOTHEISEN,
JoAnn R. FRANK, I r�&I , ebra C. SCHNEIDER, Sandra L. HAM, dated December 12, 2007.
The said Assistant does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V1,
Section 2, of the By -Laws of said Company, and is now in force.
IN WITNESS WHEREOF, the said Vice -President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 3rd day of December,
A.D. 2009.
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By:
Gerald F. Haley Assistant Secretary
State of Maryland i ss:
City of Baltimore J
Frank E. Martin Jr. Vice President
On this 3rd day of December, A.D. 2009, before the subscriber, a Notary Public of the State of Maryland, duly
commissioned and qualified, came FRANK E. MARTIN JR., Vice President, and GERALD F. HALEY, Assistant Secretary
of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being
by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid,
and that the sea] affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal
and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of
the said Corporation.
IN TESTIMONY WHEREOF, 1 have hereunto set my hand and affixed my Official Seal the day and year first above
written.
Constance A. Dram Notart• Public
My Commission Expires: July 14, 2015
POA-F 079.0626