Document:

Bond Number    13 1 609 1

EXHIBIT

10.52

 

Bond

Number    1316091

 

DISTRICT OF

COLUMBIA GOVERNMENT

DEPARTMENT OF

EMPLOYMENT SERVICES

LABOR STANDARDS

 

OFFICE OF WORKERS’

COMPENSATION

 

INDEMNITY BOND

GIVEN BY SELF INSURER UNDER THE

PROVISIONS OF THE

DISTRICT OF COLUMBIA

WORKERS’ COMPENSATION

ACT OF 1979

 

Know

all Men by these Presents:

 

That Labor Ready Northeast, Inc. of 1016 S. 28th

St., Tacoma, WA 98409 (hereinafter, the Principal), as Principal, and Great

American Insurance Co. a corporation organized under the laws of the State

of Ohio having its principal office at 580 Walnut Street, Cincinnati, OH

45202 (hereinafter, the Surety) as Surety, are held and firmly bound unto

the District of Columbia Government for the use and benefit of the employees of

the Principal, in the sum of ($450,000.00) Four Hundred Fifty Thousand dollars,

for the payment of which, well and truly to be made, we bind ourselves jointly

and severally, our joint and several heirs, executors and administrators,

successors and assigns, firms, by these presents.

 

Whereas, in accordance with the provisions of the

District of Columbia Workers’ Compensation Act of 1979, as amended, D.C. Code

1981, Section 36-334 (hereinafter the Act), the Principal has elected to pay

compensation directly to its employees under the provisions of the Act, and

likewise to pay and discharge all the obligations resting upon it under any and

all of the provisions of the Act, so far as

they relate to its employees

 

Now, therefore, if the said Principal shall fully

perform all the duties in this regard imposed upon it by the Act, or any

amendments thereto that may become effective during the life of this

obligation, then this obligation shall be null and void, otherwise to remain in

full force and effect, subject, however, to the following express conditions:

 

1.                             That the Office of Workers’ Compensation

shall be, and hereby is, authorized to bring suit upon this obligation to

proceed prompt payment of compensation and benefits under the provisions of 

 

 

the Act, it being the intention that said Office in

its discretion shall determine when recourse to suit shall be necessary in

order to secure prompt payment.

 

2.                             The liability of the Surety is limited to

the payments provided in the District of Columbia’s Workers’ Compensation Act,

for and on account of injury or death occurring to the employees of the

Principal during the period beginning  April

1, 2001 and ending March 31, 2002.

 

In witness

whereof, said Principal and said Surety have caused this instrument to be

signed by their duly authorized officers and their corporate seals to be

hereunto affixed  this 23rd

day of April, 2001.

 

	

  Attest:

  	

   

  	

   

  	

  Labor Ready Northeast, Inc.

  	

   

  
	

   

  	

   

  	

   

  	

   

  	

   

  
	

   

  	

  /s/ Steven Cooper

  	

   

  	

  By 

  	

   /s/ Ronald

  Junck

  	

   

  
	

   

  	

   

  	

   

  	

   

  	

   

  	

   

  
	

  Attest:

  	

   

  	

   

  	

  Great American Insurance Co.

  	

   

  
	

   

  	

   

  	

   

  	

   

  
	

   

  	

  /s/ Elizabeth Riegos

  	

   

  	

  By

  	

   /s/ Michael

  J. Lahn

  	

   

  
	

   

  	

  Elizabeth Riegos

  	

   

  	

   Michael J.

  Lahn, Attorney-in-Fact

  
	

   

  	

   

  	

   

  	

   

  
	

   

  	

   

  	

   

  	

  CORPORATE SEAL

  
								

 

GREAT AMERICAN INSURANCE COMPANY®

 

580 WALNUT STREET • CINCINNATI,

OHIO 45202 • 513-369-5000 • FAX 513-723-2740

 

	

  The number of persons authorized by 

  this power of attorney is not more than

  	

  

  No. 0  17135

  
	

  ONE

  	

   

  

 

POWER OF ATTORNEY

 

KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY,

a corporation organized and existing under and by virtue of the laws of the

State of Ohio, does hereby nominate, constitute and appoint the person or

persons named below its true and lawful attorney-in-fact, for it and in its

name, place and stead to execute in behalf of the said Company, as surety, any

and all bonds, undertakings and contracts of suretyship, or other written

obligations in the nature thereof; provided that the liability of the said

Company on any such bond, undertaking or contract of suretyship executed under

this authority shall not exceed the limit stated below.

 

	

  Name

  	

   

  	

  Address

  	

   

  	

  Limit of Power

  
	

  MICHAEL J. LAHN

  	

   

  	

  GLENDALE, CALIFORNIA

  	

   

  	

  UNLIMITED

  

 

This Power of

Attorney revokes all previous powers issued in behalf of the attorney(s)-in-fact

named above.

 

2

 

IN WITNESS WHEREOF

the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and

attested by its appropriate officers and its corporate seal hereunto affixed

this 23rd day of January, 2001

 

	

  Attest

  	

   

  	

  GREAT AMERICAN INSURANCE COMPANY

  

 

STATE OF OHIO,

COUNTY OF HAMILTON - ss:

 

On this 23rd day

of January, 2001, before me personally appeared DOUGLAS R. BOWEN, to me known,

being duly sworn, deposes and says that he resided in Cincinnati, Ohio, that he

is the Vice President of the Bond Division of Great American Insurance Company,

the Company described in and which executed the above instrument; that he knows

the seal; that it was so affixed by authority of his office under the By-Laws

of said Company, and that he signed his name thereto by like authority.

 

This Power of

Attorney is granted by authority of the following resolutions adopted by the

Board of Directors of Great American Insurance Company by unanimous written consent

dated March 1, 1993.

 

RESOLVED:  That the Division President, the several Division Vice Presidents

and Assistant Vice Presidents, or any one of them, be  and hereby is authorized, from time to time, to appoint

one or more A ttorneys-In-Fact to execute on behalf of the Company, as surety,

any and all  bonds, undertakings and contracts of suretyship, or

other written obligations in the nature thereof; to prescribe their respective

duties and the  respective limits of their authority, and to revoke

any such appointment at any time.

 

RESOLVED FURTHER: 

That the Company seal and the signature of any of the aforesaid officers

and any Secretary or Assistant  Secretary of

the Company may be affixed by facsimile to any power of attorney or certificate

of either given for the execution of any bond,  undertaking, contract or suretyship, or

other written obligation in the nature thereof, such signature and seal when so

used being hereby adopted by  the Company as the original signature of such officer

and the original seal of the Company, to be valid and binding upon the Company

with the  same force and effect as though manually affixed.

 

CERTIFICATION

 

I, RONALD C. HAYES, Assistant Secretary of Great American

Insurance Company, do hereby certify that the foregoing Power of Attorney and

the Resolutions of the Board of Directors of March 1, 1993 have not been

revoked and are now in full force and effect.

 

Signed and sealed

this 23rd day of April, 2001

 

3STATE OF CONN ECTICUT

EXHIBIT

10.53

 

STATE OF CONNECTICUT

WORKERS’ COMPENSATION

COMMISSION

 

SELF-INSURER

SURETY BOND

 

BOND

NO.     1316092

 

KNOW ALL MEN BY  THESE

PRESENTS:

 

That we

Labor Ready Northeast. Inc. as principal, and Great American Insurance Company, a corporate surety

company authorized to do business in the State of Connecticut as surety, are

holden and stand firmly bound and obligated unto the State of Connecticut in

the full and just sum of $ 350,000.00***

to the true payment whereof we bind ourselves, our heirs, administrators,

executors, successors and assigns, jointly and severally, by these presents.

 

WHEREAS, the Principal has been granted permission

by the Connecticut Workers’ Compensation Commission to conduct a Self-Insurance

Workers’ Compensation Program, conforming to the provisions of the Connecticut

Workers’ Compensation Act, being Chapter 568 of the Connecticut General

Statutes, as amended, provided that the Principal furnish a Workers’

Compensation Surety Bond in the sum of $ 350,000.00***, and

in compliance with this condition, the Principal furnished the bond as stated

herein.

 

NOW THEREFORE, the condition of this bond is such that

if the Principal complies with all the requirements of a self-insurer, all

terms, provisions, conditions and duties of the applicable statutory law and

rules and regulations adopted by the Commission, or of any amendments thereof

in effect during the life of this bond, then this obligation shall be void,

otherwise to remain in full force and effect. 

If the Principal’s self-insurance license shall be revoked, or

non-renewed, or if the Principal ceases to transact business in this State, or

if the Principal insures its liability with an insurer, the Principal shall

upon demand, deposit with the State Treasurer an amount of securities equal to

the penal sum of this bond, or a single premium non-cancelable policy issued by

an authorized workers’ compensation insurance company insuring him against any

liability that may have arisen under Chapter 568 C.G.S., or a bond executed by a

company authorized to transact the aforesaid business in this State, in an

amount and form approved by the Commission, guaranteeing the payment of any

liability on his part that may have arisen under Chapter 568, then this

obligation shall be void; otherwise to remain in full force and effect.

 

 

	

  SELF-INSURER SURETY BOND

  	

   

  	

  BOND NO. 1316092

  

 

The Surety

acknowledges that if the Principal fails to comply with the requirements of a

self-insurer of workers’ compensation, then all sums payable hereunder shall be

payable upon demand in writing to the Surety by the Chairman of the Connecticut

Workers’ Compensation Commission.  The

liability of the Surety shall not exceed in aggregate the penal amount of $ 350,000.00***.

 

It is understood

and agreed that the Commission may permit a substitution of a new bond or bonds

for this bond.

 

The effective date

of this bond is June 1, 2001.

 

This bond shall continue

in full force and effect until liability hereunder is released by the

Connecticut Workers’ Compensation Commission. 

This bond may be canceled at any time by the Surety upon giving thirty

days written notice by certified mail to the Workers’ Compensation

Commission.  The liability of the Surety

will, after thirty days’ notice, cease, except as to such liability that may

have accrued prior to the effectiveness of the cancellation.  It shall be understood that the Surety shall

be liable, within the penal sum of this bond, for the default of the Principal

in fully discharging any liability on its part accruing during the life of this

obligation.

 

IN WITNESS WHEREOF, the Principal and the Surety have caused these

presents to be executed in their names and behalf

this 1st

day of June, 2001.

 

	

  [Affix Seals]

  	

   

  
	

   

  	

  Labor Ready Northeast, Inc.

  	

   

  
	

   

  	

  Principal

  
	

   

  	

   

  	

   

  
	

   

  	

  By:

  	

   

  
	

   

  	

   

  
	

   

  	

  Great American Insurance Company

  	

   

  
	

   

  	

  Surety

  
	

   

  	

   

  
	

   

  	

   

  
	

   

  	

  /s/ Patrick D. Dneen

  	

   

  
	

   

  	

  By:  Patrick

  D. Dineen, Attorney-in-Fact

  
						

 

All-Purpose

Certificate of Acknowledgment 

 

State of        Washington

 

County of   King

 

2

 

	

  On June 1, 2001 before me, Kathie L. Wiegers,

  
	

  DATE

  	

   

  	

  NAME OF NOTARY PUBLIC

  

 

	

  personally appeared Patrick D. Dineen

  
	

  NAME(S) OF

  SIGNER(S)

  

 

	

  ý personally known to me - OR

  	

   

  	

  proved to me on the basis of satisfactory evidence

  to be the person(s) whose name(s) is/are subscribed to the within instrument

  and acknowledged to me that he/she/they executed the same in his/her/their

  authorized capacity(ies), and that by  his/her/their

  signature(s) on the instrument the person(s), or the entity upon behalf of

  which the person(s) acted, executed the instrument.

  

 

	

   

  	

  Witness my hand and official seal.

  
	

   

  	

   

  
	

   

  	

  /s/ Kathie L. Wiegers

  	

   

  
	

   

  	

  SIGNATURE OF NOTARY PUBLIC

  

 

Though the data

below is not required by  law,

it may prove valuable to persons relying on the document and prevent fraudulent

reattachment of this form.

 

	

  CAPACITY CLAIMED BY SIGNER

  	

   

  	

  DESCRIPTION OF ATTACHED DOCUMENT(S)

  
	

  Attorney-in-Fact

  	

   

  	

  Type of Document

  
	

   

  	

   

  	

  Self-Insurer Surety Bond

  
	

   

  	

   

  	

  Bond No. 1316092

  
	

   

  	

   

  	

   

  
	

   

  	

   

  	

  Number of Pages

  
	

   

  	

   

  	

   

  
	

   

  	

   

  	

  Two

  (2)

  
	

   

  	

   

  	

   

  
	

   

  	

   

  	

  Date of Document

  
	

   

  	

   

  	

   

  
	

   

  	

   

  	

  June 1, 2001

  
	

   

  	

   

  	

   

  
	

   

  	

   

  	

  Signer(s) Other

  Than Named Above

  
	

   

  	

   

  	

   

  
	

   

  	

   

  	

  Labor Ready Northeast, Inc.

  
	

   

  	

   

  	

   

  
	

  SIGNER

  IS REPRESENTING:

  	

   

  	

   

  
	

  NAME OF PERSON(S) OR

  ENTITY(IES)

  	

   

  	

   

  

 

Great American Insurance Company

 

3

 

Document2

 

	

  INSURER SURETY BOND

  	

   

  	

  BOND NO. 

  1316092

  

 

The Surety

acknowledges that if the Principal fails to comply with the requirements of a

self-insurer of workers’ compensation, then all sums payable hereunder shall be

payable upon demand in writing to the Surety by the Chairman of the Connecticut

Workers’ Compensation Commission.  The

liability of the Surety shall not exceed in aggregate the penal amount of $ 350,000.00***.

 

It is understood

and agreed that the Commission may permit a substitution of a new bond or bonds

for this bond.

 

The effective date

of this bond is June 1, 2001.

 

This bond shall continue

in full force and effect until liability hereunder is released by the

Connecticut Workers’ Compensation Commission. 

This bond may be canceled at any time by the Surety upon giving thirty

days written notice by certified mail to the Workers’ Compensation

Commission.  The liability of the Surety

will, after thirty days’ notice, cease, except as to such liability that may

have accrued prior to the effectiveness of the cancellation.  It shall be understood that the Surety shall

be liable, within the penal sum of this bond, for the default of the Principal

in fully discharging any liability on its part accruing during the life of this

obligation.

 

IN WITNESS WHEREOF, the Principal and the Surety have caused

these presents to be executed in their names and behalf

this 1st

day of June, 2001.

 

[Affix Seals]

 

	

   

  	

  Labor Ready, Northeast, Inc.

  	

   

  
	

   

  	

  Principal

  
	

   

  	

   

  
	

   

  	

  /s/ Ronald L. Junck

  	

   

  
	

   

  	

  By:

  
	

   

  	

   

  
	

   

  	

  Great American Insurance Company

  	

   

  
	

   

  	

  Surety

  
	

   

  	

   

  
	

   

  	

  /s/ Patrick D. Dineen

  	

   

  
	

   

  	

  By:  Patrick

  D. Dineen, Attorney-in-Fact

  
						

 

4

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