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Street Improvements
OF-CA4 .ram U ia. t g �J r Sri�Z C H A AID. CITY OF CAMPBELL Public Works Department September 28,-2009\ Terri Salinas Real Estate Coordinator Harman Management Corporation 199 First Street, Suite 212 Los Altos, CA 94022 SUBJECT: PERMIT NO.ENC2008-00045 LOCATION: 1805 S. Winchester Blvd, Campbell, CA Dear Ms. Salinas:: We have received your maintenance bond in the amount of $22,050.00 on the above property so we are returning your Faithful Performance Bond and Labor and Materials Bond to you. The return of these bonds means we are giving a full and unconditional release. Sincerely Joanne M. D'Ambrosia Office Specialist Enclosures 70 forth First Street Campbell, California 95008-1423 TEL 408.866.2150 e FAx 408.376.0958 Tnn 408.866.2790 —z- BOND FOR FATTHM- PERFORMANCE OF MAINTENANCE PERIOD Bond No. 105303137 We,the undersigned Harman KFC Investments _(hereinafter"Principal"j and Travelers Casualty and Surety Company of*,a corporation organized under the laws of the State of Connecticut_ _ and authorj7od to transact business in the State of Califemia,'as Surety,are obligated to the City of Campbell(hereinafter"City');a municipal corporation under the laws of the State of California,in the sum of Twenty Two Thousand Fifty and No l 100=-------- Dollars(s 22,050.00--1 for the payment of which sum we obligate ouncives and our successors and assigns,jointly°and severally by the following provisions: America The condition of this obligation is that the Principal entered,or is about to enter,into a certain written Contract with the City dated August 2 ,2Q�_and entitled Harman- Heruan and Ana #283, 1805 Winchester Boulevard Campbell, CA 95008-1152 a one year maintenance period of the work described in said Contract, a true and correct copy of which is presently on file in the office of the City Clerk of the City of Campbell,which said agreement is hereby referred to and made apart hereof, And,the City.requites a guarantee from the Principal against defective materials and workmanship in connection with that maintenance. Now,therefore,the Principal agrees that it shall make all repairs or replacements necessary.during the period of one-year from the date of acceptance of.the contract work,by reason of dofective materials or workmanship in connection with the Contract. If those defective materials or workmanship occur within that period,the City shall give the Principal and Surety written notice of that defect within dp days after discovery. When each replacement is made to the satisfaction of the City, the obligation of the Principal and Surety shall be discharged as to that replacement,otherwise to retrain in full force and chest,with surety obligated to secure full and faithful performance of all of Principal's obligations under the above-referenced contract, Any repairs or replacements made under this bond shall in like manner be subject to the terms and conditions of it. No prepayment or delay in payment and no changes,extensions,addition or alteration of any provision of said Contractor in any plans and specifications referred to herein,and no forbdarance on the part of the City shall operate to release the Surety from , liability on this bond,and:consent to make such alterations without further notice to or consent by the Surety is hereby given,and the Surety hereby waives the provisions of Section 2819 of the Civil Code of the State of California. In witness,thopartics have executed this agreement as of September 21,20 09.. (Principal arman AFC In es ments By Title Tra elers C ualty and Surety Sur o America e la on a, My— n�' act Addr s of Surety n-e ower S uare (Attach Acknowledgements) Hartford, CT 06191 Surety's Bond Number8 —2 — (Both Principal's and (Accompany this bond with Attorney-in-fact's Surety's Attorney in Fact) authority from Surety-to execute the bond cortified to include the date of the bond.) J;\PbRMS�T';MPlntcs\Cnpitut IM�ovcntent Projoors%Bond For Faithfitl perfor cc Mal intennnce.doc(Rev.03/08) lA IX M LOCKTON COMPANIES,LLC' 8110 E Union Ave,Ste 700/Denver,CO 80237.2966 303.414.6000/FAX:303.865.6000 www.lockton.com �1 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of On ZS before me, ��4c C=uT1V:r ate p Here Insert Name and Title of the Officer personally appeared Name(s)of Signer(s) who 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 TRAVIS VALLIAM GUTKE which the person(s) acted, executed the instrument. Commission#►1e2s07a z Notary Public-CWdorMa I certify under PENALTY OF PERJURY under the laws Santa Clara Cowgy MV Comm.E� iM Osc 2120121 of the State of California that.the foregoing paragraph-is true and correct. WITNESS m hand and official seal. Signatu Place Notary Seal Above Signalg5roTITotary Public. OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Q(� Title or Type of Document: ?Q41Q r w.a..ce— Zoo Document Date: Sze. Z 11 Z� Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Jsf6S Signer's Name: ❑ Individual ❑ Individual' ,IT Corporate Officer—Title(s): <=-Fd ❑Corporate Officer—Title(s): ❑ Partner—❑ Limited ❑ General . _ _ ❑ Partner—❑ Limited ❑ General ❑ Attorney in Fact ❑Attorney in Fact - • •'- ❑ Trustee Tap of thumb here ❑Trustee Top of thumb.here ❑ Guardian or Conservator ❑Guardian or Conservator ❑ Other: ❑Other: Signer Is Representing: Signer Is Representing: 02007 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402•www.NationaiNotaryorg Item#5907 Reorder:Call Toll-Free 1-800-876-6827 58440-5-07 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER c WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE P`80RDER ' This Power of Attorney is granted under and by tht;_ ;:ority of the following resolutions adopted by the Boards o.-Directors of Farmington Casualty Company,Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St.Paul Guardian Insurance Company, St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,which resolutions are now in full force and effect,reading as follows: RESOLVED,that the Chairman,the President,any Vice Chairman, any Executive Vice President,any Senior Vice President, any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED,that any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond,recognizance,or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal-by a Secretary or Assistant Secretary;or(b)duly executed(under seal,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is !! 9 FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice President, any Assistant Vice Tresident, any Secretary,any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attomeys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I,Kori M.Johanson,the undersigned,Assistant Secretary,of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety.Company-of,America,and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power.,-of Attorney,executed by.said-'Companies,which is in full force and effect and has not been revoked. i P i IN TESTIMONY WHEREOF,I have hereunto set my hand and_aff'ied the-seals of said Companies this 21st .day of September 20 09 V Kori M.Johanso Assistant Secretary �SU SUHEJlREw6 "g W jNs •''1 111gU•". ptY ANO wN�Yp Y . .... A w'•.. J N''C suq�Y FAT M'D �•Op,P:q� L `oaPOv9� G 1k ! 9� Q" � jj 1{V. Oy ♦ 'b 9 RPOR �-5 �Cl � IH���tf�� YL N m6 �ItO •1>F m �ye, iORAJf bly. RN �d T� �OFFhYt� 44�'4�nMn maa�&. so,fS...�Ny�f ...s•......... . To verify the authenticity of this Power of Attorney,call 1-800-421-3880 or contact us at www.travelersbond.com.Please refer to the Attorney-In-Fact number,the above-named individuals and the details of the bond to which the power is attached. a I WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER t e ( Ji .`k_ BOND FOR FAITHFUL PERFORMANCE ENCROACHMENT PERMIT NO. 2008-00045 Bond No. 105104541 We,the undersigned Harman KFC Inv estment$(hereinafter"Principal")and Travelers Casualty and Surety Company of America , a corporation organized under the laws of the State of Connecticut and.authorized to transact business in the State of California, as Surety, are obligated to the City of Campbell, (hereinafter "City")a municipal corporation under the laws of the State of California, in the sum of Eighty Eight Thousand Two Hundred and No/100-------------------- Dollars ($ 88,200.00—)for the payment of which sum we obligate ourselves and our successors and assigns,jointly and severally by the following provisions: 'fhezondition of tlus abligatioriis:' Because the obligated Principal has,on ,20 ,entered into written Encroachment Permit with the City for the Project,. a copy of which Encroachment Permit is attached and made a part of this bond, for construction of Project Harman Hernan and Ana #283, 1805 Winchester Boulevard, Campbell, California 95008-1152 Now,therefore,if the Principal shall faithfully perform the work in accordance with the plans,specifications and permit documents during the original term, and any extensions of the permit which may be granted by the City,with or without notice to the surety,and if it shall satisfy all claims and demands incurred under the permit,and shall fully indemnify and save harmless the City from all costs and damages which it may suffer by reason of failure to do so,and shall reimburse and repay.the City all outlay and expense which the City may incur in curing any default;then this obligation shall be void;otherwise to remain in full force and effect, with surety obligated to secure the full and faithful performance of all of Principal's obligations under the attached Encroachment Permit. If any legal action be filed upon this bond,it shall be filed within one year after final payment has been made under the Encroachment Permit excluding the warranty period, if any,provided for in the Encroachment Permit,and venue shall lie in the County of Santa Clara, State of California, and that.surety, for value received stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Encroachment Permit or to the work to be performed under it or the specifications accompanying it shall in any way affect its obligation on this bond, and it does by this means waive notice of any change, extension of time, alteration or addition to the terms of the Encroachment Permit or to the work or to the specifications, and thereby waives the provisions of Section 2819 of the Civil Code of the State of California.I In witness,the parties have executed this agreement as of f 1 (__B a 20 O b (Principal arma KFC Ines ents By a "'q / Title i Lcz`i u-r of (Buret ve3ers, asualty'and Surety Company Reri She�lla J. Monto. a, Af'torney—ln'--Fact Address/of Surety:One T/Ler Square Hartford, CT 06183 (Attach Acknowledgements) Surety's Bond Number 860-277-1561 (Accompany this bond with Attorney-in-fact's (Both Principal's and authority from Surety to execute the bond, Surety's Attorney in Fact) certified to include the date of the bond.) (iMotmA encroachment pennit perf bond rev 6_03) LOCKTOW LOCKTON COMPANIES,LLC_ 8110 E Union Ave,Ste 700/Uenvet,CO 80237-2966 303.414.6000/FAX:303.865.6000 vnvw.iocktnn.com CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of On N / before me, n�:�)9!tre Wgrh�l l ll,f' PL) t(7- Date Here Insert Name asp Titl of the Officer personally appeared may( r1�� �9 rwc � l) l,,_) Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the personewhose names/Wubscribed to the within instrument and acknowledged to me that he/sue/tbe ir executed the same in his/hw/t uthorized capacity0es), and that by his/Wtb6fir signature4 on the SHANNOMMow 1 �7 instrument the personal, or the entity upon behalf of NO"PUbft_Caftilllnin which the personKacted, executed the instrument. Santa clora caxs9y MvccmM EXOM MW5,2011 1 certify.under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature ° c+ Place Notary Seal Above L.Signature o otary"P blic OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)�Claimed by Signer(s) Signer's Name: ��� C_ ,� S . . 5oY) Signer's Name: ❑ Individual ❑ Individual -2'Corporate Officer—Title(s): ❑ Corporate Officer—Title(s): ❑ Partner—❑ Limited ❑ General _ ❑ Partner—❑ Limited ❑ General El in Fact ® El Attorney in Fact s ❑ Trustee Top of thumb here ❑Trustee Top of thumb here ❑ Guardian or Conservator ❑Guardian or Conservator ❑ Other: ❑Other: ner Is Representing: Signer Is Representing: SiK ©2007 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402•www.NationalNotaryorg Item#5907 Reorder:Call Toll-Free 1-800-876-6827 STATE OF Colorado SS. COUNTY OF Denver On before me, Mona D. Weaver PERSONALLY APPEARED Sheila J. Montoya 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. I WITNESS my hand and official seal. wnk& Signature odav b This area for Official Notarial Seal Mona D. Weaver Commission Expires: October 12, 2009 OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICER TITLE OF TYPE OF DOCUMENT TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ATTORNEY-IN-FACT NUMBER OF PAGES ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S)OR ENTITY((ES) SIGNER(S) OTHER THAN NAMED ABOVE ID•081 Rev.6/94 ALL-PURPOSE ACKNOWLEDGEMENT ' WARNII`'•^T"IS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER i POWER OF ATTORNEY TRAVELERSJ Farmington Casualty Company St.Paul Guardian Insurance Company Fidelity and Guaranty Insurance Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company Seaboard Surety Company Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty'Company 1 Attorney-In Fact No. 220136 Certificate No. 002465558 KNOW ALL MEN BY THESE PRESENTS:That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York,that St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company and St.Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota,that Farmington Casualty Company,Travelers Casualty and Surety Company,and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut,that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland,that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Charles M. McDaniel,Shelley Czajkowski,Celeste T.Helms,Mona D.Weaver,Anuj Jain,Sheila J. Montoya,Amy Wickett,and Angela M.Tindol of the City of Denver State of Colorado their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of.guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or-proceedings allowed by law. 24th IN WITNEESS WHEREOF,the Comgattje$have caused this instrument••to•be-signed.and theircorporate seals to be hereto affixed,this une LLUUUU day of Farmington Casualty Company St.Paul Guardian Insurance Company Fidelity and Guaranty'Insurance'Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company Seaboard Surety Company Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company \ ............. l .," 6JPt�Y AMpS tiu+..O',Sf sR.E.P.�-O.A..R.r:yNAL Vi),Fa',ymo"_ij%� `?';-'•'F�w�?v Ut';:.�.c.`,S oS••R EPOAHAL re,•i'Y fni'"n s;i; W��y,eN1 ACRTpFNONR.�D�,a,LD,iDao< .s��`�.�+H1'AFYt_•FO+R�•(A, Y in°• 4 Dn97 `o, ,..�.... id w � l State of Connecticut By: City of Hartford ss. Georg Thompson, enior ice President 24th June 2008 On this the day of ,before me personally appeared George W.Thompson,who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company,and that he, as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof,I hereunto set my hand and official seal. My Commission expires the 30th day of June,2011. p�`�G i► Marie C.Tetreault,Notary Public I N+VECC�'$ j 58440-5-07 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER WARN 'HIS POWER OF ATTORNEY IS INVALID WITHOUT THE BORDER This Power of Attorney is granted under and by th-au«rority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company,Fidelity and,Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters,Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,which resolutions are now in full force and effect,reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any i of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED,that any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond,recognizance,or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice President, any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company.may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I,Kori M.Johanson,the undersigned,Assistant Secretary,of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company-of-America-and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power--of—Attorney,executed by:said Companies,which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,1 have hereunto set my hand and affixed the,seals of said,,Cbmpanies this day of 20 1 — I • Kori M.Johans Assistant Secretary o�31YAly0 '`'oaPa4 c�� G '* Tro Y' j y00.POflA)•S1r i Q '(i c �,P 9 �4� CQ \ �`�'� CaytAgim -zi cc_._Tf, _ II =E: n: HAflTFORD, J'F3ACONN.D, sEs[ 01 CONN. n �caNn. N lass Pr s..SE.... o ...... F �� * y •P �OF PkI't "Ou�F;�mr�`� ti.,lS.'AHya: °'.... •• ''adze dd �D; t� ��\tl �f� �� 1 To verify the authenticity of this Power of Attorney,call 1-800-421-3880 or contact us at www.travelersbond.com.Please refer to the Attorney-In-Fact number, the above-named individuals and the details of the bond to which the power is attached. { 1 WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER j • v , is V ` BOND FOR LABOR AND MATERIAL ENCROACHMENT PERMIT NO. 2008-00045 Bond No. 105104541 O We, the undersigned Harman KFC Investments , (hereinafter 'Principal") and Travelers Casualty * a corporauon organized under the laws of the State of Connecticut and authorized to transact business•in the State of California, as Surety,are obligated to the City of Campbell(hereinafter"City"),a!municipal corporation under the laws of the State of California, in the sum of Eighty Eight Thousand Two Hundred and �* Dollars ($88,200.00)for the payment.of which sum we obligate ourselves and our successors and assigns,jointly and severally by the following provisions: The condition of this obligation is that the Principal entered,or is about to enter, into a certain written Encroachment Permit with the City dated 20 , which said Encroachment Permit Nc008-000's5 hereby referred to and made a part hereof. Because Principal is required to furnish a bond in connection with the Encroachment Permit, providing that if Principal,or any of its subcontractors,shall fail to pay for any materials, or other supplies,or for any work or labor on the permitted work of any kind,or for amounts due under the unemployment insurance act with respect to any work or labor on this project,the Surety on this bond will pay for the debt, in an amount not exceeding the sum specified in this bond, and also, in case suit is brought upon the bond, a reasonable attorney's fee to be fixed by the court. Now, therefore, we, Harman KFC Investments as Principal, AND Travelers Casualty * , as Surety, are obligated to the City of Campbell, and all contractors, subcontractors, laborers, material men and other persons employed in the performance of the aforesaid agreement in the sum of Eighty Eight Thousand Two Hundred and No/100------- Dollars ($88,200.09lawful money of the United States,for the payment of which sums will and truly to be made,we the said Principal and Surety bind ourselves,successors and assigns,jointly and severally,by these provisions. . The condition of this obligation is that if Principal,its successors or assigns, or its subcontractor,or subcontractors,shall fail to pay for any labor,materials, or other supplies, used in the performance of the work permitted to be done,or for amounts due under the unemployment insurance act with. respect to this work or labor, then the Surety on this bond will pay for them, in an amount not exceeding the sum specified in this bond,and in case suit is brought upon this bond will also pay a reasonable attorney's fee,to be fixed by the court. Venue for any action arising out of this obligation shall lie in the County of Santa Clara,State of California. It is expressly stipulated and agreed that this bond shall inure to the benefit of any and all persons,companies and corporations entitled to file claims under Title 15 (commencing with Section 3082)of Part 4 of Division 3 of the Civil Code,so as to give a right of action to them or their assigns in any suit brought upon this bond. Should the condition of this bond be fully performed, then this obligation shall become null and void,otherwise it shall be and remain in full force and effect. No prepayment or delay in payment and no changes, extensions, addition or alteration of any provision of said Encroachment Permit or in any plans and specifications referred to herein,and no forbearance on the part of the City shall operate to release the Surety from liability on this bond, and consent to make such alterations without further notice to or consent by the Surety is hereby given, and the Surety hereby waives the provisions of Section 2819 of the Civil Code of the State of California. In witness,the parties have executed this agreement as of u * and Surety Company of America (Principal) Harman KFC Ines ents ** No/100 By G Title T( e4 Sc£re ,r' (Surety) )rr,eler Casu I and Surety Company of America By Yv—qSh,,--i a J. Monto/y �ttorney-Iu= act Address of Surety:_ One iT wer' Square (Attach Acknowledgments Hartford, CT 061183 3 Both Principal's and Surety's Attorney in Pact) Surety's Bond Number 860-277-1561 (Accompany this bond with attorney-in-fact's authority from Surety to execute the bond,certified to include the date of the bond.) j:lforms\encroachment permit 1&m bond rev 6_03) LOGITOW LOCKTON COMPANIES,LLC 8110 E Union Ave,Ste 700/Denver,CO 80237-2966 303.414-6000/FAY.:303.865.6000 www.lockton.com I I CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of �W_ - ojoi-0— _- On ( A .c� L (96�6 before me, �n T)jaop Date Here Insert Name and R`tt�of the Officer personally appeared ��M � (m� signer(s) lJ who proved to me on the basis of satisfactory evidence to be the person,s)-whose named is/gM subscribed to the within instrument and acknowledged to me that he/sty/tl6y executed the same in histlier/their authorized capacity(ips�, and that by his/la(r/tk& signature)on the YUiw1 M IRtE io instrument the person(s`�, or the entity upon behalf of CO0 1M 1729W which the person(pKacted, executed the instrument. Notary hrbllc-Ce�lanla soda Clara Cow* k9yCarrmn,ExpNssMotSZ011 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature1101 Place Notary Seal Above Ui6riature of Notary.Vublic OPTIONAL Though the information below is not required by law,it'may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document:" -tc,� a�fJ[��4' s uvia( Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Sign�er�(s�), , Signer's Name: Y"C S �1-iLhC � Signer's Name: ❑ Individual _ ❑ Individual Corporate Officer—Title(s): I��I(er ❑Corporate Officer—Title(s): ❑ Partner—❑ Limited ❑ General ❑ Partner—❑ Limited ❑ General _ ❑ Attorney in Fact • � '. ❑Attorney in Fact • ❑ Trustee Top of thumb here ❑Trustee Top of thumb here ❑ Guardian or Conservator ❑Guardian or Conservator ❑ Other: ❑Other: Si ner Is Representing: Signer Is Representing: garrnan 1n 02007 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402•www.NationalNotaryorg Item#5907 Reorder:Call Toll-Free 1-800-876-6827 t I, f STATE OF Colorado SS. COUNTY OF Denver On before me, Mona D. Weaver PERSONALLY APPEARED Sheila J. Montoya 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) an 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. Signature This area for Official Notarial Seal Mona D. Weaver Commission Expires: October 12, 2009 OPTIONAL .Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICEP, TRLE(5) TITLE OF TYPE OF DOCUMENT ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT NUMBER OF PAGES ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S)OR ENTITYIIES) SIGNER(S) OTHER THAN NAMED ABOVE ID-OBI Rev.6194 ALL-PURPOSE ACKNOWLEDGEMENT WARNII,--_.IIS POWER OF ATTORNEY IS INVALID WITHOUT THE RFn BORDER POWER OF ATTORNEY TRAVELERSFarmington Casualty Company St.Paul Guardian Insurance Company Fidelity and Guaranty Insurance Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company Seaboard Surety Company Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company 1 Attorney-In Fact No. 219759 Certificate No. 002266642 KNOW ALL MEN BY THESE PRESENTS:That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York,that St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company and St.Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota,that Farmington Casualty Company,Travelers Casualty and Surety Company,and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut,that United States Fidelity and Guaranty Company is a corporation duly organized under the I laws of the State of Maryland,that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,.:constitute and appoint William M.O'Connell Jr.,Shelley Czajkowski,Celeste T.Helms, Mona D.Weaver,Anuj Jain,Sheila J.Montoya,and Amy Wickett } i of the City of Denver State of Colorado their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their,business of,guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted',in anyactions or-proceedings allowed by law. 0. 13th IN WITNE�ShSarW�,�EREOF,the Compap&Rave caused this instrumentto be signed and their.corporate seals to be hereto affixed,this day of IVI l { Farmington Casualty Company St.Paul Guardian Insurance Company -Fidelity and Guaranty',Insurance Company_:, St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance,Underwriters,Inc. Travelers Casualty and Surety Company Seaboard Surety Company Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company IN..... .. JPl1V AHp remoiwW jY T J �r'co P:......... 2°P.Poq�r aeon"may, * av FAO:........,• `�•, �St" G� � INCggpCgqTB)�' � yz �1t0 ;m � t9s1 0 � 19TI 1927 K _ _ �e a 1951 mI _` ;SEALi�o: '-o+.SEAL,'3= CONK. o F IR y• ti ! 1` � OF "��nn,���' :SNA�y ';��..........t,N1, �bt ,a'` �1...vg '�'/1 AMt� i State of Connecticut By: City of Hartford ss. /Geor,-6 Thompson,Uor ice President j 13th March 2008 On this the day of ,before me personally appeared George W.Thompson,who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being j authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. C,•T� In Witness Whereof,I hereunto set my hand and official seal. uou 0, . My Commission expires the 30th day of June,2011. O dt� Marie C.Tetreault,Notary Public 1 58440-5-07 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER WARNII flS POWER OF ATTORNEY IS INVALID WITHOUT THE; ORDER , a This Power of Attorney is granted under and by tht,,,,.,..,)rity of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company,Fidelity I and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of l America,and United States Fidelity and Guaranty Company,which resolutions are now in full force and effect,reading as follows: a RESOLVED, that the Chairman,the President,any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,-any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED,that any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond,recognizance,or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice l President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice President, any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I,Kori M.Johanson,the undersigned,Assistant Secretary,of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury.Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company-of America-and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by.said,Companies,which is in full force and effect and has not been revoked. I .. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of"said Companies this day of 20 / 1 Kori M.Johans Assistant Secretary a G�SUA� _pGNTY $tlflETj F F1RE,e16�Wrn �T�I G "j INSUq`'••. ,P�Tv ANp 1%O SUAF7N�, EVtY"�(J O=p0.P:/fit 1L p,t 0 G 14 � tJ •y�pc T.; 7 f`P.........,.qy,,• sG YEA. � G, ' c INCDAPpppTED� rL m` CORPtiRA�Fm. ;W:;cORPORATFI�'- 9m "�l `\ j '�'�INC H4RIF6Fq' a � J:. •n; 'Rio, m CONN. ODNN. £ u, +y O i9$1 NqO 11� o' �dSEAL;Soj ,�6:.SEAL:°D m t° �+. .•`�fi' 7896 i b�. j !� it •.s c a.... 'Lr 'r... .AH'l.s !S.....,*�a! To verify the authenticity of this Power of Attorney,call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Attorney-In-Fact number, the above-named individuals and the details of the bond to which the power is attached. I l 3 j i 1 WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER i Cq,l9/r��r' u r n n„\l August 25, 2009 CITY OF C.A.MPBELL Public Works Deparnnenr Harman Management Harman-Billings Inc. 55 Green Street Murray, UT 84123-5798 SUBJECT: PERMIT NO. ENC2008-00045 LOCATION: 1805 S. Winchester Blvd, Campbell FINAL INSPECTION AND ACCEPTANCE Dear Harman Management: The City of Campbell has made a final inspection of subject Public Works improvements and finds the work to be acceptable and in conformance with City standards. Accordingly, the City Engineer accepts the improvements. The one year maintenance period stated in the permit begins as of the date of this acceptance letter. The permittee is responsible for the repair and/or replacement of any defective work or failures that occur within one year. The City`will inspect the improvements within one year and notify you, in writing, whether or not any repairs are required. Your Construction Cash Deposit of $3,528.00, plus any interest due, is now being processed and will be sent to you under separate cover. The Faithful Performance Bond will be kept in force for the duration of the one year maintenance period unless you replace it with a maintenance bond of$22,050.00. If you have any questions, please call me at (408) 866-2168 Sincerely, Syed Wahidi Public Works Inspector uMQ cc: Suspense - 11 months Permit#ENC2008-00045 Inspector File Sheila Montoya, Travelers Casualty & Surety Co of Ameria, One Tower Square, Hartford, CT 06183 hA",ordlpenrits\2008_45 final ins_accpt Itr Od)) f) North Firs-,Sneer , Cam bcll. t-.alifornia `)5008- 423 Tt=.i.408.866.215 • r-n>: 408. 7(i.0 58 • Tui 7 � 1 0 � 40i;.860.2790 9/3/2009 4:42PM Payment History For 6 '"" Case #: ENC2008-00045, Recorded B , YD'ue Histor" T e' Fee II)#:' .., ., Descri aioq Fees Paid Date Paid Check# Receipt# Y YP 4 , - .F. >P., PCDP 200807091408443380 Plan Check Deposit 1,800.00 1,800.00 4/2/2008 1235520 205828 JD 0.00 GRA 200807091409587290 Grading&Drainage Plan 800.00 800.00 4/2/2008 1235520 205829 JD 0.00 Review PCI1 200807091412323700 Non-Util Plan Ck/Insp to 11,466.00 11,466.00 7/9/2008 1259590 208779 JD 0.00 $250K CASH 2O0807091413233070 Construction Cash Deposit 3,528.00 3,528.00 7/9/2008 1259589 208779 JD 0,i- SDC 200807091413463700 Storni Drain Fee-All 1,097.00 1,097.00 7/9/2008 1259589 208779 JD 0.1 Others PCDP 200903171301035700 Refund-Plan Check -1,800.00 -1,800.00 3/17/2009 205828 JD 0.00 Deposit APP 200903171305541320 Encroachment Application 300.00 300.00 4/2/2008 1235520 205829 JD 0.00 Fee CASR 200909031641473350 Const. Cash Deposit -3,528.00 -3,528.00 Refund Total Fees: $13,663.00 Paid: $17,191.00 TOTAL REMAINING DUE: $(3,528.00) Page 1 of 1 CasePaymentHistory..rpt Refundable Deposit Check Request To: Finance Director Check Payable To: Harman-Billings Inc. Address-Line 1: Harman Management Line 2: 5544 Green Street City: Murray State: UT Zip: 84123-5798 Description: Refund Deposit Account Number: 101.2203 Amount: $3,528.00 Account Number: Amount: Account Number: 101.540.7448 Amount: (Finance Dept only) Interest Earned (Finance Dept only) Total Payable: (Exact Amount) Purpose: Refund construction cash deposit on 1805 S.Winchester Boulevard. Voucher#: Permit M ENC2008-00045 Receipt#: 208779 Date: 07/09/08 Requested by: Title:_ Public Works Inspector Date: 8/26/2009 Syed Wa idi Approved by: mjzz '-'l .City Engineer Date: 8/26/2009 Michelle Quinney Finance Dept Only: Verified by: Title: Accounting Clerk II Date: Approved by: Title: Accountant Date: Special Instructions For Handling Check Mail As Is: Mail in Attached Envelope: Interim Check: Needed By: Return.To: Joanne D'Ambrosia Public Works/City Hall (Name) (Department) Other: Un:Forms/excel/chkreq - Revised 05/00 CITY OF CAMPBELL ENCROACHMENT PERMIT Permit No DEPT. OF PUBLIC WORKS (for working within the public X-Ref.File 70 North First St. right-of-way) Campbell,CA 95008 Application Date ,,, �'2� ' (408)866-2150 Issued OAApplication Expiration Date 0 �—0 Fax(408)376-0958 -7 B C' APN 3�- Z 1 70(15 Permit Expiration Date ni i APPLICATION-Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code,Section 11.04. (Application expires in six(6) k months if the permit is not issued. Application //Fee is non-refundable,) p A , i A.Work address or tract# ®� 7 IJ�t J L'�c�T�& At,7 Lyb , CTv`7I—I St^ LL' c I Utility trench location 5W �I Ds l �lr� '� NZWE Ai4LF— B.Nature of work 1Z ffe"9Lle—t" d l� �'� 1�• '�PZ� E7 f ��a3 °L IzI� 1 h�t'tZo� �- Ptr.®vi (N)XCeif taLF_ 9AMP,u sec jub- ee �[.U�d (a)�c„ C.Attach four(4)copies of an engineered plan showing the location and extent of the work,and four(4)copies of the preliminary'Engineer's Estimate of work. The plans shall show the relation of the proposed work to existing surface and underground improvements. When approved by the City Engineer,said plan becomes a part of this permit. D. All work shall conform to the City of Campbell Standard Specifications and Details for Public Works Construction;the General Permit Conditions listed on the reverse side;and the Special Provisions for this permit,listed below. Failure to abide by these conditions and provisions may result in job shutdown and/or forfeiture of Faithful Performance Sureties and cash deposits. (See General Permit Conditions I and 2.) 1 E.The Contractor must have this permit and approved plans at the site and must notify the Public Works Department at least two days before starting work. Notice must be given to Public Works at least 24 hours before restarting any work. �. R:f:m V / / 1 Name of Applicant AC I►A !J o C. Telephone fA9v IYf �g t �T (print name) Q 1120.- Address 196 Flo_ /�T d�, At&! 24-HOUR EMERGENCY TELEPHONE NO. i E-Mail Address IT_ tf* � is this work being donne by the property owners at their own residence? Yes No ' The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the City of Campbell,its officers,agents and employees free,safe and harmless from any claim or demand for damages resulting from the work covered by this permit. The Applicant/Permittee hereby acknowledges that they have read and understand both the front and back of this permit,and they will inform their contractor(s)of the F information. Applicant is advised that u ssuance of this permit, property owner,or property owner's successors,shall be responsible for any and all damages arising out of the i' n of any priv a improv ents in the public right-of-way. Accepted 08 (Applicant Permittee) (sign) r�z_ Date Contractor (Print Name) Date j SPECIAL PROVISIONS —1. Street shall not be open cut for underground installations. Minimum cuts may be allowed for connections or exploration holes. Such cuts may be specifically approved by the Inspector prior to cutting. _2. Pavement may be cut for underground installations and must be restored in accordance with the Standard Details Trench Restoration Method "A",unless otherwise approved by Inspector. 3. Work to be staked by a licensed Land Surveyor or Civil Engineer and two(2)copies of the cut sheets sent to the Public Works Department i before starting work. 4. Per Section 4215 of the Government Code this permit is not valid for excavations until Underground Service Alert(USA)has been notified and the inquiry identification number has been entered hereon. USA Phone I-800-227-2600. USA TICKET NO. _5. Prior to any work,the property owner'shall execute an Agreement for Private Improvements in the Public Right-of-Way,which shall be recorded. f 6. Public Notification Requirements: 7 AMOUN SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES RECEIPT N0.T f i PERMIT APPLICATION FEE PLAN CHECK DEPOSIT $ SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $ _ CONSTRUCTION CASH DEPOSIT PLAN CHECK&INSPECTION FEE APPROVED FOR ISSUANCE t or City Engineer Date Permit Expires 12 Months After Date of Issuance 1 i s t t GENERAL PERMIT CONDITIONS t 1. A Construction Cash Deposit is required. Charges will be made against this deposit if there is an emergency call-out,overtime inspection or when City ordered barricading is required. Any such costs in excess of the deposit will be billed to the Permittee. 2. A one-year maintenance period and surety are required. Such period will begin on date of written acceptance by the City. i 3. Refund of the cash deposit balance and refund or cancellation of the Faithful Performance Surety will be initiated by the written acceptance of the work by the City. 4. The Permittee must request in writing a final inspection and acceptance of the work upon completion. Acceptance by the City will be.made in writing to the Permittee. 5. Maintain safe pedestrian and vehicular crossings and free access to private driveways,bus stops,fire hydrants and water valves. 6. A Construction Traffic Control Plan and a Construction Schedule are required for all lane closures, detours and street closures. This plan must be reviewed and approved prior to any lane closures. 7. The Construction Traffic Control Plan shall conform to the Caltrans Manual of Traffic Controls for Construction and Maintenance Work Zones,dated 1990,available at Caltrans. Traffic control equipment shall include Type II flashing arrow signs if required. 8. Replace as directed by the City Engineer any damaged or removed improvements in accordance with City Standards and Specifications at the sole expense of the Permittee. t 9. Sawcut for all PCC or AC removals. All PCC removals shall be to nearest scoremark and shall be doweled to existing improvements. i 10. Prior approval of inspector is required for any work done after normal working hours, on weekends or holidays and may require reimbursement of inspection costs at the current overtime rate. i IL. Adequate signing and barricading is required on the job site. Failure to provide such signing and barricading may result in the City's providing signing and barricades and charging the cost(including all labor and materials)against the cash deposit. F 12. Compaction testing of subgrade,base rock,and asphalt concrete by Permittee is required unless otherwise stated by the City Engineer. i 13. The Contractor or Permittee will have a supervisory representative available for contact on the project at all times during construction. Contractor or Permittee shall provide a phone number at which.they can be contacted outside the hours of 8:00 a.m.to 4:00 p.m. 14. No storage of materials or equipment will be allowed near the edge of pavement, the traveled way,or within the shoulderline.which would create a hazardous condition to the public. 15. This permit shall not be construed as authorization for excavation and grading on private property adjacent to the work or any other work for which a separate permit may be required,nor does it relieve the Permittee of any obligation to obtain any other permit required by law. k 16. This permit does not release the Permittee from any liabilities contained in other agreements or contracts with the City and any other public agency. 17. This permit is not transferable. Work must be performed by the Permittee or his designated agent or contractor as specified thereon. I 1 18. Call back(call out)due to emergencies regarding this permit shall be at the current overtime rate with a three(3)hour minimum charge per occurrence. 19. Pursuant to Chapter 14.02 of the Campbell Municipal Code,applicant shall not cause to be discharged any material into the municipal storm drain system other than storm water. Applicant shall adhere to the BEST MANAGEMENT PRACTICES established by the Santa Clara Valley Urban Runoff Pollution Prevention Program. 20. If the public interest requires a modification of,or a departure from,the plans and specifications,the City shall have the authority to require or approve any modification or departure and to specify the manner in which the same is to be made for City-owned or maintained facilities. 21. Permittee must provide advance notification to all parties that may be affected by the permit activities. Notification shall include dates of work and a contact name and phone number. I Applicant shall be re o rble for ensuring that all those providing services under the applicant are aware of and understand all of the above conditions. i kp� 1 licant / Date Contractor (Print Name) Date f f Aforms\pwperm Rev. I 1/9/05 i i 3 CITY OF CAMPBELL E )ACHMENT PERMIT Pern DEPT. OF PUBLIC WORKS (_ .. ..,sking within the public X-R., —le. 70 North First St. right-of-way) _ Campbell,CA 95008 Application Date (408)866 2150 Issued 'a" 9 Application Expiration Date Fax(408)376-0958 ,{ � Permit Expiration Date `t._C)—U) APN APPLICATION-Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code,Section 11.04. (Application expires in six(6) months if the permit is not issued. Application Fee is ilon-refundable.) A.Work address or tract Utility trench location ��jj��. B.Nature of work GYl n t'I _, C.Attach four(4)copies of an engineered plan showing the location and extent of the work,and four(4)copies of the preliminary Engineer's Estimate of work. The plans shall show the relation of the proposed work to existing surface and underground improvements. When approved by the City Engineer,said plan becomes a part of this permit. D.All work shall conform to the City of Campbell Standard Specifications and Details for Public Works Construction;the General Permit Conditions listed on the reverse side;and the Special Provisions for this permit,listed below. Failure to abide by these conditions and provisions may result in job shutdown and/or forfeiture of Faithful Performance Sureties and cash deposits. (See General Permit Conditions I and 2.) E.The Contractor must have this permit and approved plans at the site and must notify the Public Works Department at least two days before starting work. Notice must be given to Public Works at least 24 hours before restarting any work. J ,'rr a ' / C Name of Applicant HAf�M 1 a�tt�7 1`�� %�� 6C2�: U I� �K Telephone C 7�' 9 l 5, 1 (print name) 1-(`2 A I-To%i CA t i lYZ.Z. "0,70S Address ill F(IZ4jT TY. ZI Z i 24-HOUR EMERGENCY TELEPHONE NO. E-Mail Address `tc2l eoAl (U, C-CPyl Is this work being done by the property owners at their own residence? Yes v No The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the City of Campbell,its officers,agents and employees free,safe and harmless from any claim or demand for damages resulting from the work covered by this permit. The Applicant/Permittee hereby acknowledges that they have read and understand both the front and back of this permit,and they will inform their contractor(s)of the information. Applicant is adv' ed that upon issuance of this permit, property owner, or property owner's successors,'shall be responsible for any and all damages arising out of the conditio of an private improvem in the public right-of-way. Accepted — j (Appl* ant Permittee) (sign) Date LieC ,, Contractor (Print Name) �!, _ Date �L�_ 1'vL�t'\�i't l SPECIAL PROVISIONS t _I. Street shall not be open cut for underground installations. Minimum cuts may be allowed for connections or exploration holes. Such cuts may be specifically approved by the Inspector prior to cutting. 2. Pavement may be cut for underground installations and must be restored in accordance with the Standard Details Trench Restoration Method "A",unless otherwise approved by Inspector. _3. Work to be staked by a licensed Land Surveyor or Civil Engineer and two(2)copies of the cut sheets sent to the Public Works Department before starting work. _4. Per Section 4215 of the Government Code this permit is not valid for excavations until Underground Service Alert(USA)has been notified and the inquiry identification number has been entered hereon. USA Phone 1-800-227-2600. USA TICKET NO. _5. Prior to any work,the property owner shall execute an Agreement for Private Improvements in the Public Right-of-Way,which shall be recorded. _6. Public Notification Requirements: 7. SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES AMOUNT RECEIPT NO. PERMIT APPLICATION FEE $ �J 7GJ� 2�5�� PLAN CHECK DEPOSIT $ SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MAR $ CONSTRUCTION CASH DEPOSIT $ PLAN CHECK&INSPECTION FEE - $ — r7 � APPROVED FOR ISSUANCE L or ity Engineer Date Permit Expires 12 Months After Date of Issuance GENERAL PERMIT CONDITIONS 1. A Construction Cash Deposit is required. Charges will be made against this deposit if there is an emergency call-out,overtime inspection or when City ordered barricading is required. Any such costs in excess of the deposit will be billed to the Permittee. 2. A one-year maintenance period and surety are required. Such period will begin on date of written acceptance by the City. 3. Refund of the cash deposit balance and refund or cancellation of the Faithful Performance Surety will be initiated by the written acceptance of the work- by the City. 4. The Permittee must request in writing a final inspection and acceptance of the work upon completion. Acceptance by the City will be made in writing to the Permittee. 5. Maintain safe pedestrian and'vehicular crossings and free access to private driveways,bus stops,fire hydrants and water valves. 6. A Construction Traffic Control Plan and a Construction Schedule are required for all lane closures, detours and street closures. This plan must be reviewed and approved prior to any lane closures. 7. The Construction Traffic Control Plan shall conform to the Caltrans Manual of Traffic Controls for Construction and Maintenance Work Zones, dated 1990,available at Caltrans. Traffic control equipment shall include Type II flashing arrow signs if required. 8. Replace as directed by the City Engineer any damaged or removed improvements in accordance with City Standards and Specifications at the sole expense of the Permittee. 9. Sawcut for all PCC or AC removals. All PCC removals shall be to nearest scoremark and shall be doweled to existing improvements. 10. Prior approval of inspector is required for any work done after normal working hours, on weekends or holidays and may require reimbursement of inspection costs at the current overtime rate. 11. Adequate signing and barricading is required on the job site. Failure to provide such signing and barricading may result in the City's providing signing and barricades and charging the cost(including all labor and materials)against the cash deposit. 12. Compaction testing of subgrade,base rock,and asphalt concrete by Permittee is required unless otherwise stated by the City Engineer. 13. The Contractor or Permittee will have a supervisory representative available for contact on the project at all times during construction. Contractor or Permittee shall provide a phone number at which they can be contacted outside the hours of 8:00 a.m.to 4:00 p.m. 14. No storage of materials or equipment will be allowed near the edge of pavement, the traveled way, or within the shoulderline which would create a hazardous condition to the public. 15. This permit shall not be construed as authorization for excavation and grading on private property adjacent to the work or any other work for which a separate permit may be required,nor does it relieve the Permittee of any obligation to obtain any other permit required by'law. 16. This permit does not release the Permittee from any liabilities contained in other agreements or contracts with the City and any other public agency. 17. This permit is not transferable. Work must be performed by the Permittee or his designated agent or contractor as specified thereon. 18, Call back(call out)due to emergencies regarding this permit shall be at the current overtime rate with a three(3)hour minimum charge per occurrence. 19. Pursuant to Chapter 14.02 of the Campbell Municipal Code,applicant shall not cause to be discharged any material into the municipal storm drain system other than storm water. Applicant shall adhere to the BEST MANAGEMENT PRACTICES established by the Santa Clara Valley Urban Runoff Pollution Prevention Program. 20. If the public interest requires a modification of,or a departure from,the plans and specifications,the City shall have.the authority to require or approve any modification or departure and to specify the manner in which the same is to be made for City-owned or maintained facilities. 21. Permittee must provide advance notification to all parties that may be.affected by the permit activities. Notification shall be reviewed by City prior to distribution and include dates of work and a contact name and phone number. Applicant shall be r onsi a for ensuring that ose providing services under the applicant are aware of and understand all of the above conditions. Applic Date Contractor (Print Name) Date Aforms\pwperm Rev.I 1/9/05 WEST VALLEY SANITATION DISTRICT SEWER CONNECTION 38753 SANTA CLARA COUNTY PERMIT NUMBER 100 E. Sunnyoaks Ave., Campbell, CA 95008 Issue Date !_ t C)Ck By (408)378-2407 LOCATION: FEES: BUILDING SEWER CONNECTION: A.P.N. ?�0 2 0\3 Connection $ = Feet = of Q 3 Property Sewer Location: Bk. 4 Pg. Service Advance line � feet from Main Sewer Tract Lot Processing a''^tv�J- and feet deep. Proj. Assmt Capacity Connection to Main Sewer Address Feet upstream from M.H. � . �— e-1�— U/S M.H:1"U`f&% -0 i Pipe Type JurisdictionCi4c�"4\'2`?'�"� L— BACKFLOW PROTECTION: BUILDING TYPE: �'= >'- Field Check Required TOTAL Single Family Disposition: Call District for foundation survey Condominium/Town Houses Multiple Dwelling GO Zone RL SJ Device Required: Yes No Number of Units Type:C rACE C ':L..v r ._,?S_Commercial INSTRUCTIONS: Industrial ° Street encroachment permit required from Other Information'+ L= °��- w i` ° Permit invalid if not connected within 12 months of issue. ° Do not connect until main sewer is accepted by District. Change in Status:19Z ��� " 9 Obtain a building or plumbing permit from the jurisdiction listed above. Z u°54.5 C t4 i�"�aL ti c• ._ �. WHITE - PERMIT / PINK - DISTRICT / YELLOW - JURISDICTION BUILDING INSPECTOR'S COPY / CARD - DISTRICT ' I" LUMBER DESIGN GROUP, INC. RECEIVED ENGINEERING - SURVEYING - PLANNING PUBLIC WORKS ADMINISTRATION June 22, 2009 Project No. 06103 Mr. Ed Arango 'City of Campbell Public Works Department 70 North First Street Campbell, CA 95008 Tel: 408.866.2166 RE: "NEW"Elevation for City BM 4-37 Dear Ed: As required, the contractor for the KFC/LJS Store located at 1805 South Winchester Boulevard, has re-installed the original 2-1/4" brass disk for City Benchmark Number 37 in the same basic location, i.e., at the north end of the northwest curb return at South Winchester Boulevard and Latimer Avenue. Our survey crew has re-established the "new" elevation for the benchmark based on the.old BM # 37 elevation of 187.801. The new elevation is 187.87. Should xou have! any questions please do not hesitate to contact me. Ills , e C?f1tr�C i •r ''.r Yours very truly, HUMBER DESIGN GROUP, INC. ENGINEERING - SURVEYING- PLANNING Q?,OFESS/O� H�� w N0.2N41 m 6w John M. umber, P.E. RCE 20 41 Exp 9-307-09 sr (C-WMX- q�OF CALIFOP J:M.H/j m h. cc. Edwin Bruce Associates 1410 PAULLUS DRIVE HOLLISTER,CALIFORNIA 95023 TEL 831.809.7879 FAX 831.636.7888 JHUMBER@HDG-CA.COM Joy Fi 's p 4-C A 4� Execu ssistant At. dd City or uampbell U Jim1. Department of Public Works r 70 North First Street ° ° Campbell,CA 95008 y� G: Phone: (408)866-2776 °a c x a Ro' Fax: (408)37&0958 Transmittal To: Jeremy Dimick, Harman Management Corp Date: 4/13/09 Address: 5544 Green Street,Murray UT 84123-5798 Re: Street Improvement Agreement, 1805 Winchester Blvd.,Campbell CA 95008 ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply x For Information &Use Enclosed please find a copy of the following recorded document: Street Improvement Agreement—Document#20115361. Thank you, Joy Francois Executive Assistant ar DOCUMENT: 20115361 Pages 11 Recording Requested by: ) Fees. . . No Fees City of.Campbell ) Cop ees. . AMT PAID When recorded mail to: REGINA ALCOMENDRAS RDE # 011 City Clerk ) SANTA CLARA COUNTY RECORDER 1/29/2009 City of Campbell ) Recorded a_t—the--r-e-clue_st of __ 2:20 PM 70 North First Street ) City Campbell, CA 95008 ) APN: 305-21-013 (Space above this line for Recorder's use only.) ADDRESS: 1805 Winchester Blvd.,Campbell,CA 95008 STREET IMPROVEMENT AGREEMENT RECITALS THIS AGREEMENT, identified by File No(s). PLN 2006-059, is entered into this 20)k1' day of DtceMbP, , 2008, by and between Harman KFC Investment, a California Limited Partnership, hereunder referred to as "Owner," and the CITY OF CAMPBELL, a municipal corporation of the County of Santa Clara, State of California, hereinafter referred to as "City." On December 11, 2007 the Planning Commission granted conditional approval of a Planned Development Permit for exterior building and site modifications for that certain real property described in Exhibit A attached hereto and incorporated as though fully set forth herein, and commonly known as 1805 Winchester Blvd., which property is hereinafter referred to as "said real property." TERMS AND CONDITIONS Now, therefore, in consideration of the above referenced approvals, and in satisfaction thereof, the parties to this Agreement shall comply with the following terms and conditions: (1) The Owner shall provide, construct and install at his/her own proper cost and expense, street improvements as described in Section 11.24.040 of the City Code within 12 months from the date first mentioned hereinabove; provided, however, that in the computation of said 12 month period, delays due to, or caused by acts of God, viz., unusually inclement weather, major strikes, and other delays beyond the control of the Owner or his/her successors shall be excluded. (2) If the Owner fails to complete the work required by this Agreement within the said 12 month period, the City, after giving ten (10) days written notice to the Owner, or his/her successors, may construct and/or install said improvements and recover the full cost and expense from the Owner, or his/her successors. J:\LandDev\Forms\SI\Agreements\Specific Agreements\Winchester 1805.DOC(Rev.03/08) 1 STREET IMPROVEMENT PLANS (3) The Owner, shall cause to be prepared at his/her cost and expense street improvement plans for the construction and installation of said improvements prior to such construction or installation. Said plans shall be prepared by a civil engineer registered by the State of California and submitted to the City Engineer for examination and approval. (4) All of said improvements embraced in this Agreement shall be constructed and installed in accordance with the plans approved by the City Engineer and shall be made under the inspection and to the satisfaction of the City Engineer. Said construction and/or installation shall be in accordance with the existing ordinances and resolutions of the City of Campbell and all applicable plans, specifications, standards, sizes, lines and grades approved by the City Engineer, and all State and County statutes. Upon completion and acceptance of the improvements by the City, the Owner, shall provide reproducible as- built plans to the City Engineer. PLAN CHECK AND INSPECTION FEE (5) Prior to, approval of the plans by the City Engineer pursuant to Section (3) of this Agreement, Owner, or his/her successors, shall pay the City for plan checking of improvement plans, field inspection of construction of improvements and all necessary expenses incurred by City in connection with said improvements, a sum calculated in accordance with Resolution No. 10494 as adopted by the City Council on May 3, 2005, or as may subsequently be adopted by the City Council. FAITHFUL PERFORMANCE SECURITY (6) The Owner, or his/her successors, shall file with City, prior to beginning construction, security acceptable to the City in amount equal to the City Engineer's estimated cost of the street improvements to ensure full and faithful performance of the construction of all the aforementioned improvement work. Said security shall guarantee that Owner, and his/her successors, will correct any defects which may appear in said improvement work within one (1) year from the date of acceptance of the work by City and pay for any damage to other work resulting from the construction thereof, as well as pay the cost of all labor and materials involved. This security shall remain in effect until one (1) year after date of final acceptance of said improvements by City. Said security amount may be reduced by the City Engineer in his/her sole discretion after the date of final acceptance to not less than twenty-five(25)percent of its full value. (7) Upon final release of said security by City, the obligations of Owner, and his/her successors, contained in this Agreement shall be considered null and void, except as otherwise provided by applicable law, or Sections 12 or 13 of this Agreement. FORMATION OF A SPECIAL ASSESSMENT (8) The Owner, when called upon by City to do so, shall execute a petition for the formation of any special assessment district created pursuant to any special assessment act as J:\LandDev\Forms\SI\Agreements\Specific Agreements\Winchester 1805.DOC(Rev.03/08) 2 provided in the Streets and Highways Code of the State of California created for the purpose of constructing and/or installing any or all of said improvements. Owner, or his/her successors, shall participate in and become a part of any special assessment district as described in Section (8) of this Agreement. (9) The Owner's, or his/her successors' obligations contained in this Agreement that are accomplished to the satisfaction of said City Engineer by said special assessment district shall be considered to satisfy those obligations. RIGHT-OF-WAY ACQUISITION (10) ,Owner at his/her own cost and expense, shall acquire any easement and right-of-way within or without said real property necessary for the completion of the improvements shown upon aforesaid improvement plans. It is provided, however, that in the event eminent domain proceedings are required for the purpose of securing said easement and right-of-way, Owner, shall deposit or cause to be deposited with City a sum covering the reasonable market value of the land proposed to be taken and to be included in said sum shall be a reasonable allowance for severance damages, if any. It is further provided that in addition thereto such sums as may be required for legal fees and costs, engineering and other incidental costs shall be deposited with the City. (11) The Owner, shall carry out any and all negotiations with all interested parties and shall perform or cause to be performed at his/her own cost and expense and to the satisfaction of the City Engineer any and all work required to abandon, remove, raise, lower, relocate and otherwise modify irrigation lines within or without the boundary of said real property. INDEMNITY AND INSURANCE (12) The Owner, and his/her successors, to the fullest extent permitted by law, shall indemnify, defend and hold the City of Campbell, the City of Campbell Redevelopment Agency, and its agents, employees, attorneys, officers, officials and assignees harmless from any and all claims, actions; causes of action, liabilities, damages, losses and expenses, including,but not limited to, attorneys' fees, arising out of, or resulting from, or alleged to arise out of or result from any negligent or intentional act or omission (including misconduct) of said Owner, or his/her successors, or any subcontractor, or anyone directly or indirectly employed by him, or anyone for whose acts any of them may be liable in the course of performance of the Agreement, except for any claims, actions, causes of action, liabilities, damages, losses and expenses proximately caused by the sole negligence or willful misconduct of the City. (13) The Owner, and his/her successors, shall also indemnify, defend and hold the City of Campbell, the City of Campbell Redevelopment Agency, and its agents, attorneys, employees, officers, officials, and assignees harmless against and from any and all claims, actions, causes of action, liabilities, demands, losses, lawsuits,judgments, damages, costs J:\LandDev\Forms\SIWgreements\Specific AgreementsMinchester 1805.DOC(Rev.03/08) 3 and expenses (including, but not limited to, attorneys' fees and court costs, whether incurred at trial, appellate or administrative levels) which the City of Campbell may incur or suffer, or to which the City of Campbell may be subjected resulting from, or alleged to result from the failure of Owner, or his/her heirs, assignees, successors, grantees, agents, employees, subcontractors, or anyone performing services under him, to fulfill any of the obligations imposed under this Agreement, except for any claims, actions, causes of action, liabilities,judgments, damages, costs and expenses proximately caused by the sole negligence or willful misconduct of the City. (14) The Owner and his/her successors shall also indemnify, defend and hold harmless the City, the City of Campbell Redevelopment Agency, and its agents, officers and employees from any claim,,action, or proceeding against the City or its agents, officers or employees to attach, set aside, void or annul an approval of the City, its City Council, Planning Commission, Community Development Director, Public Works Director, Building Official, City Engineer, or other such City official concerning a subdivision, which action is brought within the time period provided for in California Government Code Section 66499.37. (15) The City will promptly notify the Owner of any claim, action or proceeding to attack, set aside, void or annul any approval concerning a subdivision of said real property, and will cooperate fully in the defense. (16) Owner and his/her/its successors shall maintain insurance for injuries to persons or damage to property conforming to the following specifications: A. Minimum Scope of Insurance Coverage shall be at least as broad as: 1. Insurance Services Office (ISO) CGL form CG 00 01 11 85; and 2. ISO form G0009 11 88 Owners and Contractors Protective. Liability Coverage Form—Coverage for Operations of Designated Contractor; and 3. Course of Construction Insurance covering all risks of loss; and 4. ISO CA 00 0106 92 including symbol 1 (Any Auto); an 5. Workers' Compensation insurance as required by the Labor Code of the State of California and Employer's Liability insurance. B. Minimum Limits of Insurance Owner shall maintain limits no less than: 1. General Liability: $1,000,000 combined single limit per occurrence for — bodily, personal injury and property damage. If Commercial General Liability Insurance or other form with.a general aggregate limit is used, J:\LandDev\Forms\SI\Agreements\Specific Agreements\Winchester 1805.DOC(Rev.03/08) 4 either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. 2. Automobile Liability: $1,000,000 combined single limit per accident for bodily injury and property damage. 3. Workers' Compensation and Employer's . Liability: Workers' Compensation limits as required by the Labor Code of the State of California and Employer's Liability limits of$1,000,000 per accident. C. Deductible and Self-Insured Retention Any deductibles or self-insured retention must be declared to and approved by the City. At the option of the City, either: the insurer shall reduce or eliminate such deductibles or self-insured retention as respects the City, the City of Campbell Redevelopment Agency, its agents, officers, attorneys, employees, officials and volunteers; or the Owner shall procure a bond guaranteeing payment of losses related to investigations, claim administration, and defense expenses. D. Other Insurance Provisions The policies are to contain, or be endorsed to contain, the following provisions: 1. General Liability and Automobile Liability Coverage: a. The City, City of Campbell Redevelopment Agency, its agents, officers, attorneys, employees, officials and volunteers are to be covered as insureds as respects: liability arising out of activities related to this Agreement performed by or on behalf of the Owner, products and completed operations of the Owner, premises owned, occupied or used by the Owner, or automobiles owned, leased, hired or borrowed by the Owner. b. The Owner's insurance coverage shall be primary insurance as respects the City, City of Campbell Redevelopment Agency, its agents, officers, attorneys, employees, officials and volunteers. Any insurance or self-insurance maintained by the City, City of Campbell Redevelopment Agency, its agents, officers, attorneys, employees, officials and volunteers shall be excess of the Owner's insurance and shall not contribute with it. C. Any failure to comply with reporting provisions of the policies shall not affect coverage provided to the City, City of Campbell Redevelopment Agency, its agents, officers, attorneys, employees, officials, and volunteers. d. The Owner's insurance shall apply separately to each insured against whom claim is made or suit is brought except with respect J:\LandDev\Forms\SI\Agreements\Specific Agreements\Winchester 1805.DOC(Rev.03/08) 5 to the limits of the insurer's liability. e. Coverage shall not extend to any indemnity coverage for the active negligence of the City in any case where an agreement to indemnify the City would be invalid under Subdivision (b) of Section 2782 of the California Civil Code. 2. Workers' Compensation and Employer's Liability Coverage: The insurer shall agree to waive all rights of subrogation against the City, City of Campbell Redevelopment Agency, its agents, officers, attorneys, employees, officials, and volunteers for losses arising from work performed by the Owner for the City. 3. Course of Construction Coverage: Course of Construction policies shall contain the following provisions: (a) the City shall be named as loss payee; and (b) the insurer shall waive all rights of subrogation against the City. 4. All Coverages: Each insurance policy required by this clause shall be endorsed to state that coverage shall not be suspended, voided, canceled by either party, reduced in coverage or in limits except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. E. Acceptability of Insurers Without limiting Owner's indemnification provided hereunder, Owner shall take out and maintain at all times during the life of this contract, up to the date of acceptance of the work by the City, the policies of insurance listed in Paragraphs -12 through 16 of this Agreement. Insurance is to be issued by an issuer with a current A.M. Best Rating of A:VII and be authorized to transact business in the State of California, unless otherwise approved by the City. F. Verification of Coverage Owner shall furnish the City with certificates of insurance evidencing coverage required by this clause. The certificates for each insurance policy are to be signed by a person authorized by that insurer to bind coverage on its behalf. The certificates are to be on forms provided by the City. Where by statue, the City Workers' Compensation related forms cannot be used, equivalent forms approved by the Insurance Commissioner are to be substituted. All certificates are to be received and approved by the City before work commences. G. Subcontractors J:\IandDev\Forms\SlWgreements\Specific Agreements\Winchester 1805.DOC(Rev.03/08) 6 Owner shall include all subcontractors as insured under its policies or shall furnish separate certificates by each subcontractor. All coverage shall be subject to all of the requirements stated herein. MUTUAL BENEFIT COVENANTS BINDING ON HEIRS, ASSIGNEES, SUCCESSORS, AND GRANTEES OF OWNER (17) It is acknowledged that the provisions of this Agreement constitute covenants for the improvement of the subject real property for the mutual benefit of Owner's property, commonly known as 1805 Winchester Blvd., and the City's property, commonly described as Winchester Boulevard and W. Latimer Avenue where it adjoins Owner's property. These covenants shall be considered to affect rights in the above-described real properties, and shall be binding on the heirs, assignees, successors, grantees and agents of the Owner to said real property. UNVESTED INTERESTS (18) Nothing contained herein shall be construed to transfer any unvested interests in real or personal property for purposes of the rule against perpetuities. BREACH OF CONTRACT (19) The City, upon breach any of the terms, conditions, or covenants of this Agreement by the Owners, shall be entitled to recover from the Owner, in addition to any other relief available in law or equity, all costs and compensation incurred in attempting to obtain enforcement of the Agreement, including reasonable attorneys' fees and court costs. ENTIRE AGREEMENT BINDING (20) This is the entire Agreement between the parties, and there are no representations, agreements, arrangements or understandings that are not fully expressed herein. This Agreement can be executed in counterparts by the parties hereto, and as so executed shall consist of one agreement,binding on all parties. PRELIMINARY PLANS (21) Owner shall provide and construct public street improvements per preliminary plans titled "STREET IMPROVEMENT PLANS — OFFSITE — 1805 Winchester Blvd.," which are subject to approval by the City Engineer,prepared by Humber Design Group. J:\LandDevTorms\SI\Agreements\specific Agreements\Winchester 1805.DOC(Rev.03/08) IN WITNESS WHEREOF, said City has caused its name to be affixed by its City Engineer and City Clerk, who are duly authorized by Ordinance 2059 adopted September 20, 2005, and said Owner has caused his/her dame to be affixed the day and year first above written. Harman KFC Investment, a California Limited Partnership my Dimick, k9gional.Director CITY OF CAMPBELL AU Michelle Quinney, City gineer (Notary Acknowledgment for above signator(ies) MUST be attached.) Att esL r Anne Bybee, City Clerk J:\landDev\Forms\SMgreements\Specific Agreements\Winchester 1805.DOC(Rev.03/08) 8 Exhibit A LEGAL DESCRIPTION Real property in the City of Campbell, County of Santa Clara, State of California, described as follows: BEGINNING AT THE POINT OF INTERSECTION OF THE CENTERLINE OF THE SANTA CLARA-LOS GATOS WITH THE CENTERLINE OF LATIMER AVENUE;THENCE NORTH 01 07 W. ALONG THE CENTERLINE OF SANTA CLARA-LOS GATOS ROAD 170.00 FEET, THENCE S. 890 45' W. . PARALLEL WITH THE CENTERLINE OF LATIMER AVENUE.175.00 FEET; THENCE S. 00 07' E. PARALLEL WITH THE CENTERLINE OF SANTA CLARA-LOS GATOS ROAD 170.00 FEET TO THE CENTERLINE OF LATIMER AVENUE; THENCE ALONG THE CENTERLINE OF LATIMER*AVENUE N. 8V 45' E. 175.00 FEET TO THE POINT OF BEGINNING, AND BEING A PORTION OF LAND SHOWN UPON THAT CERTAIN MAP ENTITLED, "RECORD OF SURVEY OF LAND OF CAMPBELL PROPERTIES, BEING A PORTION OF THE N. E. 1/4 OF THE S.E. 1/4 SEC. 27.T.7 S.R. 1W. CITY OF CAMPBELL, SANTA CLARA COUNTY, CALIFORNIA," WHICH MAP WAS FILED FOR RECORD IN THE OFFICE OF THE RECORDER OF THE COUNTY OF SANTA CLARA, STATE OF CALIFORNIA ON AUGUST 5, 1955 IN BOOK 60 OF MAPS, AT PAGE 55. EXCEPTING THEREFROM THAT PORTION OF THE ABOVE DESCRIBED PROPERTY GRANTED TO THE CITY OF CAMPBELL FOR ROAD PURPOSES AS DESCRIBED IN THAT CERTAIN RESOLUTION NO. 262 AND ATTACHED "GRANT OF LAND FOR ROAD PURPOSES", RECORDED MAY 11, 1956, IN BOOK 3492, PAGES 649 AND 650, AS DOCUMENT NO. 1209301, SANTA CLARA COUNTY RECORDS, AND FURTHER DESCRIBED AS FOLLOWS; Beginning at the point of intersection of the center line of Santa Clara-Los Gatos Road (50 feet wide) with the center line of Latimer Avenue (40 feet wide); thence along said center line of Santa Clara-Los Gatos Road North 0007' West 170.00 feet; thence South 89045' West 45.00 feet; thence South 0007' East 120.05 feet; thence southerly along a curve to the right, tangent to last described course, having a radius of 20.00 feet, a central angle of 89052', an arc distance of 31.37 feet; thence South 89045' West 110.05 feet; thence South 0007'.East 30.00 feet; thence North 89145' East 175.00 feet to the point of beginning. APN: 305-21-013 ACKNOWLEDGMENT State of California County of 5a,% a- On )e-ce-,v:bP� �. � ' before me, K L DUBAL, NOTARY PUBLIC (insert name and title of the officer) personally appeared who proved to me on the basis of s tisfactory evidence to be the p rson(s) whose name(s) is/ re Ascribed to the within instrument and acknowled ed to me tha he she/they executed the same in his her/their authorized capacity(ies), and that by his, er/their signature(s) on the instrument the erson(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. S,4L WITNESS my hand and official seal. "�.. :a. commission K. L. DU 1663822 Notary Public-California z : Santa Clara County My Comm.Expires May 31,2010 Signature (Seal) n CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of , l f , a On l� `�D` ' before me, J k) 1 y I .� eS� ,Cab (.r Date A � _ 1 1 t � Mere Insert Name and Title of the Officer personally appeared Y\Vgv `(-��►tJJ 4 �V Name(s)of ner(s) who proved to me on the basis of satisfactory evidence to be the person whose name,( is/A subscribed to the w thin in ument and acknowlle�ged to me that /she%executed the sa a ine�Frs/herAir authorized capacity( and that by her/t�r signaturep<on the instrument the person( ,.or the entity upon behalf of. OANNE K •pktSROSIA which the personXacted, executed the instrument. Coi MMIllon#1735773 dory°Pubft-C°mOndO I certify under PENALTY OF PERJURY under the laws - ►��M0r31.�11 of the State of California that the foregoing paragraph is . r true and correct. WITNESS my hand and official seal Signatur • Place Notary Seal Above Signature of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑Corporate Officer—Title(s): ❑ Partner—❑ Limited ❑ General _ ❑ Partner—❑ Limited ❑ General ❑. Attorney in Fact ❑Attorney in Fact • El Trustee Top of thumb here. El Trustee Top of thumb here ❑ Guardian or Conservator ❑Guardian or Conservator ❑ Other: ❑Other: Signer Is Representing: Signer Is Representing: ©2007 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402•www.NatonalNotary.org Item#5907 Reorder:Call Toll-Free 1-800-876-6B27 ©V CA 41A May 8,2008 U r 0 0 A �kCtiAKa Public Works Department Development Fees & Outstanding Information Project: 1805 Winchester Blvd. ENC 2008 -00045 Fees &Deposits: n Engineering Plan Check&Inspection Fee...............$11,466 Faithful Performance Security..................................$88,200 Labor&Material Secure $88,200 (These securities are retained by the City to insure the work is completed per the permit. Once the work is completed and the City accepts the improvements,the applicant may elect to have 75%of the deposit returned.25% is retained for a 1 year maintenance period.After 1 year, if there are no issues with the installed improvements,the rest is refunded. See security options in the Notes.) ��- Emergency Cash Deposit............................................$3,528 (This is a deposit in case there are any emergencies that City staff is required to respond to during construction of the off-site improvement. i.e. a night time accident,weather affecting the site, etc.) -9 u5 Storm Drain Area Fee.................................................$1,097 (This is a one time fee that is charged for each lot in the City when that specific lot develops/redevelops. It is a fee for the overall maintenance of the City's storm drain system.) *Note: Security can be provided in one of three options: 1. Provide a Faithful Performance bond for$88,200 and a Labor and Materials bond for $88,200. (The City has the actual bond forms to use.) 2. Provide one CD for$88,200. The CD will be required to be assigned"for the benefit of the City via a City provided assignment form. 3. Provide the City with a cash deposit in the amount of$88,200. Outstanding information: D9 ✓Y Street Improvement Agreement signed by owner(City to prepare once item 3 is �C�(e� 40 submitted). u-0 L2' Grant of Easement signed by owner(City to prepare once item 3 is submitted). (,,5,o$v31 Corporate signature resolution, or other document, identifying who is authorized to sign for company. 5 14-og k,4-- Geotechnical Engineer sign-off on plans or letter approval. 5. Grading plans finalized. N(a,4, i- bmcl tvP;es) �,.It,.ag,-6' Dedication documents finalized. JALandDev\P1an Check Comments\Winchester 1805 Fees.doc Page 1 of 1 ENQiikQACHMENT PERMIT ISSUANCE CRFCAW, T City of Campbell Encroachment Permit No. Department of Public Works p Tract No. www.cityofcampbell.com >bell.com - Public Works 4 Land Development Address: ITEMS REQUIRED FOR PERMIT APPLICATION: 1. ✓ Encroachment Permit Application complete 2. _� Applicant signature and date on Permit(front and back) ��yy �L 3. ✓ Permit Application Fee paid$ � s -Receipt Number&Date �8 47- d U 4. ✓ City Engineer's Estimate Completed and Submitted 5. Plan Check Deposit Paid(2%of Engineer's Estimate,$500 min)$ Receipt Number 6. Three(3)Sets of Grading and Drainage Plans v� 7. Three(3)Sets of Street Improvement Plans Vj ' 8. ✓ Check Lists(Grading and Drainage, Street Improvement) ITEMS REQUIRED PRIOR TO PUBLIC WORK CLEARANCE FOR BUILDING PERMITS 9. ✓ Plan Check&Inspection Fee: If Engineer's Estimate<$250,000,then 13%of Engineer's Estimate. If Engineer's Estimate >$250,000,then Actual Cost+20%. (Deposit of 8%of Engineer's Estimate required;$30,000 minimum deposit. Amount$ Receipt No. &Date 9�e� 10. ✓ Security for Faithful Performance and La or a d Materials, 100%each of Engneerr''s Estimate,supplied or paid. Amount$� Form Receipt No. &Date I/�fP/00 9I 11. Security for Monumentation Amount$ Receipt No. &Date 12.E Construction Emergency Cash Deposit: 4%of Engineer's Estimate.($500 minimum,$10,000 maximum) Amount$ Receipt No. &Date l--�Y-09 13. v'� Street Improvement Agreement signed and notarized(proof of ownership submitted) D,alq Av r- 14. :✓ Storm Drainage Area Fee)t Z,c6o Amount$ Receipt No.&Date 15. ✓ Right of Way Documents Completed and esAri� ti10 t-em treed too-n� �; r�e�� np d�• q a 16. ✓ Grading Plan Check Fee Amount$ i�ro Receipt No. &Date Zo58Z 2 do 17. ✓ All other Public Works requirements listed in the Conditions of Approval of the development. 18. Other Fees,Payments,Deposits Amount$ Receipt No. &Date ITEMS REQUIRED PRIOR TO ISSUANCE OF ENCROACHMENT PERMIT: 19. Contractor's signature added to the permit application(front and back) 20. Contractor's City of Campbell Business License # qjq 1 �1/o 21. Worker's Compensation Insurance Information Sheet received from Contractor. 22. Certificate of Insurance with Additional Insured's Endorsement received from Applicant or Contractor. 23. One mylar set and six(6)or less sets of off-site plans signed by engineer,stamped APPROVED FOR CONSTRUCTION. _Contractor, _Inspector _PW Superintendent(Service Center) _EP File LD File _Signals&Lighting Supervisor(Service Center) 24. Permit signed by City Engineer. WHEN ALL OF THE ABOVE ITEMS ARE COMPLETE,PERMIT MAY BE ISSUED. J:\LandDev\forms\SI\EP checklist rev-44}f06 i�0�- CITY OF CAMPBELL I NCKOACHMENT PERMIT Permit No DEPT.OF PUBLIC WORKS (for working within the public X-Ref.File 70 North First St. right-of-way) —ve Campbell,CA 95008 Application Date (408)866-2150 Issued Application Expiration Date 10 0 Fax(408)376-0958 Permit Expiration Date APN 3�— �! —O( APPLICATION—Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code,Section 11.04. (Application expires in six(6) months if the permit is not'issued. Application Fee is non-refundable.) ��y A.Work address or tract# ��� W 1 N f^}+E5 I A 9 LVt> LL c. Utility trench B.Nature of work R6FVt"4 F_er AU— S4A e4L1� Gt2LZ t f�K7f�tZ. 7TZE EQ-L<i. �1ZI l APPeCACft,4, 4- P90V I F 10 iKe.f�SS(( F_ PAM P.i"A Rc"'A.6 C E) PN�F_U C.Attach four(4)copies of an engineered plan showing the location and extent of the work,and four(4)copies of the preliminary'Engineer's Estimate of work. The plans shall show the relation'of the proposed work to existing surface and underground improvements. When approved by the City Engineer,said plan becomes a part of this permit. D. All work shall conform to the City of Campbell Standard Specifications and Details for Public Works Construction; the General Permit Conditions listed on the reverse side;and the Special Provisions for this permit,listed below. Failure to abide by these conditions and provisions may result in job shutdown and/or forfeiture of Faithful Performance Sureties and cash deposits. (See General Permit Conditions I and 2.) E.The Contractor must have this permit and approved plans at the site and must notify the Public Works Department at least two days before starting work. Notice must be given to Public Works at least 24 hours before restarting any work. Name of Applicant HAVASAN M VJ Z. Telephone f0' I q gq l _ (print name 1 ) 5�2�' Address ��� Q�7t �i� LO� ALTV!� 24-HOUR EMERGENCY TELEPHONE NO. i E-Mail Address tGd`em1A0( �AJ'NACk1�� GOW1 Is this work being done by the property owners at their own residence? Yes No The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the City_of Campbell,its officers,agents and employees free,safe and harmless from any claim or demand for damages resulting from The Applicant/Permittee hereby acknowledges that tt J541 back of this permit,and they will inform their contractor(s)of the information. Applicant is advised that u sstranc riv )wner's successors,shall be responsible for any and all damages arising out of the i' in of any priv a improv ei / Accepted Date r I Date i SPECIAL PROVISIONS —1. Street shall not be open cut for underground installations. Minimum cuts may be allowed for connections or exploration holes. Such cuts may be specifically approved by the Inspector prior to cuttino. —2. Pavement may be cut for underground installations and must be restored in accordance with the Standard Details Trench Restoration Method "A",unless otherwise approved by Inspector. 3. Work to be staked by a licensed Land Surveyor or Civil Engineer and two(2)copies of the cut sheets sent to the Public Works Department before starting work. 4. Per Section 4215 of the Government Code this permit is not valid for excavations until Underground Service Alert(USA)has been notified and the inquiry identification number has been entered hereon. USA Phone 1-800-227-2600. USA TICKET NO. _5. Prior to any work,the property owner shall execute an Agreement for Private Improvements in the Public Right-of-Way,which shall be recorded. 6. Public Notification Requirements: 7 I — f SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES AMOUNT RECEIPT NO I PERMIT APPLICATION FEE $ PLAN CHECK DEPOSIT SECURITY FOR FAITHFUL PBRFORMANCE/LABOR&MATERIALS CONSTRUCTION CASH DEPOSIT S j PLAN CHECK&INSPECTION FEE 1 i APPROVED FOR ISSUANCE For City Engineer Date Permit Expires 12 Months After Date of Issuance I i i - 1 GENERAL PERMIT CONDITIONS 1. A Construction Cash Deposit is required. Charges will be made against this deposit if there is an emergency call-out,overtime inspection or when City ordered barricading is required. Any such costs in excess of the deposit will be billed to the Permitter. s 2. A one-year maintenance period and surety are required. Such period will begin on date of written acceptance by the City. t 3. Refund of the cash deposit balance and refund or cancellation of the Faithful Performance Surety will be initiated by the written acceptance of the work by the City. 4. The Permittee must request in writing a final inspection and acceptance of the work upon completion. Acceptance by the City will be made in writing to the Permitter. 5. Maintain safe pedestrian and vehicular crossings and free access to private driveways,bus stops,fire hydrants and water valves. t G. A Construction Traffic Control Plan and a Construction Schedule are required for all lane closures, detours and street closures. This plan must be reviewed and approved prior to any lane closures, 7. The Construction Traffic Control Plan shall conform to the Caltrans Manual of Traffic Controls for Construction and Maintenance Work Zones,dated 1990,available at Caltrans. Traffic control equipment shall include Type II flashing arrow signs if required. 8. Replace as directed by the City Engineer any damaged or removed improvements in accordance with City Standards and Specifications at the sole expense of the Permitter. { 9. Sawcut for all PCC or AC removals. All PCC removals shall be to nearest scoremark and shall be doweled to existing improvements. 10. Prior approval of inspector is required for any work done after normal working hours, on weekends or holidays and may require reimbursement of inspection costs at the current overtime rate. I 11. Adequate signing and barricading is required on the job site. Failure to provide such signing and barricading may result in the City's providing signing and barricades and charging the cost(including all labor and materials)against the cash deposit. t 12. Compaction testing of subgrade,base rock,and asphalt concrete by Permittee is required unless otherwise stated by the City Engineer. 13. The Contractor or Permittee will have a supervisory representative available for contact on the project at all times during construction. Contractor or Permittee shall provide a phone number at which they can be contacted outside the hours of 8:00 a.m.to 4:00 p.m. 14. No storage of materials or equipment will be allowed near the edge of pavement, the traveled :way,or within the shoulderline which would create a hazardous condition to the public. 15. This permit shall not be construed as authorization for excavation and grading on private property adjacent to the work or any other work for which a separate permit may be required,nor does it relieve the Permittee of any obligation to obtain any other permit required by law. i t 16. This permit does not release the Permitter,from any liabilities contained in other agreements or contracts with the City and any other public agency. ` I 17. This permit is not transferable. Work must be performed by the Permittee or his designated agent or contractor as specified thereon. i 18. Call back(call out)due to emergencies regarding this permit shall be at the current overtime rate with a three(3)hour minimum charge per occurrence. I 19. Pursuant to Chapter 14.02 of the Campbell Municipal Code,applicant shall not cause to be discharged any material into the municipal storm drain system other than storm water. Applicant shall adhere to the BEST MANAGEMENT PRACTICES established by the Santa Clara Valley Urban Runoff 1 Pollution Prevention Program. 20. If the public interest requires a modification of,or a departure from,the plans and specifications,the City shall have the authority to require or approve any modification or departure and to specify the manner in which the same is to be made for City-owned or maintained facilities. j 21. Permitter must provide advance notification to all parties that may be affected by the permit activities. Notification shall include dates of work and a contact name and phone number. Applicant shall be re on rble for ensuring that all those providing services under the applicant are aware of and understand all of the above conditions. 1 Applicant Date Contractor (Print Name) Date i :l J\forms\pwperm Rev. 11/9/05 i i i OF'CAMS, MEMORANDUM L� er City of Campbell F Public Works Department •�2CH ARC• To: Michelle Quinney, City Engineer Date: January 7, 2009 From: Ed Arango, Associate Engineer Subject: Street Improvement Agreement— 1805 Winchester Blvd. Attached please find the signed and notarized street improvement agreement for 1805 Winchester Blvd. for your signature. This agreement was required as a condition of approval for PLN 2006-059 which was approved by : ❑ City Council Resolution No. on �,, Planning Commission Resolution No. 3858 on December 11, 2007 ❑ Community Development Director on ❑ Public Works Department/Land Development Section on The street improvement agreement requires that street improvements to be installed: 1�r I Within 12 months from the date of the agreement and the required security has been submitted. ❑ Within 12 months from the date notified by the City Engineer to install the required improvements. J:VandDevUAIemos\Memo MQ SI agreement.DOC(Rev.03/08) 3/17/2009 1:1OPM C- CEL-� Payment History For Case#: ENC2008-00045 ' Aecoirded -•s wt 4, 4 T. e.. eelD-#1ton ]Fees Paid . 9, .I�atePaid _. Check# .,; Recei t $ yp, b>?„ � � p # Y I?rte'Ilrstar�;,.,. PCDP 200807091408443380 Plan Check Deposit 1,800.00 1,800.00 4/2/2008 1235520 205828 JD 0.00 GRA 200807091409587290 Grading&Drainage Plan 800.00 800.00. 4/2/2008 1235520 205829 JD 0.00 Review PCIl 200807091412323700 Non-Util Plan Ck/Insp to 11,466.00 11,466.00 7/9/2008 1259590 208779 JD 0.00 $250K CASH 2O0807091413233070 Construction Cash Deposit 3,528.00 3,528.00 7/9/2008 1259589 208779 JD 0.00 SL 200807091413463700 Storm Drain Fee-All 1,097.00 1,097.00 7/9/2008 1259589 208779 JD 0.00 Others PCDP 200903171301035700 Refund-Plan Check -1,800.00 -1,800.00 3/17/2009 205828 JD 0.00 Deposit APP 200903171305541320 Encroachment Application 300.00 300.00 4/2/2008 1235520 205829 JD 0.00 Fee Total Fees: $17,191.00 Paid: $17,191.00 TOTAL RENdAINING DUE: $0.00 Page 1 of 1 CasePaymentHistory..rpt Refundable Deposit Check Request To: Finance Director Check Payable To: Harman -Hernan+Ana,Inc. Address-Line 1: 5544 Green Street Line 2: City: Murray State: UT Zip: 205828 Description: Refund Deposit Account Number: 101.2203 Amount: $1,800.00 Account Number: Amount: Account Number: 101.540.7448 Amount: (Finance Dept only) Interest Earned (Finance Dept only) Total Payable: $1,800.00 (Exact Amount) Purpose: Refund Plan Check Deposit on 1805 S.Winchester Blvd.,Campbell, CA Voucher#: Permit#: ENC2008-00045 Receipt#: 205828 Date: 04/02/08 Requested by: C Title: Associate Engineer Date: 3/17/2009 Approved by: ~ �' r Title: City Engineer Date: 3/17/2009 Mirchelle Quirmey Finance Dept Only: Verified by: Title: Accounting Clerk II Date: Approved by: Title: Accountant Date: Special Instructions For Handling Check Mail As Is: Mail in Attached Envelope: Interim Check: Needed By: Return To: Joanne D'Ambrosia Public'Works/City Hall (Name) (Department) Other: f/n:Forms/excel/chkreq - Revised 05/00 0� c- �M •, r ORCHARD CITY o F CAMPBELL Public Works Department Date: March 30, 2009 TRANSMITTAL FROM THE PUBLIC WORKS DEPARTMENT TO: Harman Heman+Ana, Inc. 5544 Green Street Murray, UT 84123-5798 FROM: Joanne M. D'Ambrosia, Office Specialist RE: 1805 S. Winchester Blvd., Campbell Encroachment Permit#ENC2008-00045 Enclosed is a check in the amount of$1,844.82 resenting a refund of your Plan Check Deposit, plus accrued interest, in connection with the above property. U Joanne M. D'Ambrosia Office Specialist Enclosure 70 North First Street ° Campbell, California 95008-1436 1 TEL. 408-866.2150 FAX 408.376.0958 TIM 408.866.2790 _._...._....._................... L........._........._..._..._........� .._._.__._._................ ....._....---....._...._....... ---......._................ ...----....._....... .._..._......................... ......................._.................. .. i CITY OF CAMPBELL VENDOR NO. 10009575 CHECK NO. 220773 ' Account. Purchase Ordet ' Invoice Number Amount Description 101 2203 CRO32309 1,800.00 DEPOSIT REFUND 101.540 7448 CRO32309 44.82 INTEREST J c o"I 10009575 HARMAN HERNAN&ANA INC i �e a �,�'ne CAMPBELL r' 6ANK-OF AMERICA CHECK ATE CHECK NO.D 11-35 *� ?. ;CAMPBELL OFFICE 1210 0 3/3 0/.0.9 220773 4 YARD 7 NC R'TH FIRST STREET Gf>MPBEL .,,CALIFORNIA 95008 CAMPBELL,' CATHE E9 008 O r �AM UNT �' o 6* �rtr,Ianno VOID AFTER. 90.DAYS of : � r D1 jj .. PAY THE ,SUM OF ONE ;THOUSAND, EIGHT HUNDRED -FORTY FOUR DOLLARS & 82' .CENTS F E, TO THE. HARMAN HERNAN & ANA INC; �'F i ORDER 5'544 GREEN ST t OF 11 :MURRAY UT 8 412 3;-5 7 9 II' 2 20 T 7.31I■ t::L .2.1000 3 58e:000.6`2 20�:0 2 4`9iI i 0151 ee 141 : *See Reverse Side For Easy Opening lnstruofions* +'------ ----- - CITY OF CAMPBELL 70 NORTH FIRST STREET CAMPBELL, CALIFORNIA 95008 o V HARMAN HERNAN & ANA INC 5544 GREEN ST MURRAY UT 84123-5798 Effective July 1,2008 -O: City'Cierk PUBLIC WORKS FILE NO. �oTb ' i�U45 PROPERTY ADDRESS ( (y,do .' e Please collect&receipt for the following monies: ACCT. ..'ITEM AMOUNT LAND DEVELOPMENT 4722 Encroachment Permit Application Fee Non-Utility Encroachment Permit ($310.00 Minor Encroachment Permit<$to,000 $140.00 R-1 First Permit(No Fee)Subsequent<1o,000 $135.00 * 2203 Plan Check Deposit 2%of Engineer's Estimate ($500.00 min) 4722 Grading &Drainage Plan Review Single Family Lot $210.00 Site< 10,000 s.f. $625.00 Site> 10,000 s.f.<Acre $835.00 Site> 1 Acre $1,250.00 Plan Check& Inspection Fee Non-Utility **2203 Engr. Est.>$250,000 Actual Cost+20%min.$30,000 Deposit 4722 Engr. Est.<$250,000 13%of ENGR. EST. �r- * 2203 Emergency Construction Cash Deposit 4%of Engr. Est $500 min/$10,000 max Z -� * 2203 Faithful Performance Security FPS 100%of ENGR. EST. * 2203 Labor and Materials Security 100%of ENGR. EST. 4721 Storm Drainage Area Fee Per Acre (R-1 $2,120.00) (Multi-Res$2,385.00) All Other$2,650.00 4722 Parcel Map 4 Lots or Less $3,500.00+$78/lot 4722 Final Tract Map 5 or More Lots $4,300.00+$105/lot 2203 Monumentation Security 100%of ENGR. EST. 4920 Parkland Dedication Fee 75%/25% Due Upon Cert.of Occupancy 4722 Lot Line Adjustment $930.00 4722 Vacation of Public Streets&Easements $2,200.00 4722 Certificate of Compliance $675.00 4722 Certificate of Correction $415.00 4722 Appeal Filing Fee $105.00 4722 Notary Fee(per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split ($735.00) Each Additional Lot $200.00 511.7424 Postage TRAFFIC 4728 Intersection Turn Counts Two-Hour Count $80.00 4728 Intersection Turn Counts a.m.or p.m. peaks ($155.00 4728 Traffic Flow Ma Daily Traffic Volumes $33.00 4728 Signal Timing Information $64.75/Hr 4271 Truck Permits $16.00/per trip 4728 No Parking Signs ($1/each or$25/100) MISCELLANEOUS Other(Please Specify) 47221 Street Tree Planting/Removal Permit $150.00+$500 'deposit) *Engineer's Estimate shall be as approved by the City Engineer. �n TOTAL $ NAME OF APPLICANT d'1MQ ti I Y` ✓C�INIv `M [L NAME OF PAYOR 111 C. PHONE ADDRESS �' I�LL4�fAL v l ZIP **Actual Cost Plus 20%Overhead on-Inte st bearing deposit) 008 U`. FOR RECEIVED By l `� ry a `. CITY CLERK ,rJ" ONLY Date , Re eipt#,. 0� GLE N ®FS� r *For 8lam`Check and.Cash'D.eposits,:•send_yellow copv�to}Finance. - :Datel�imti J:\FORMS\TemplelesUdrtun s48hveWe�PlFw,i Land Develppmenl T,elf OB-091�v.osaBl -` "" �© SS y Qyyw S a= lqR SSRm7a e#G: Gag2lwlm§ INC qG«S #+; J"U, £Sa3 ke: QZSZm gyE3 G2 osaDSG qOWiT gDamgD SQgE ««wbm :UST ID; lm5WI£wE R+ RP&!G d@ 22q S.28.m DS S: ImSgkRSR SgamG§ RD G2 2,3Sy / a m, l805WDmgeR 2 . --�----�— 2 ITk me «%yGm 7 D < PAID: 10 ` \ :+« m: la?mwlS«m / TENDERED- V. E D++: aw co \ . g § / / G e § k 2 < ES f b k C) S S \ a z 2 z \ @ ' / 2 \ \ E $ 2 = 7 9 ® ° $ \ 0 S } ? KMb�,cw,•u6.w Y�':e:: .1 -xxadaa. -Vd •.. :°$. _ - �,54 Harrr>ian-�iliinc�s, Ins 90-7$"211 AIP Clearing Account IV®, 'i 259590 a�� 55�44 Green Street Date � Murray, UT 84123-5798 i ;� fl 5/21I2008 Bank of West r4 "Providing a caring culture of service,success,and ownership" Branch the L'NcJQ1+M AMOUNT 176 Main Street Si�veas PAY Los Altos,CA 94024 ******$11,466.00 Eleven Thousand Four Hundred Sixty Six AND 00/100 CITY OF CAMPBELL CHECK MUST BE CASHED WITHIN 6 MONTHS TO THE 70 N FIRST ST ORDER OF CAMPBELL CA 95008 United States CCAMPB ,cri:36v�,r.�.``. �:,. ,. s•$trb.a�. ;�`-- � t �� k��dl �l t3i�i,�ll. � h.�4.f �t� - � �,.-,f..f p r�a,�y�,q�;`3;9 F. ,�® '•a-r r i� t fi-:;.' �., ,,;,. ''�' 11' 12 59 59011' 1: L 2 L 100 78 21: 7 5600 3 5 ?Olin Check Date: 05/21/2008 Check No. 1259590 54 CITY OF CAMPBELL CAMPBELL CA 95008 United States Harman-Billings, Inc Vendor No. CCAMPB Invoice No. Description Date P.O. No. Gross Discount Net Amount 050808/154 ENGINEERING PLA 05/08/08 $11,466.00 $0.00 $11.466.00 Sys"mow `���ft.,J�`,�s�,im...�K� �i;�s��` ��•ul'fF+�'r.-lr:a,.,+,7� .._iP��f 1 I.�+i.. _.�s,l��d�,�'..,�.�IJ.��.-'1: S���c;-��ll,d,.,F.,.am ��:\h°. � ,:�...1:. ._ �I, ,9k.'.> .���.. - � ,,..�, - ,e:�ts�L '154 Harman-fillings, InCJ 90-78"21 A/P Clearing Account IVO. 1259589 Date ®'�-•� 5544 Green Street Murray, UT 84123-5798 5/21/2008 Bank of the West t�N hb "Providing a caring culture of service,success,and ownership" Branch#009 �ILVER5 AMOUNT 176 Main Street PAY Los Altos,CA 94024 *******$4,625.00 Four Thousand Six Hundred Twenty Five AND 00/100 CITY OF CAMPBELL CHECK MUST BE CASHED WITHIN 6 MONTHS TO THE 70 N FIRST ST ORDER OF CAMPBELL CA 95008 � United States CCAMPB t3� �a %^ *��`. m�€� "r ..` ,...(j, _ ' .``del..., �+bfe�n�l+{)f7�++hrici�l�+i�k.;f,lac`,', �t•, ,ll - !!*i�,+"a�n`ale F9u ra. 1,`Y �Po�7: �' ��;.,' - t.,�s 11' L 2 5 9 58 90 11: L 2 L 100 78 21: 7 5 600 3 5 7011■ Check Date: 05/21/2008 Check No. 1259589 154 CITY OF CAMPBELL CAMPBELL CA 95008 United States Harman-Billings, Inc Vendor No.CCAMPB Invoice No. Description Date P.O. No. Gross Discount Net Amount 050808/154 EMERGENCY/STORM 05/08/08 $4,625.00 $0.00 $4,625.00 PUBLIC WC' ', DEPARTMENT LAND DEVELOPMENT&Trr -----IC RECEIPT Effective July 1,2007 TO: City Clerk PUBLIC WORKS FILE NO. WZF)-OW PROPERTY ADDRESS Ir fylcheszh?,r plyd Please collect &receipt for the following monies: ACCT. 1TEM ..... ........ ......... .... .. .............. ........ ....... ..... .......... e-4 ............ LAND-213EVELOPMENT. 2203 - Plan I Check r-Deposit 2%of Engineer's Estimate ($500.00 min) 'Moo 2203 Faithful Performance Security(FPS) (100%of ENGR. EST.) 2203 Labor and M aterials Security (100%of ENGR. EST.) 2203 Monumentation Security (100%of ENGR. EST.) 2203 Emergency Construction Cash Deposit (4%of Engr. Est)($500 min/$10,000 max) Plan Check Inspection Fee(Non-Utility **2203 Enqr. Est.>$250,000 (Actual Cost+20%min.$30,000 Deposit 4722 Enqr. Est.<$250,000 (13%of ENGR. EST.) 4722 Utility Applicatior's Fee Non-Utility Encroachment Permit ($300.00) Minor Encroachment Permit<$10,000 ($135.00) R-1 Fii rst Permit No Fee)Subsequent<io,000 ($135.00) 4722 Utility Encroachment Permits: _ Arterial/Collector Street ($560.00) Resid ential Streets/Other Areas ($310.00) 4722 Appeal Filincl Fee ($100.00) 4722 Lot Line AdffiL-Jstment ($900.00) 4722, Parcel Map(4 Lots or Less) ($3,400.00+$751lot) 4722 Final Tract Oa p(5 or More Lots) ($4,200.00+$100/lot) 4722 Certificate of Compliance ($650.00) 4722 Certificate of Correction ($400.00) 4722 Grading&D irainage Plan Review Sin leFamily Lot ($200.00) Site< 10,000 s-f- ($600.00) Site> 10,000 s.f.<Acre ($800.00) Site> I Acre ($1,200.00) 4722 Notary Fee(per signature) ($10.00) 4722 Vacation of Public Streets&Easements ($2,200.00) 4722 Assessment Segregation or Reapportionment First Split ($725.00) Each Additional Lot ($200.00) 4721 Storm Drainage Area Fee Per Acre (R-1 $2,120.00) (Multi-Res$2,385.00) All Other$2,650.00) 4920 Parkland-Dedication Fee(75%125% Due Upon Cert.of Occupancy) 511.7424 Postage ...................................... ................................. .......... .............................. ................... ......... ......... .... ............ H, .............- .......... ............................. .......... ........... 4728 Intersection -Turn Counts (Two-Hour Count) ($76.50) 4728 Intersection 'Turn Counts(a.m.or p.m. peaks) ($150.00) 4728 Traffic Flow Map(Daily Traffic Volumes) ($32.00) 4728 Signal Timin(I Information ($62/Hr) 4271 Truck Permits ($16.00/per trip) 4728 No Parking Signs 0 .......... /each or$25/1 ......... ........ ...... .....�....................... ...... ........... Other(Please Specify) 47221 Street Tree Planting/Removal Permit ($145.00+$500 deposit) *Engineers Estimate shall be as approved by the City Engineer. TOTAL $ NAME OF APPLICANT �OSIAXA NAME OF PAYOR 2V Aa C. PHONE _)C'J'41 _2- ADDRESS '54544 zip M12 —Actual Cost Plus 20%Overhead(Non-Interest bearing deposit) ... ............ .......... jv FOR RECEIVED<we- WSW .... ......... 'ITY CLERK .. ......... "T -9 00- ONLY MR Date 2 0. "For Plan: ............... ;J:T . ...... .................. . ...... ...... ...... .............. nd nc 91 W!. ,C as Finance -Hi F4 Datel rii .......... ... 4 CITY ._; CITY OF Crr�, -,,EL REM BY: juDyr't tit+` - DATE„ fl•;i :i!n OF �LuYi _+fiiC, vw C,..r u0 ;I,f(1(' _ i'sfiiE, _l:=... ?iv REGISTER DATE: iJ-;:iiti iJG iin_o i_L=i_z.:i': REGISTER DATE, 04/02/0.'-, TITIEt DESCRIPTION r,CF ar '(i:_,y}4 '1Lt r__.._ _1 `: ENOR t, SvuJA . FILING f [NGR Q jiBi Ii FILING = 000 _-,- ZONING FEES 1 to.611.� DV PLAN CK _ 141 CHECK PAID: Comm -jfr CHANGE- so CHECK NO: 123M2O TENDERED: t. ��1`9a34 CHANGE-; N _: ..uin�- t a t{ [i;= 0 0 BOND FOR LABOR AND MATERIAL ENCROACHMENT PERMIT NO. 2008-00045 Bond No. 105104541 We, the undersigned Harman KFC Investments , (hereinafter `Principal') and Travelers Casualtv * , a corporation organized under the laws of. the State of Connecticut and authorized to transact business in the State of California,as Surety,are obligated to the City of Campbell(hereinafter"City"),a.municipal corporation under the laws of the State of California, in the sum of Eighty Eight Thousand Two Hundred and Dollars ($88,200.00)for the payment.of which sum we obligate ourselves and our successors and assigns,jointly and severally by the following provisions: The condition of this obligation is that the Principal entered, or is about to enter, into a certain written Encroachment Permit with the City dated 20 , which said Encroachment Permit NcP)8-000'1S hereby referred to and made a part hereof. Because Principal is required to furnish a bond in connection with the Encroachment Permit, providing that if Principal,or any of its subcontractors,shall fail to pay for any materials, or other supplies,or for any work or labor on the permitted work of any kind,or for amounts due under the unemployment insurance act with respect to any work or labor on this project,the Surety on this bond will pay for the debt, in an amount not exceeding the sum specified in this bond, and also, in case suit is brought upon the bond, a reasonable attorney's fee to be fixed by the court. Now, therefore, we, Harman KFC Investments as Principal, AND Travelers Casualty * , as Surety, are obligated to the City of Campbell, and all contractors, subcontractors, laborers, material men and other persons employed in the performance of the aforesaid agreement in the sum of Eighty Eight Thousand Two Hundred and No/100------- Dollars ($88,200.09 lawful money of the United States,for the payment of which sums will and truly to be made,we the said Principal and Surety bind ourselves, successors and assigns,jointly and severally,by these provisions. The condition of this obligation is that if Principal,its successors or assigns,or its subcontractor,or subcontractors,shall fail to pay for any labor,materials, or other supplies, used in the performance of the work permitted to be done,or for amounts due under the unemployment insurance act with. respect to this work or labor, then the Surety on this bond will pay for them, in an amount not exceeding the sum specified in this bond,and in case suit is brought upon this bond will also pay a reasonable attorney's fee, to be fixed by the court. Venue for any action arising out of this obligation shall lie in the County of Santa Clara,State of California. It is expressly stipulated and agreed that this bond shall inure to the benefit of any and all persons,companies and-corporations entitled to file claims under Title 15 (commencing with Section 3082)of Part 4 of Division 3 of the Civil Code,so as to give a right of action to them or their assigns in any suit brought upon this bond. Should the condition of this bond be fully performed, then this obligation shall become null and void,otherwise it shall be and remain in full force and effect. No prepayment or delay in payment and no changes, extensions, addition or alteration of any provision of said Encroachment Permit or in any plans and specifications referred to herein,and no forbearance on the part of the City shall operate to release the Surety from liability on this bond, and consent to make such alterations without further notice to or consent by the Surety is hereby given, and the Surety hereby waives the provisions of Section 2819 of the Civil Code of the State of California, In witness,the parties have executed this agreement as of. G c t 2U * and Surety Company of America (Principal) Harman KFC Invespinents ** No110O B Ce Title / r ea5,c re I-• (Su cry) r eler Casu 1 and Surety Company of America BY i a J. Monto/y �ttorney—I '— act �kddress o/Surety: One T we Square (Attach Acknowledgments Hartford, CT 061 3 Both Principal's and Surety's Attorney in Fact) Surety's Bond Number 860-277-1561 (Accompany this bond with attorney-in-fact's authority from Surety to execute the bond,certified to include the date of the bond.) j:lformsiencroachment permit 1&m bond rev 6 03) LOCKTOW Locn-orJ CokuInniss,LLC 8110 E Union Ave,Ste 700/Denver,CO 80237.2966 303.414.6000/RY:.303,865.6000 v vw.lockron.corn s • CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of01 ' On Ui_ d � L G'�k.J before me, �`� �i(lr'�'�i �� �.6"I")6-tn(� . � it, �J F✓�!f�, Date Here Insert Name ar(d5ffttd of the Officer personally appeared s's 'Name(s)of Signer(s) r who proved to me on the basis of satisfactory evidence to be the person-(s)-whose names) is/grd subscribed to the within instrument and acknowledged to me that he/gh6/th6y executed the same in hisl er/their authorized capacity(iesl, and that by his/Ver/the( signatures)on the SMAt 0 INAM instrument the person(9T, or the entity upon behalf of CO ^0'n9w which the person(pKacted, executed the instrument. now►PUbft•canamio Sago Ckwo cam, My Comm.ExpkasMalrS•Z011 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Au Place Notary Seal Above � '' nature of ota �ublic "--"- OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document:' Document Date: Number of Pages: 6 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Y (V S nlc Signer's Name: ❑ Individual ❑ Individual Corporate Officer—Title(s): 1���2 f� ❑Corporate Officer—Title(s): ❑ Partner—❑ Limited ❑ General ❑ Partner—❑ Limited ❑ General ❑ Attorney in Fact ❑Attorney in Fact • ❑ Trustee Top of thumb here ❑Trustee Top of thumb here ❑ Guardian or Conservator ❑Guardian or Conservator ❑ Other: ❑Other: S11 i��ner Is Representing: Signer Is Representing: 17 (n( S-�t}'Y? S ©2007 National Notary Association•9350 De Soto Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402•www.NationalNotary.org Item#5907 Reorder:Call Toll-Free 1-800-876-6827 STATE OF Colorado SS. COUNTY OF Denver On before me, Mona D. Weaver PERSONALLY APPEARED Sheila J. Montoya 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 tome 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. I WITNESS my hand and official seal. Signature This area for Official Notarial Seal Mona D. Weaver Commission Expires: October 12, 2009 OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICER, TITLE OF TYPE OF DOCUMENT TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ATTORNEY-IN-FACT NUMBER OF PAGES ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSONIS)OR ENTITY(IES) SIGNER(S) OTHER THAN NAMED ABOVE ID-081 Rev.6/94 ALL-PURPOSE ACKNOWLEDGEMENT y WAI` IS POWER OF ATTORNEY IS INVALID WITHOUT THE RIDER POWER OF ATTORNEY TRAVELERSj Farmington Casualty Company St.Paul Guardian Insurance Company Fidelity and Guaranty Insurance Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company Seaboard Surety Company Travelers Casualty and Surety Company of America { St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company i Attorney-In Fact No. 219759 Certificate No. 002268842 KNOW ALL MEN BY THESE PRESENTS:That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York,that St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company and St.Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota,that Farmington Casualty Company,Travelers Casualty and Surety Company,and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut,that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland,that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint i t William M.O'Connell Jr.,Shelley Czajkowski,Celeste T.Helms,Mona D.Weaver,Anuj Jain,Sheila J. Montoya,and Amy Wickett of the City of Denver State of Colorado their true and lawful Attorneys)-in-Fact, each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of„guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any°actions or proceedings allowed by law. 13th IN WITNESS WHEREOF,the Compai��pave caused this instrument;to be signed and theircorporate seals to be hereto affixed,this MarcInas day of Farmington Casualty Company St.Paul Guardian Insurance Company -Fidelity and Guaranty tlnsurance Company ,~r St.Paul Mercury Insurance Company j Fidelity and Guaranty Insurance°Underwriters,Inc. Travelers Casualty and Surety Company Seaboard Surety Company Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company ph6 U,� TM Slt9EjJ. A`p°F\RE R64�. f TN INf +1 �+...., p�tY ANp SUq Y +�wc. j O�•''~ ........H9 v,• gJ s A �pF 'k'0 ¢•' ! G.O 'j- I-s . 6' n O P�COAP�QrED� YL m3 jjCOFPOfl,,)e m. i WiGORPORA T�. 5U ' IHCQ!}�7yj,FD --- :�: a HAFRFORD,L [naArFalro,l� a� less x _r$'; ( �.9 Y Ji SEILL "t `�: •o; CONN. o ` C0.NN. Jy inO< iSFi'AL:'33 ,,, 0 \ 1• p S C'•......: O.'•.. ..a b D N f .........*a� State of Connecticut By: City of Hartford ss. Georg Thompson, enior ice President 13th March 2008 On this the day of ,before me personally appeared George W.Thompson,who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. G•q� In Witness Whereof,I hereunto set my hand and official seal. , y My Commission expires the 30th day of June,2011. ALBLIcj * Marie C.Tetreault,Notary Public 58440-5-07 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER WARNIt IS POWER OF ATTORNEY IS INVALID WITHOUT THE R RDER f I This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company,Fidelity j and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,which resolutions are now in full force and effect,reading as follows: RESOLVED, that the Chairman,the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED,that any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond,recognizance,or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power I prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice President, any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be Y valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the { Company in the future with respect to any bond or understanding to which it is attached. I,Kori M.Johanson,the undersigned,Assistant Secretary,of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety.Company,of-America,-and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by;,said'Companies,which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the sealsof;aid:.Companies this day of 20 Kori M.Johans Assistant Secretary i 4' i�u MS :•',�\NSU p NO SUfl 1Y GASU,� SURE/y �VF\0.E�yy I '^. TY A umv�ana. <!. J •4°'... 0�:.......,G,D JP,........R9"- gJ� S !�•,•lT� 04y �'oM:"4J< Cs °0nw'° G k' ri �- �¢•.. r ` ORA iQ ns 3 G ��1982e'o Td r IHCDRPDgpTED� 7927 � m= �t ern ;\urpoaPORATfi.t^? m 5• �I��IED � � H4CONN _ +.SEAG.oi 'o`,SEAL3i coNN. ,•a 3 To verify the authenticity of this Power of Attorney,call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Attorney-In-Fact number, the above-named individuals and the details of the bond to which the power is attached. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUTTHE RED BORDER orC� � BOND FOR LABOR AND MATERIAL Vatd� -/79/03 ENCROACHMENT PERMIT NO. 2008-00045 Bond No. 105104541 We, the undersigned Harman KFC Investments (hereinafter "Principal") and Travelers Casualty * , a corporation organized under the laws of the State of Connecticut and authorized to transact business in the State of California,as Surety,are obligated to the City of Campbell(hereinafter"City"),a:municipal corporation under the laws of the State of California, in the sum of Eighty Eight Thousand Two Hundred and ** Dollars ($88,200.00)for the payment-of which sum we obligate ourselves and our successors and assigns,jointly and severally by the following provisions: The condition of this obligation is that the Principal entered, or is about to enter, inm a certain written Encroachment Permit with the City dated 20 , which said Encroachment Permit NC�008-0001.jsS hereby referred to and made a part hereof. Because Principal is required to furnish a bond in connection with the Encroachment Permit, providing that if Principal,or any of its subcontractors,shall fail to pay for any materials,or other supplies,or for any work or labor on the permitted work of any kind, or for amounts due under the unemployment insurance act with respect to any work or labor on this project,the Surety on this bond will pay for the debt, in an amount not exceeding the sum specified in this bond, and also, in case suit is brought upon the bond,a reasonable attomey's fee to be fixed by the court. Now, therefore, we, Harman KFC Investments as Principal, AND Travelers Casualty * , as Surety, are obligated to the City of Campbell, and all contractors, subcontractors, laborers, material men and other persons employed in the performance of the aforesaid agreement in the sum of Eighty Eight Thousand Two Hundred and No/100------- Dollars ($88,200.09 lawful money of the United States,for the payment of which sums will and truly to be made,we the said Principal and Surety bind ourselves,successors and assigns,jointly and severally,by these provisions. . The condition of this obligation is that if Principal,its successors or assigns,or its subcontractor,or subcontractors, shall fail to pay for any labor,materials, or other supplies, used in the performance of the work permitted to be done,or for amounts due under the unemployment insurance act with. respect to this work or labor, then the Surety on this bond will pay for them, in an amount not exceeding the sum specified in this bond, and in case suit is brought upon this bond will also pay a reasonable attorney's fee, to be fixed by the court. Venue for any action arising out of this obligation shall lie in the County of Santa Clara,State of California. It is expressly stipulated and agreed that this bond shall inure to the benefit of any and all persons,companies and corporations entitled to file claims under Title 15 (commencing with Section 3082)of Part 4 of Division 3 of the Civil Code,so as to give a right of action to them or their assigns in any suit brought upon this bond. Should the condition of this bond be fully performed, then this obligation shall become null and void,otherwise it shall be and remain in full force and effect No prepayment or delay in payment and no changes, extensions, addition or alteration of any provision of said Encroachment Permit or in any plans and specifications referred to herein,and no forbearance on the part of the City shall operate to release the Surety from liability on this bond, and consent to make such alterations without further notice to or consent by the Surety is hereby given, and the Surety hereby waives the provisions of Section 2819 of the Civil Code of the State of California. In witness,the parties have executed this agreement as of J. k * and Surety Company of America (Principal) Harman KFC Inves ents ** No/100 Title 7 eg5cye (Surety) r eler Casual and Surety Company of America y _ )xe'-i�a J. Monto/y ttorney—I — act ddress o Surety: One T we Square (Attach Acknowledgments Hartford, CT 061 3 Both Principal's and Surety's Attorney in Fact) Surety's Bond Number 860-277-1561 (Accompany this bond with attomey-in-fact's authority from Surety to execute the bond,certified to include the date of the bond.) j:kformskencroachment permit I&m bond rev 6_03) �1P LoctcroN CommNirs,LLC 811D E Union Ave,Ste 700/Denver,CO 80237-2966 30.3-1 i 4-6000/FAY:303-865-6000 www.lockton.corn CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of ,,_W' '. On (�jd a before me, 6may r. hrg> Q.b'nd,-1r ik'a d F,)bb fL, Date Here Insert Name arVtM of the Officer personally appeared "s _ fare �— 'Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the persons)-whose named is/qrd subscribed to the within instrument and acknowledged to me that he/stab/they executed the same in hislKer/their authorized capacity(ip8�, and that by hisft(r/tt it signaturef s)on the VIRMI instrument the person(sl, or the entity upon behalf of Ca�O^* ion o which the person(pKacted, executed the instrument. Notary Plubft-callorrlin Sara Clara CoWy MYComm,EX;*W 1,w3.20» I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Place Notary Seal Above nature of ota .Vublic OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: — Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Y S S C l Signer's Name: ❑ Individual Q ❑ Individual Corporate Officer—Title(s): to l�e� ❑Corporate Officer—Title(s): ❑ Partner—❑ Limited ❑ General _ ElPartner—ElLimited ❑General El _Attorney in Fact ❑Attorney in Fact • ❑ Trustee Top of thumb here ❑Trustee Top of thumb here ❑ Guardian or Conservator ❑Guardian or Conservator ❑ Other: 0 Other: S``in�ner Is Representing: Signer Is Representing: (In ©2007 National Notary Association-9350 De Soto Ave.,P.O.Box 2402-Chatsworth,CA 91313-2402•www.NationaiNotary.org Item#5907 Reorder:Call Toll-Free 1-800-876-6827 STATE OF Colorado SS. COUNTY OF Denver On before me, Mona D. Weaver PERSONALLY APPEARED Sheila J. Montoya 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. I WITNESS my hand and official seal. Signature This area for Official Notarial Seal Mona D. Weaver Commission Expires: October 12, 2009 OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICER TITLE OF TYPE OF DOCUMENT TITLE(S) ❑ PARTNER(S) ❑ LIMITED . ❑ GENERAL EJ ATTORNEY-IN-FACT NUMBER OF PAGES ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSON(S)OR ENTITYIIES) SIGNER(S) OTHER THAN NAMED ABOVE ID•081 Rev.6194 ALL-PURPOSE ACKNOWLEDGEMENT ' WARNII S POWER OF ATTORNEY IS INVALID WITHOUT THE F, iRDER j n l POWER OF ATTORNEY S TRAVELER ; Farmington Casualty Company St.Paul Guardian Insurance Company Fidelity and Guaranty Insurance Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company Seaboard Surety Company Travelers Casualty and Surety Company of America j St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company I Attorney-In Fact No. '219759 Certificate No. 002268842 KNOW ALL MEN BY THESE PRESENTS:That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York,that St.Paul 1 Fire and Marine Insurance Company,St.Paul Guardian Insurance Company and St.Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota,that Farmington Casualty Company,Travelers Casualty and Surety Company,and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut,that United States Fidelity and Guaranty Company is a corporation duly organized under the a laws of the State of Maryland,that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint William M.O'Connell Jr.,Shelley Czajkowski,Celeste T. Helms,Mona D.Weaver,Anuj Jain,Sheila J.Montoya,and Amy Wickett of the City of Denver State of Colorado their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and l other writings obligatory in the nature thereof on behalf of the Companies in their business of„guaranteeing the fidelity of persons,guaranteeing the performance of I contracts and executing or guaranteeing bonds and undertakings required or permitted'in any'acfions or proceedings allowed by law. T ' 13th IN WITNESSS WHEREOF,the Compa�iave caused this instrument to be signed and their corporate seals to be hereto affixed,this day of March St.Paul Guardian Insurance Company Farmington Casualty Company -Fidelity and Guaranty°Insurance Company, St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance'Underwriters,Inc. Travelers Casualty and Surety Company Seaboard Surety Company Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company A6U tt-�(/ $IIRET AOWF\RE WouWy f G •1Y� Y 6y 6 � \*W„,NfG ,I\NSUA,'o, p�Y AND �w 51I SY QO: ,�'�Vw atT4�lp ���Fy AAO' /p<COFpORA)'s 3P RpOflA .(,? ti 9� 8•d t7 PoRATrO YL �` 1 i• -, ep m' ;\u i co Tf �': I',9 1 Ixcp34dtitp HARTFORD H4HiFOSID, Zy ; 1951 N 19 m` JbSEaL,i' �` o< �� tit' t896 a a o, '-o1SEAL:'3s coNN. o COWN. e N N / tl' OF �n�ANGE rf......:;jLr a.•........::aaaf �yb Di � d, t• i T• NEW A,........ Jt� �State of Connecticut By: City of Hartford ss. Georg Thompson, enior ice President j 13th March 2008 On this the day of ,before me personally appeared George W.Thompson,who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company, and that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. p.TET In Witness Whereof,I hereunto set my hand and official seal. J�► My Commission expires the 30th day of June,2011. p * Marie C.Tetreault,Notary Public 58440-5-07 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER WARNII' S POWER OF ATTORNEY IS INVALID WITHOUT THE F iRDER ? This Power of Attorney is granted under and by the_- ity of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company,Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, .i St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,which resolutions are now in full force and effect,reading as follows: RESOLVED, that the Chairman,the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is t FURTHER RESOLVED,that any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond,recognizance,or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is i 1 FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice President, any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. l I,Kori M.Johanson,the undersigned,Assistant Secretary,of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company,6fAmerica;and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said-Companies,which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the..seals of said-.Companies this day of 20 Kori M.Johans Assistant Secretary <l, ac' J '4°i� O:.. 9 �,'•.1P,.........,.9` y sG <l p ��O (,� �3S' �� o `O INCOAFCRATED � � :_ m' /a«o �.�>`'�', W:`GORPORATf.:•l� a �s a�� 1 ��Rcaaggrtp� � e 19az o � 1977 1927 ? :f: � g HARTFORD, H4RTFOPDpAL � tess 4y. aa 0 51 g N9O co. O LooNN z � .n •�: CONN. �oSE o; ,� SEAL�r= ' oFf... Nq A!N To verify the authenticity of this Power of Attorney,call 1-800-421-3880 or contact us at www.travelersbond.com.Please refer to the Attorney-In-Fact number,the above-named individuals and the details of the bond to which the power is attached. i WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER of CA,y Edward Arango,P.E. 41666 Associate Civil Engineer City of Campbell v r 70 North First Street 0 0 y Campbell, CA 95008 OR CH ARQ Phone: (408) 866-ZI66 Fax: (408) 376-0958 E-Mail: eda@cityofcampbell.com Transmittal To: Jeremy Dimick Date: June 19, 2008 Company: Harman KFC Investment Address: 199 First Street, Suite 212 Los Altos, CA 94022 Re: 1805 Winchester Blvd. -Grant of Easement and Street Improvement Agreement ❑ Urgent 0 For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Enclosure: 1. Grant of Easement 2. Street Improvement Agreement • Comments: Jeremy, Franceska Gleason with Edwin Bruce Architects asked that I mail you these documents directly. Please sign and return the documents to me at your earliest convenience. Please note that your signature requires notarization on both documents. Please contact me if you have any questions or comments. Thank you. - G�e Ta41ZSyA. 2 IN At AM 0 SJ ,CA- 9512co C:\Documents and Setungs\edwarda\D6sktop\Transmittal to KFC.DOC Recording Requested by ) - ) CITY OF CAMPBELL ) When Recorded Mail To: ) ) City Clerk ) City of Campbell ) 70 North First Street ) Campbell, CA 95008 ) APN: 305-21-013 (Space Above This Line For Recorder's Use) ADDRESS: 1805 Winchester Blvd., Campbell, CA 95008 No Consideration Given GRANT OF PUBLIC UTILITY EASEMENT Harman KFC Investment, a California Limited Partnership hereby GRANTS to the City of Campbell, a municipal corporation, of the County of Santa Clara, State of California, an easement for public utility and related purposes, over, through and upon that certain real property within said City more particularly described as follows: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF BY REFERENCE Said property contains 2,248 square feet, more or less. STATE OF CALIFORNIA )SS DATED COUNTY OF SANTA CLARA ) On before me, a Notary Public in and for SIGNATURE said State,personally appeared who 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 PRINTED t die 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. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Name (typed or printed) Place Notary Seal Above J:\LandDev\Forms\Grant Easements\Winchester 1805 PSEDOC(Rev.03/08) I � EXHIBIT "A" LEGAL DESCRIPTION PUBLIC UTILITY EASEMENT FROM: HARMAN KFC INVESTMENT COMPANY, A CALIFORNIA LIMITED PARTNERSHIP TO: THE CITY OF CAMPBELL, A MUNICIPAL CORPORATION Being a Public Utility Easement (P.U.E.) for Public Utility purposes, and being more particularly described as follows: Being a portion of that certain real property situate in the City of Campbell, County of Santa Clara, State of California, described in that certain deed recorded on February 7, 2003, Document No. 16805642, in Santa Clara County Records, excepting therefrom that certain real property dedicated to the City of Campbell, A Municipal Corporation on May 1 1 , 1956 in Book 3492 of Official records at Page 649 - 651 , Santa Clara County Records, said easement being more particularly described as follows; COMMENCING at the point of intersection of the center line of West Latimer Avenue, a 60.00 foot wide public.street, and South Winchester Boulevard, a 90.00 foot wide public street, (formerly the 50 foot wide Santa Clara-Los Gatos Road); thence northerly along said center line of South Winchester Boulevard, North 0007'00" West, 170.00 feet; thence South 89045'00" West, 45.00 feet to a point on the westerly right-of-way line of South Winchester Boulevard, said point also being the TRUE POINT OF BEGINNING of this description; thence from said True Point of Beginning, southerly along the westerly line of South Winchester Boulevard, South 0007"00" East, 120.05 feet; thence along a tangent curve, concave to the northwest, having a radius of 20.00 feet, through a central angle of 89052'00", and an arc distance of 31 .37 feet to a point of tangency on the northerly line of West Latimer Avenue; thence westerly along the northerly line of West Latimer Avenue, South 890 45'00" West 110.05 feet to a point on the westerly property line of the Lands of Harman; thence North 00007'00" West 10.00 feet; thence along a line parallel with and 10 feet perpendicular to the northerly line of West Latimer Avenue, North 890 45'00" East, 120.01 feet to the start of a tangent curve, concave to the northwest; ,June 13, 2008 Page 1 of 3 Project No. 06103.01 HUMBER DESIGN GROUP, INC. ENGINEERING-SURVEYING-PLANNING 1 164 MONROE ST. STE 9 SALINAS,CA 93906 r EXHIBIT "A" � LEGAL DESCRIPTION PUBLIC UTILITY EASEMENT DESCRIPTION (Continued): thence along said tangent curve having a radius of 5.00 feet, through a central angle of 89052'00", and an arc length of 7.84 feet to a point of tangency with a line that is parallel with and 5 feet perpendicular to the westerly line of South Winchester Boulevard; thence along said line North 00007'00" West, 49.83 feet; thence South 890 53'00" West, 5.00 feet to a point on a line that is parallel with and 10 feet perpendicular to the westerly line of South Winchester Boulevard; thence along said line, North 00107'00" West, 75.17 feet to a point on the northerly line of the aforementioned Lands of Harman; thence easterly, along said northerly property line, North 890 45' 00" East, 10.00 feet to the TRUE POINT OF BEGINNING. Containing 2,248 Square Feet, more or less. Q�oFESSION M.H�,� co z LLI N0.20941 rn EXP.9-3C--.;, June 13, 2008 Page 2 of 3 Project No. 06103.01 HUMBER DESIGN GROUP, INC. ENGINEERING—SURVEYING—PLANNING 1 164 MONROE ST. STE 9 SALINAS,CA 93906 EXHIBIT"B" Plat to Accompany Legal Description for Lands of Harman KFC Investment Company, LANDS OF A California Limited Partnership z JOHN & H LONE VOSSOUGH1 � 0 40 REVOCABLE TRUST APM 305--21-012 M D No. 18503725 � Recorded 2--10-2006 N 89'45'00"_E_ 17_5. 130.00' _00' n°OB Santa Clara Co, Re=-ds 45.00' 10.00' a LANDS OF HARMAN KFC VIS ^ m J INVESTMENT COMPANY 10'PUE m 1805 S Winchester Blvd. 3 o o APN J05-21 01 J o N a oo 80 o c c s Doc. No. 16805642 (Vesting Deed) g w s W Z Recorded February 7, 2003 2 0 CEO Q 5 0, - Santa Clara County Records o �- 01 o Z m sj S 8953100' W 5.00' V)15 0 0 o 0 5 PUE g-- »ci • O O v1 Q � eCb �s v O � ._ �, � -� � ;� NEW PUBLIC unurr o °' �, m c aE ` t5 O EASEMENT(PUE) A O �° < p g 2,247f Square Feet &=8952,00, $`" O = E 0 10'PUE R=5.00� Z I� Z , . , L=7.84 N 89%l500 E 120.01 S 89'45'00" W 110.05' �e p=gg 52'00" o Street Dedication Per Book 3492 O.R, 649 d� 650, R=T=1 9.9.9 5' L=31.37' J S 89'45'00" W 175.00' - - � POC W. LA TIMER A VENUE (A 60.00' Wide Public Street) LEGEND 4gOFESSro q� POC Point of Commencemen oNP Hz �� T.P.0.B. True Point of Beginning co ' DATE 2008 NO. 20941 z Street Centerline tv EXP. 9-30-09 ,ry ¢— — — Property Line * v CIVIL Proposed Public Utility r q of Fo ~ter Easement (PUE) cALI �JbHN M. FfWBER R.C.E. No. 2 941, EXP, 9-30-09 Public Utility Easement p 4, @ :ARM 6-I" KFC RestaurantSHEETNUMBERD>~SIG1� ROUP,INC. 1 MENGINEERING - SURVEYING - PLANNING VED6T. JMH 1805SouthWinchelsAAterBlvd. 31164 MONROE STREET SUITE No.9.SAUNAS,CA 93906 TFL831.4428100 FAX:B31.442B008 NG NO.: Campbell,CM w 06103 , OF 3 SHEETS 4 Mini , Recording Requested by: ) City of Campbell ) When recorded mail to: ) City Clerk ) City of Campbell ) 70 North First Street ) Campbell, CA 95008 ) APN: 305-21-013 (Space above this line for Recorder's use only.) ADDRESS: 1805 Winchester Blvd.,Campbell,CA 95008 STREET IMPROVEMENT AGREEMENT RECITALS THIS AGREEMENT, identified by File No(s). PLN 2006-059, is entered into this day of 2008, by and between Harman KFC Investment, a California Limited Partnership, hereunder referred to as "Owner," and the CITY OF CAMPBELL, a municipal corporation of the County of Santa Clara, State of California, hereinafter referred to as "City." On December 11, 2007 the Planning Commission granted conditional approval of a Planned Development Permit for exterior building and site modifications for that certain real property described in Exhibit A attached hereto and incorporated as though fully set forth herein, and commonly known as 1805 Winchester Blvd., which property is hereinafter referred to as "said real property." TERMS AND CONDITIONS Now, therefore, in consideration of the above referenced approvals, and in satisfaction thereof, the parties to this Agreement shall comply with the following terms and conditions: (1) The Owner shall provide, construct and install at his/her own proper cost and expense, street improvements as described in Section 11.24.040 of the City Code within 12 months from the date first mentioned hereinabove; provided, however, that in the computation of said 12 month period, delays due to, or caused by acts of God, viz., unusually inclement weather, major strikes, and other delays beyond the control of the Owner or his/her successors shall be excluded. (2) If the Owner fails to complete the work required by this Agreement within the said 12 month period, the City,_after giving ten (10) days written notice to the Owner, or his/her successors, may construct and/or install said improvements and recover the full cost and expense from the Owner, or his/her successors. J:\LandDev\Forms\SI\Agreements\Specific AgreementsVinchester 180500C(Rev.03/08) 1 STREET IMPROVEMENT PLANS (3) The Owner, shall cause to be prepared at his/her cost and expense street improvement plans for the construction and installation of said improvements prior to such construction or installation. Said plans shall be prepared by a civil engineer registered by the State of California and submitted to the City Engineer for examination and approval. (4) All of said improvements embraced in this Agreement shall be constructed and installed in accordance with the plans approved by the City Engineer and shall be made under the inspection and to the satisfaction of the City Engineer. Said construction and/or installation shall be in accordance with the existing ordinances and resolutions of the City of Campbell and all applicable plans, specifications, standards, sizes, lines and grades approved by the City Engineer, and all State and County statutes. Upon completion and acceptance of the improvements by the City, the Owner, shall provide reproducible as- built plans to the City Engineer. PLAN CHECK AND INSPECTION FEE (5) Prior to approval of the plans by the City Engineer pursuant to Section (3) of this Agreement, Owner, or his/her successors, shall pay the City for plan checking of improvement plans, field inspection of construction of improvements and all necessary expenses incurred by City in connection with said improvements, a sum calculated in accordance with Resolution No. 10494 as adopted by the City Council on May 3, 2005, or as may subsequently be adopted by the City Council. FAITHFUL PERFORMANCE SECURITY (6) The Owner, or his/her successors, shall file with City, prior to beginning construction, security acceptable to the City in amount equal to the City Engineer's estimated cost of the street improvements to ensure full and faithful performance of the construction of all the aforementioned improvement work. Said security shall guarantee that Owner, and his/her successors, will correct any defects which may appear in said improvement work within one (1) year from the date of acceptance of the work by City and pay for any damage to other work resulting from the construction thereof, as well as pay the cost of all labor and materials involved. This security shall remain in effect until one (1) year after date of final acceptance of said improvements by City. Said security amount may be reduced by the City Engineer in his/her sole discretion after the date of final acceptance to not less than twenty-five(25)percent of its full value. (7) Upon final release of said security by City, the obligations of Owner, and his/her successors, contained in this Agreement shall be considered null and void, except as otherwise provided by applicable law, or Sections 12 or 13 of this Agreement. FORMATION OF A SPECIAL ASSESSMENT (8) The Owner, when called upon by City to do so, shall execute a petition for the formation of any special assessment district created pursuant to any special assessment act as J:\LandDev\Forms\SI\Agreements\Specific Agreements\Winchester 1805.DOC(Rev.03/08) 2 provided in the Streets and Highways Code of the State of California created for the purpose of constructing and/or installing any or all of said improvements. Owner, or his/her successors, shall participate in and become a part of any special assessment district as described in Section(8) of this Agreement. (9) The Owner's, or his/her successors' obligations contained in this Agreement that are accomplished to the satisfaction of said City Engineer by said special assessment district shall be considered to satisfy those obligations. RIGHT-OF-WAY ACQUISITION (10) Owner at his/her own cost and expense, shall acquire any easement and right-of-way within or without said real property necessary for the completion of the improvements shown upon aforesaid improvement plans. It is provided, however, that in the event eminent domain proceedings are required for the purpose of securing said easement and right' of--way, Owner, shall deposit or cause to be deposited with City a sum covering the reasonable market value of the land proposed to be taken and to be included in said sum shall be a reasonable allowance for severance damages, if any. It is further provided that in addition thereto such sums as may be required for legal fees and costs, engineering and other incidental costs shall be deposited with the City. (11) The Owner, shall carry out any and all negotiations with all interested parties and shall perform or cause to be performed at his/her own cost and expense and to the satisfaction of the City Engineer any and all work required to abandon, remove, raise, lower, relocate and otherwise modify irrigation lines within or without the boundary of said real property. INDEMNITY AND INSURANCE (12) The Owner, and his/her successors, to the fullest extent permitted by law, shall indemnify, defend and hold the City of Campbell, the City of Campbell Redevelopment Agency, and its agents, employees, attorneys, officers, officials and assignees harmless from any and all claims, actions, causes of action, liabilities, damages, losses and expenses, including, but not limited to, attorneys' fees, arising out of, or resulting from, or alleged to arise out of or result from-any negligent or intentional act or omission (including misconduct) of said Owner, or his/her successors, or any subcontractor, or anyone directly or indirectly employed by him, or anyone for whose acts any of them may be liable in the course of performance of the Agreement, except for any claims, actions, causes of action, liabilities, damages, losses and expenses proximately caused by the sole negligence or willful misconduct of the City. (13) The Owner, and his/her successors, shall also indemnify, defend and hold the City of Campbell, the City of Campbell Redevelopment Agency, and its agents, attorneys, employees, officers, officials, and assignees harmless against and from any and all claims, actions, causes of action, liabilities, demands, losses, lawsuits,judgments, damages, costs J:\IandDev\Fonns\SI\Agreements\Specific Agreements\Winchester 1805.DOC(Rev.03/08) 3 1 and expenses (including, but not limited to, attorneys' fees and court costs,.whether incurred at trial, appellate or administrative levels) which the City of Campbell may incur or suffer, or to which the City of Campbell maybe subjected resulting from, or alleged to result from the failure of Owner, or his/her heirs, assignees, successors, grantees, agents, employees, subcontractors,or anyone performing services under him, to fulfill any of the obligations imposed under this Agreement, except for any claims, actions, causes of action, liabilities,judgments, damages, costs and expenses proximately caused by the sole negligence or willful misconduct of the City. (14) The Owner and his/her successors shall also indemnify,_defend and hold harmless the City, the City of Campbell Redevelopment Agency, and its agents, officers and employees from any claim, action, or proceeding against the City or its agents, officers or employees to attach, set aside, void or annul an approval of the City, its City Council, Planning Commission, Community Development Director, Public Works Director, Building Official, City Engineer, or other such City official concerning a subdivision, which action is brought within the time period provided for in California Government Code Section 66499.37. (15) The City will promptly notify the Owner of any claim, action or proceeding to attack, set aside, void or annul any approval concerning a subdivision of said real property, and will cooperate fully in the defense. (16) Owner and his/her/its successors shall maintain insurance for injuries to persons or damage to property conforming to the following specifications: A. Minimum Scope of Insurance Coverage shall be at least as broad as: 1. Insurance Services Office(ISO) CGL form CG 00 01 11 85; and 2. ISO form G0009 11 88 Owners and Contractors Protective Liability Coverage Form—Coverage for Operations of Designated Contractor; and 3. Course of Construction Insurance covering all risks of loss; and 4. ISO CA 00 0106 92 including symbol 1 (Any Auto); an 5. Workers' Compensation insurance as required by the Labor Code of the State of California and Employer's Liability insurance. B. Minimum Limits of Insurance Owner shall maintain limits no less than: 1. General Liability: $1,000,000 combined single limit per occurrence for bodily, personal injury and property damage. If Commercial General Liability Insurance or other form with a general aggregate limit is used, J:\LandDev\Forms\SI\Agreements\,Specific AgreementslWinchester 180500C(Rev.03/08) 4 f� either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. 2. Automobile Liability: $1,000,000 combined single limit per accident for bodily injury and property damage. 3. Workers' Compensation and Employer's Liability: Workers' Compensation limits as required by the Labor Code of the State of California and Employer's Liability limits of$1,000,000 per accident. C. _ Deductible and Self-Insured Retention Any deductibles or self-insured retention must be declared to and approved by the City. At the option of the City, either: the insurer shall reduce or eliminate such deductibles or self-insured retention as respects the City, the City of Campbell Redevelopment Agency, its agents, officers, attorneys, employees, officials and volunteers; or the Owner shall procure a bond guaranteeing payment of losses related to investigations, claim administration, and defense expenses. D. Other Insurance Provisions The policies are to contain, or be endorsed to contain,the following provisions: 1. General Liability and Automobile Liability Coverage: a. The City, City of Campbell Redevelopment Agency, its agents, officers, attorneys, employees, officials and volunteers are to be covered as insureds as respects: liability arising out of activities related to this Agreement performed by or on behalf of the Owner, products and completed operations of the Owner, premises owned, occupied or used by the Owner, or automobiles owned, leased, hired or borrowed by the Owner. b. The Owner's insurance coverage shall be primary insurance as respects the City, City of Campbell Redevelopment Agency, its agents, officers, attorneys, employees, officials and volunteers. Any insurance or self-insurance maintained by the City, City of Campbell Redevelopment Agency, its agents, officers, attorneys, employees, officials and volunteers shall be excess of the Owner's insurance and shall not contribute with it. c. Any failure to comply with reporting provisions of the policies shall not affect coverage provided to the City, City of Campbell Redevelopment Agency, its agents, officers, attorneys, employees, officials, and volunteers. d. The Owner's insurance shall apply separately to each insured against whom claim is made or suit is brought except with respect J:\LandDev\Forms\SI\Agreements\Specific Agreements\Winchester 1805.DOC(Rev.03/08) 5 to the limits of the insurer's liability. e. Coverage shall not extend to any indemnity coverage for the active negligence of the City in any case where an agreement to indemnify the City would be invalid under Subdivision (b) of Section 2782 of the California Civil Code. 2. Workers' Compensation and Employer's Liability Coverage: The insurer shall agree to waive all rights of subrogation against the City, City of Campbell Redevelopment Agency, its agents, officers, attorneys, employees, officials, and volunteers for losses arising from work performed by the Owner for the City. 3. Course of Construction Coverage: Course of Construction policies shall contain the following provisions: (a) the City shall be named as loss payee; and (b) the insurer shall waive all rights of subrogation against the City. 4. All Coverages: Each insurance policy required by this clause shall be endorsed to state that coverage shall not be suspended,voided, canceled by either party, reduced in coverage or in limits except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. E. Acceptability of Insurers Without limiting Owner's indemnification provided hereunder, Owner shall take out and maintain at all times during the life of this contract, up to the date of acceptance of the work by the City, the policies of insurance listed in Paragraphs 12 through 16 of this Agreement. Insurance is to be issued by an issuer with a current A.M. Best Rating of ANII and be authorized to transact business in the State of California, unless otherwise approved by the City. F. Verification of Coverage Owner shall furnish the City with certificates of insurance evidencing coverage required by this clause. The certificates for each insurance policy are to be signed by a person authorized by that insurer to bind coverage on its behalf. The certificates are to be on forms provided by the City. Where by statue, the City Workers' Compensation related forms cannot be used, equivalent forms approved by the Insurance Commissioner are to be substituted. All certificates are to be received and approved by the City before work commences. G. Subcontractors J:\LandDev\Forms\SI\Ageements\Specific Agreements\Winchester 180500C(Rev.03/08) 6 Owner shall include all subcontractors as insured under its policies or shall furnish separate certificates by each subcontractor. All coverage shall be subject to all of the requirements stated herein. MUTUAL BENEFIT COVENANTS BINDING ON HEIRS, ASSIGNEES, SUCCESSORS, AND GRANTEES OF OWNER (17) It is acknowledged that the provisions of this Agreement constitute covenants for the improvement of the subject real property for the mutual benefit of Owner's property, commonly known as 1805 Winchester Blvd., and the City's property, commonly described as Winchester Boulevard and W. Latimer Avenue where it adjoins Owner's property. These covenants shall be considered to affect rights in the above-described real properties, and shall be binding on the heirs, assignees, successors, grantees and agents of the Owner to said real property. UNVESTED INTERESTS (18) Nothing contained herein shall be construed to transfer any unvested interests in real or personal property for purposes of the rule against perpetuities. BREACH OF CONTRACT (19) The City, upon breach any of the terms, conditions, or covenants of this Agreement by the Owners, shall be entitled to recover from the Owner, in addition to any other relief available in law or equity, all costs and compensation incurred in attempting to obtain enforcement of the Agreement, including reasonable attorneys' fees and court costs. ENTIRE AGREEMENT BINDING (20) This is -the entire Agreement between the parties, and there are no representations, agreements, arrangements or understandings that are not fully expressed herein. This Agreement can be executed in counterparts by the parties hereto, and as so executed shall consist of one agreement, binding on all parties. PRELIMINARY PLANS (21) Owner shall provide and construct public street improvements per preliminary plans titled "STREET ROPROVEMENT PLANS — OFFSITE — 1805 Winchester Blvd.," which are subject to approval by the City Engineer,prepared by Humber Design Group. J:\LandDev\Forms\SI\Agreements\,Specific Agreements\Winchester 1805.DOC(Rev.03/08) 7 IN WITNESS WHEREOF, said City has caused its name to be affixed by its City Engineer and City Clerk, who are duly authorized by Ordinance 2059 adopted September 20, 2005, and said Owner has caused his/her name to be affixed the day and year first above written. Harman .KFC Investment, a California Limited Partnership Jeremy Dimick, Regional Director CITY OF CAMPBELL Michelle Quinney, City Engineer (Notary Acknowledgment for above signator(ies) MUST be attached.) Attest: Anne Bybee, City Clerk J:\IzndDev\Forms\SI\Agreements\Specific AgreementsVinchester 1805.DOC(Rev.03/08) 8 CITY OF CAMPBELL rNCROACHMENT PERMIT Permit No DEPT. OF PUBLIC WORKS (for working within the public X-Ref.File 70 North First St. right-of-way) ,,99 Campbell,CA 95008 Application Date "1'2 (408)866-2150 Issued Application Expiration Date Fax(408)376-0958 Permit Expiration Date APN APPLICATION—Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code,Section 11.04. (Application expires in six(6) f months if the permit is not issued. Application Fee is non-refundable.) }� A �f A.Work address or tract# 1?01 7• W 1I,l L'{ _ TE�& 9LUl>• T� 'r LL— CA I Utility trench location -5k) 5J bE4, J K Ae7Le IIII B.Nature of work rM 0 sQ f Z) ,+FPiW,sh�f�i 4- �1 l� �AC O KA 44P,u fzloi U&b, (e) Pticp�JE U"&JX q_ ELWT C.Attach four(4)copies of an engineered plan showing the location and extent of the work,and four(4)copies of the preliminary Engineer's Estimate of work. The plans shall show the relation of the proposed work to existing surface and underground improvements. When approved by the City Engineer,said plan becomes a part of this permit. D. All work shall conform to the City of Campbell Standard Specifications and Details for Public Works Construction;the General Permit Conditions listed on the l reverse side;and the Special Provisions for this permit,listed below. Failure to abide by these conditions and provisions may result in job shutdown and/or forfeiture f of Faithful_Performance Sureties and cash deposits. (See General Permit Conditions 1 and 2.) E.The Contractor must have this permit and approved plans at the site and must notify the Public Works Department at least two days before starting work. Notice must be given to Public Works at least 24 hours before restarting any work. �E�Et�Y Name ' Applicant t'�AM MAN till4kl AL11— T CfJ�p. DIIM(C.K. Telephone f07V I q1 �� 1 _ (print name) R� p- Address 1,71 Flair 4_ ACTZ?!j 24-HOUR EMERGENCY TELEPHONE NO. /I I E-Mail Address tGY"�NnUDtt� AJ`NAANS. GOIM Is this work being done by the property owners at their own residence? Yes No The Applicant/Permittee.hereby agrees by affixing their signature to this permit to hold the City of Campbell,its officers,agents and employees free,safe and harmless from any claim or demand for damages resulting from the work covered by this permit. i The Applicant/Permittee hereby acknowledges that they have read and understand both the front and back of this permit,and they will inform their contractors)of the f information. Applicant is advised that upauissuance of this permit, property owner,or property owner's successors,shall be responsible for any and all damages arising out of the i' n of any priv91re improy ents in the public right-of-way. � f Accepted e* 1 (Applicant Permittee) (sign) Date Contractor (Print Name) Date I SPECIAL PROVISIONS i 1. Street shall not be open cut for underground installations. Minimum cuts be allowed for connections or exploration holes. Such cuts may be specifically approved by the Inspector prior to cutting. _2. Pavement may be cut for underground installations and must be restored in accordance with the Standard Details Trench Restoration Method "A",unless otherwise approved by Inspector. — 3. Work to be staked by a licensed Land Surveyor or Civil Engineer and two(2)copies of the cut sheets sent to the Public Works Department before starting work. _4. Per Section 4215 of the Government Code this permit is not valid for excavations until Underground Service Alert(USA)has been notified and the inquiry identification number has been entered hereon. USA Phone 1-800-227-2600. USA TICKET NO. f _5. Prior to any work,the property owner shall execute an Agreement for Private Improvements in the Public Right-of-Way,which shall be { recorded. _6. Public Notification Requirements: f 7 SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES AMOUNT RECEIPT NO. j PERMIT APPLICATION FEE $ r PLAN CHECK DEPOSIT SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $ r CONSTRUCTION CASH DEPOSIT $ PLAN CHECK&INSPECTION FEE $ I t S APPROVED FOR ISSUANCE i For City Engineer Date Permit Expires 12 Months After Date of Issuance f , 4 4 i f i GENERAL PERMIT CONDITIONS { i i 1. A Construction Cash Deposit is required. Charges will be made against this deposit if there is an emergency call-out,overtime inspection or when City ordered barricading is required. Any such costs in excess of the deposit will be billed to the Permittee. 2. A one-year maintenance period and surety are required. Such period will begin on date of written acceptance by the City. 3. Refund of the cash deposit balance and refund or cancellation of the Faithful Performance Surety will be initiated by the written acceptance of the work r by the City. 4. The Permittee must request in writing a final inspection and acceptance of the work upon completion. Acceptance by the City will be made in writing to the Permittee. 5. Maintain safe pedestrian and vehicular crossings and free access to private driveways,bus stops,fire hydrants and water valves. i 6. A Construction Traffic Control Plan and a Construction Schedule are required for all lane closures, detours and street closures. This plan must be reviewed and approved prior to any lane closures. 7. The Construction Traffic Control Plan shall conform to the Caltrans Manual of Traffic Controls for Construction and Maintenance Work Zones,dated 1990,available at Caltrans. Traffic control equipment shall include Type 11 flashing arrow signs if required. 8. Replace as directed by the City Engineer any damaged or removed improvements in accordance with City Standards and Specifications at the sole expense of the Permittee. 9. Sawcut for all PCC or AC removals. All PCC removals shall be to nearest scoremark and shall be doweled to existing improvements. 10. Prior approval of inspector is required for any work done after normal working hours, on weekends or holidays and may require reimbursement of inspection costs at the current overtime rate. i F IL Adequate signing and barricading is required on the job site. Failure to provide such signing and barricading may result in the City's providing signing and barricades and charging the cost(including all labor and materials)against the cash deposit. t t 12. Compaction testing of subgrade,base rock,and asphalt concrete by Permittee is required unless otherwise stated by the City Engineer. i 13. The Contractor or Permittee will have a supervisory representative available for contact on the project at all times during construction. Contractor or Permittee shall provide a phone number at which they can be contacted outside the hours of 8:00 a.m.to 4:00 p.m. i 14. No storage of materials or equipment will be allowed near the edge of pavement,the traveled way, or within the shoulderline which would create a hazardous condition to the public. 15. This permit shall not be construed as authorization for excavation and grading on private property adjacent to the work or any other work for which a separate permit may be required,nor does it relieve the Permittee of any obligation to obtain any other permit required by law. 16. This permit does not release the Permittee from any liabilities contained in other agreements or contracts with the City and any other public agency. I 17. This permit is not transferable. Work must be performed by the Permittee or his designated agent or contractor as specified thereon. 4 f 18. Call back(call out)due to emergencies regarding this permit shall be at the current overtime rate with a three(3)hour minimum charge per occurrence. 19. Pursuant to Chapter 14.02 of the Campbell Municipal Code,applicant shall not cause to be discharged any material into the municipal storm drain system other than storm water. Applicant shall adhere to the BEST MANAGEMENT PRACTICES established by the Santa Clara Valley Urban Runoff Pollution Prevention Program. I 20. If the public interest requires a modification of,or a departure from,the plans and specifications,the City shall have the authority to require or approve any modification or departure and to specify the manner in which the same is to be made for City-owned or maintained facilities. 21. Permittee must provide advance notification to all parties that may be affected by the permit activities. Notification shall include dates of work and a 1 contact name and phone number. I Applicant shall be re o ible for ensuring that all those providing services under the applicant are aware of and understand all of the above conditions. 1 i Applicant Date i Contractor (Print Name) Date i J\forms\pwperm Rev. 11/9/05 Y I. J F t t 0 4•C A Edward'Arango,P.E. Associate Civil Engineer AI r' City of Campbell VVW r 70 North First Street 0 0 y� A. Campbell, CA 95008 CH A'RV Phone: (408)866-2166 R ' Fax:.(408) 376-0958 E-Mail: eda@cityofcampbell.com Transmittal To: Jeremy Dimick Date: June 19, 2008 Company: Harman KFC Investment Address: 199 First Street, Suite 212 Los Altos,CA 94022 Re: 1805 Winchester Blvd. -Grant of Easement and Street Improvement Agreement ❑ Urgent Eel For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Enclosure: 1. Grant of Easement 2. Street Improvement Agreement • Comments: Jeremy, Franceska Gleason with Edwin Bruce Architects asked that I mail you these documents directly. Please sign and return the documents to me at your earliest convenience. Please note that your signature requires notarization on both documents. Please contact me if you have any questions or comments. Thank you. CADocuments and Settings\edwarda\Desktop\Transmittal to KFC.DOC Barman Management Corporation Providing a Caring,Culture of Seroiee,Suecess,and Ownership ✓�� ® �®�0/1 ?008 June 19,2.001; ®®� KFC , 1.99 First Street,Suite 212 Los Altos,CA.94022 Phone:65.0 941 5681 Mr. Edward Arango,P.E. Fax:650 948 7532 Associate Civil Engineer City of Campbell Public Works 70 North First Street Campbell, CA 95008-1436 RE: KFC Project at 1805 South Winchester Boulevard,Campbell, CA Dear Mr.Arango`: Harman Management Corporation, Applicant for the referenced project, authorizes Jeremy Dimick,its Regional'Director, to.act on Applicant's behalf:as.required by the City of Campbell relative to the referenced project This :authorization includes, but is not limited to, applying and signing.for applications and any.other documents required to affect the desired goal and purpose of obtaining a building permit for the referenced.project. Please advise should you require anything further. Sincerely; Harman Management Corporation Kar n Gutke Corporate S.eeretary Harman Management Corporation Propiding a,Caring Culture of Service,Success,and Ownership June 4,2008 (a0'0 Ji�'C 199 First Street,Suite 212 Los Altos,CA 94022 Phone:650 941 5601 Fax:650 948 7532 Mr.Edward Arango,P.E. Associate Civil Entineer Public Works .City of Campbell 70 North First Street .Campbell,CA 95008-1436 R& KFC Prej.ect.at 1805:South Winchester Boulevard, Campbell,CA Dear Mr..Arango: This letter is to advise you that Jeremy Dimick is authorized to.sign all City of Campbell documentation on`behalf of Harman Management Corporation.as required for the referenced project. .Please.advise should you require anything further, Sincerely, .Harman Management Corporation Karen utke Corporate Secretary MEMORANDUM CITE' OF CAMPBELL TO: Michelle Quinney, City Engineer DATE: June 3, 2008 FROM: Ed Aran go, Associate Engineer," SUBJECT: Street Improvement Plans 1805 Winchester Blvd. (KFC Restaurant) Attached are street improvement plans for the proposed remodeled building project at Winchester Blvd. Work includes replacing street improvements on Winchester and Latimer. The improvements consist of. ADA compliant driveway approaches, sidewalk, curb, gutter, ADA curb ramp and street trees. Please sign the attached mylars for final approval. Please let me know if you have any questions. Owner/Engineer Info: Project Type: Remodeled Restaurant Owner: Harman KFC Investment Developer: Same Engineer: John Humber Company: Humber Design Group Attachment 1164 Monroe Street Suite No 9 HUMBER DESIGN GROUP, INC. Salinas,California 93906 Tel 831.442.8100 Fax 831.442.8008 ENGINEERING SURVEYING PLANNING jhumber@hdg-ca.com Transmittal Date: May 28, 2008 Re: KFC, 1805 S. Winchester Blvd p �9,Qy -9 Project #: 06103 �� 08 Mr. Ed Arango City of Campbell Public Works Department 70 North First Street Campbell, CA 95008 Tel: 408.866.2166 FAX: 408.376.0958 We are enclosing: Your "Red Lined" prints for the on-site and off-site Improvement Plans for the subject project. Per your request, I am also enclosing 1 'clean' set of prints reflecting the corrections for each set of documents. My responses to a couple of your comments are written in red for your review. Comments: These are for your review, comment, and hopeful acceptance. If they are 'complete' and ready to be signed by your department, please advise and let me know how many sets of plans for both the on- and off-site plans you need for final signature. I will personally bring themn to you. HUMBER DESIGN GROUP, INC. ENGINEERING—SURVEYING-PLANNING John M. umber �� '11--CC�� win Bruce Architects w/ 1 full copy each set of plans O V'C A 4t Edward Arango, P.E. A� Associate Civil Engineer vANN& r City of Campbell 0VVW 0 70 North First Street Campbell, CA 95008 Phone: (408) 866-2166 Fax: (408) 376-0958 &Mail: eda@cityofcampbell.com Transmittal To: John Humber Date: May 21, 2008 Company: Humber Design Group,Inc. Address: 1164 Monroe St., Ste 9 Salinas, CA 93906 Re: 1805 Winchester —Street Improvement Plans ❑ Urgent Q For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Enclosure: Redlined Street Improvement plans • Comments: John, please revise the plans. Please resubmit the redlined plans with 1 copy of your revised plans. Thanks. JALandDev\Plan Check Comments\Winchester 1805 Trans.DOC PUBLIC 1WS DEPARTMENT LAND DEVELOPMENT& AFFIC RECEIPT Effective July 1,2007 TO: City Clerk PUBLIC WORKS FILE `— Z(SZ PROPERTY ADDRESS {J win ' al- Please collect &receipt for the followingmonies: ACCT. ITEM AMOUNT LAND DEVELOPMENT.. 2203 Plan Check Cie osit 2%of Engineer's Estimate $500.00 min 2203 Faithful Performance Security FPS 100%of ENGR. EST. 2203 Labor and Materials Security 100%of ENGR. EST. 2203 Monumentat!on Security 100%of ENGR. EST. 2203 Emergency Construction Cash Deposit 4%of En r. Est $500 min/$10,000 max Plan Check 85 Inspection Fee Non-Utilit *2203 En r. Est.>$250,000 Actual Cost+20%min.$30,000 Deposit 4722 En r. Est.<$250,000 13%of ENGR. EST. 4722 Utility Applicatiorik Fee Non-L-Allity Encroachment Permit $300.00 Minor Encroachment Permit<$to,000 $135.00 R-1 Fii rst Permit No Fee Subse uent<io,000 $135.00 4722 Utility Encroachment Permits: Arterial/Collector Street $560.00 Residential Streets/Other Areas $310.00 4722 Appeal Filin Fee $100.00 4722 Lot Line Ad'ustment $900.00 4722 Parcel Map C4 Lots or Less $3 400.00 4722 Final Tract"a 5 or More Lots $4 200.00+$100/lot 4722 Certificate of Compliance $650.00 4722 Certificate of Correction $400.00 4722 Grading&D rains a Plan Review Sin la Family Lot $200.00 Site< 10,000 s.f. $600.00 Site> 10,000 s.f. <Acre $800.00 Site> 1 Acre $1 200.00 4722 Nota Feeper signature) [Sin no) 4722 Vacation of Public Streets& Easements $2 200.00 4722 Assessment Segregation or Reapportionment First Split 1$725.0-- Each Additional Lot $200.00 4721 Storm Drainage Area Fee Per Acre (R-1 $2 120 00) (Multi-Res$2,385.00) All Other$2 650.00 4920 Parkland Dedication Fee 75%/25% Due Upon Cert.of Occupancy) 511.7424 Postage _ .-. -- 12AFFIC:.. 4728 intersection Turn Counts Two-Hour Count $76.50 4728 Intersection -Turn Counts a.m.or p.m. peaks) $150.00 4728 Traffic Flow Map(Daily Traffic Volumes $32.00 4728 Signal Timing Information $62/Hr 4271 Truck Permits $16.00/ er trip) i_ 4728 T No Parking Signs .............._ ....... ..... ($1/each or$25/100 _ .._.. -MISCELLANEOUS --- Other Please Specify) 47221Street Tree Planting/Removal Permit $145.00+$500 deposit) *Engineer's Estimate shall be as approved by the City Engineer. TOTAL NAME OF APPLICANT NAME OF PAYOR - nQ-il } A C, PHONE ; '` I ADDRESS 15,4�1 ff de: {- ZIP "Actual Cost Plus 20%Overhead Non-Interest bearing de osit FOR RECEIVED BY : 1TY CLERK ONLY Date - Rece' �'° w —F. J -�I Y *For Plan Check:and:'Cash.-DepbdiMs Finance: Date/ Ini � ^ ` CITY OF CAMPDELL° CA CITY OF CAMPBELL, CA RECVD BY: JUDYS 01000205028 KECVD BY: JANH 01000205829 PAYOR- �ARMAN-HERNAN 8 ANA PAYOR: HARMAN-HERNAN & ANA TODAY`," DATE.,, 04/02/08 TODAY`S DATE: 04/O2/08 REGISTER DATE; O4/O2/U8 TIME: 16:43�56 REGISTER DATE: 04/02/08 TIME: 16/48.20 DESCRIPTION! AMOUNT DESCRIPTION AMOUNT REF DEPOSITS -101.2203 $1,8OO.00 ERR & SUBDIV FILING F $300.00 ------'--- ENGR 8 SUBDIV FILING F $8OO.00 TOTAL DUE; $1,800.00 ZONING FEES $11O.00 ADV PLAN CK FEE $4,519.34 CHECK PAID: $1,8OO'00 ------------ CHECK NO: 123552O TOTAL DUE: 1$51729.34 TENDERED/ $1,8OD.00 CHANGE: $30 CHECK PAID: $5,729.34 CHECK NOt 1235520 TENDERED: $51729.34 \/ CHANGE: $.8O - .. -. -. 283 Harman-Hernan & Ana, Inc. 9078N21 A/P Clearing Account NO. 1235520 5544 Green Street Date Murray, UT 84123-5798 3/20/2008 Bank of the West 3t "Providing a caring culture of service,success,and ownership" Branch#009 L•NC)•hN AMOUNT 176 Main Street SILVERS - —'' Los Altos,CA 94024 PAY *******$7,529.34 Seven Thousand Five Hundred Tiventy Nine AND 341100 CITY OF CAMPBELL CHECK MUST BE CASHED WITHIN 6 MONTHS TO THE 70 N FIRST ST ��� p• �f ORDER OF CAMPBELL CA 95008 United States CCAMPB 12 3 5 5 2011' 1: 1 2 1 100 713 21: 75 GOO 357011' Check Date:03/20/2008 Check No. 1235520 283 CITY OF CAMPBELL United States CA 95008 Harman-Hernan&Ana, Inc. Vendor No.CCAMPB Invoice No. Description Date P.O. No. Gross Discount Net Amount 0313 08/2 8 3 DRAINAGE/BLDG P 03/13/08 $7,529.34 $0.00 $7,529.34 1FAe �av G-ti-t� 2 a) 0 l — 2- �o`D to29• � Totals $7,529.34 $0.00 $7,529.34 Page 1 of 1 Edward Arango From: John laquinto Sent: Friday, February 02, 2007 7:49 AM To: Bob Kass; Edward Arango; Michelle Quinney Subject: RE: Tree Selection for Winchester Developments Ed, since this is the case, let's have KFC plant the 'Autumn Blaze Maple', Acer X freemanii. Thanks. �a/��a�cci��, �u6lie ��a�-16 �u,GPiXrint�iu From: Bob Kass Sent: Friday, February 02, 2007 7:46 AM To: Edward Arango; Michelle Quinney Cc: John Iaquinto Subject:Tree Selection for Winchester Developments John mentioned that he was asked to select a tree for the KFC and perhaps some of the the other upcoming projects along Winchester. John was unaware of the pending utility undergrounding project, so the tree selection was made thinking that overhead utilities would be a constraint. Please make sure that the tree selected for Winchester reflects the likelihood that the utilities will be removed within the next 4-5 years, allowing for a much taller canopy tree. 2/6/2007 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised January 2007 ENGINEER'S E'STIMATE,FOR �' . .LAND. DEVELOPMENT.PROJECTS" e Date: May 7, 2008 For File No(s): Site Address: 1805 Winchester Blvd. ENC. No. 2008-00045 ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION QTY UNIT < $250 K > $250 K $AMOUNT I. DEMOLITION/CLEARING 1. CLEARING&GRUBBING 1 LS $2,000.00 $1,500.00 $ 2,000.00 2. SAWCUT P.C.C./A.C.(UP TO 6") 260 LF $6.10 $4-10 $ 1,586.00 3. P.C.C. REMOVAL 2562 SF $4.00 $3:00 $ 10,248.00 4. CURB AND GUTTER REMOVAL 239 LF $7.05 $ 45 $ 1,684.95 5. MEDIAN REMOVAL SF $5.25 $2r5 $ - 6. DEMOLISH EXISTING INLET/PLUG RCP'S EA $1,800.00 $i200.00 $ - II. STORM DRAINAGE $ - 1. 12" R.C.P. (CLASS V) LF $210.00 $i80-90 $ - 2. 15" R.C.P. (CLASS III) LF $225.00 $i95 00 $ - 3. 18"R.C.P. (CLASS III) LF $240.00 $21&00 $ - 4. 24" R.C.P. (CLASS III) LF $260.00 $240.00 $ - 5. 30" R.C.P. (CLASS III) LF $280.00 $260.00 $ - 6. T.V. INSPECTION(12") LF $1.25 $Q--w $ - 7. STD. DRAINAGE INLET(C.C. DETAIL 5) EA $2,800.00 $2,300.00 $ - 8. FLAT GRATE INLET(C.C. DETAIL 6) EA $1,620.00 $1,275.00 $ - 9. STD MANHOLE(C.S.J. DETAIL D-11) EA $5,000.00 $4,900.00 $ - 10. STD MANHOLE(C.S.J. DETAIL D-12) EA $6,500.00 $6,000.00 $ - 11. BREAK AND ENTER M.H./D.I. EA $1,000.00 $835.00 $ - III. CONCRETE IMPROVEMENTS $ - 1. SIDEWALK 1624 SF $12.00 $8 00 $ 19,488.00 2. DRIVEWAY APPROACH 541 SF $14.00 $10.00 $ 7,574.00 3. CURB AND GUTTER 239 LF $45.00 $35 00 $ 10,755.00 4. VALLEY GUTTER SF $20.00 $45.00 $ - 5. CURB RAMP 1 EA $1,800.00 $1,500.00 $ 1,800.00 6. TYPE B-1 CURB LF $34.00 $29 00 $ - 7. TYPE AI-B3 CURB LF $20.00 $17.00 $ - 8. COBBLESTONE MEDIAN SURFACE SF $20.00 $15.00 $ - 9. P.C.C. DRIVEWAY CONFORM SF $8.20 $&.49 $ - 10. A.C. DRIVEWAY CONFORM SF $5.25 $440 $ - IV. PAVEMENT $ - 1. ASPHALT DIGOUT AND REPLACE CF $5.80 $4:19 $ - 2. PAVEMENT WEDGE CUT(6) LF $5.00 " $ - 3. PAVEMENT GRINDING 237 SF $0.95 $0 63 $ 225.15 4. PAVEMENT FABRIC(PETROTECH) SY $2.30 $2 1S $ - 5. ASPHALT CONCRETE(TYPE A) 0.5 T $210.00 $i50.00 $ 105.00 6. AGGREGATE BASE(CLASS 2) T $80.00 $40.00 $ - 7. SLURRY SEAL(TYPE I1) 237 SF $0.25 $0:20 $ 59.25 8 AC REMOVAL(4" DEPTH) CF $14.00 V2 00 $ - V. TRAFFIC SIGNALS/LIGHTS $ - 1. DETECTOR LOOP(6' ROUND) EA $520.00 $347.00 $ - 2. DETECTOR LOOP(6' x 30') EA $752.50 $626.25 $ - 3. DETECTOR LOOP(6' x 50') EA $1,042.00 $869.30 $ - 4. ELECTROLIER 2 EA $4,000.00 $3,500.00 $ 8,000.00 J:\LandDev\Form\SI\EngEst Page 1 of 3 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION e Revised January 2007 ENGINEER'S-ESTI-MATE,`POR LAND"DEVELOPMENT-PROJECTS" Date: May 7, 2008 For File No(s): Site Address: 1805 Winchester Blvd. ENC. No. 2008-00045 ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION QTY UNIT <$250 K > $250 K $AMOUNT 5. 1 1/2" RIGID CONDUIT 66 LF $10.40 $8720 $ 686.40 6. 2"RIGID TRAFFIC SIGNAL CONDUIT LF $19.70 $i§.()5 $ - 7. CONDUCTOR 66 LF $0.85 $9:65 $ 56.10 8. PULL BOX(NO. 3 1/2) 1 EA $347.00 $278:00 $ 347.00 9. TRAFFIC SIGNAL PULL BOX(NO. 5) EA $463.00 $405.25 $ - 10. PULL ROPE 66 LF $0.57 $0-57 $ 37.62 VI. STRIPING AND SIGNS $ - 1. REMOVE PVMT. MARKINGS(PAINT) SF $2.65 $1:60 $ - 2. REMOVE PVMT. MARKINGS(THERMO) SF $3.70 " $ - 3. REMOVE PVMT STRIPING LF $1.50 $1 00 $ - 4. STRIPING DETAIL 9 LF $3.00 $z 00 $ - 5. STRIPING DETAIL 22 LF $3.00 $i A9 $ - 6. STRIPING DETAIL 29 LF $4.00 $3 00 $ - 7. STRIPING DETAIL 32 LF $4.00 $ 00 $ - 8. STRIPING DETAIL 37(THERMO) SF $5.00 $330 $ - 9. STRIPING DETAIL 38(THERMO) SF $5.00 $3-50 $ - 10. STRIPING DETAIL 39 LF $5.00 $ - 11. LIMIT LINE LF $6.00 $4 50 $ - 12. CROSSWALK, 12"WHITE LF $6.00 $439 $ - 13. PAVEMENT MARKINGS(PAINT) SF $3.25 $2-59 $ - 14. PAVEMENT MARKINGS(THERMO) SF $6.60 $585 $ - 15. PAVEMENT MARKER(NON-REFL.) EA $5.20 $3 58 $ - 16. PAVEMENT MARKER(REFLECTIVE) EA $6.95 $ - 17. TYPE K MARKER EA $109.50 $92.50 $ - 18. TYPE N MARKER EA $109.50 $92.59 $ - 19. SALVAGE ROAD SIGN EA $99.00 $87.35 $ - 20. RELOCATE ROAD SIGN(W81 ON NEW POST) EA $115.75 $99.00 $ - 21. INST. RD. SIGN ON EXIST. POLE EA $231.55 $168.50 $ - 22. ROAD SIGN WITH POST EA $347.30 $27:7.85 $ - 23. INSTALL 1226S SIGN WITH POST EA $350.00 $25 .60 $ - 24. STANDARD BARRICADE LF $19.50 $'� $ - VII. LANDSCAPING $ - 1. IRRIGATION,PLANTING WORK SF $8.00 $ 35 $ - 2. PRUNE TREE ROOTS EA $147.35 $1 i 5.75 $ - 3. TREE REMOVAL 2 EA $684.10 $526.25 $ 1,368.20 4. ROOT BARRIER(12") LF $21.05 $i0:59 $ - 5. ROOT BARRIER(18") LF $26.30 $i5 80 $ - 6. STREET TREE 4 EA $447.30 $342.95 $ 1,789.20 7. STREET TREE(36"BOX) EA $710.40 $589.40 $ - 8. TOP SOIL BACKFILL CY $26.30 $33.60 $ - 9. IRRIGATION LS $1,368.25 $710.49 $ - VIR. MISCELLANEOUS $ - 1. PEDESTRIAN BARRIER LF $86.85 $69.45 $ - 2. CHAIN LINK FENCE(6') LF $17.35 $i3.79 $ - 3. RAISE MISC. BOX TO GRADE EA $315.75 $2i0:50 $ - J:\LandDev\Form\SI\EngEst Page 2 of 3 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised January 2007 E GIt EAR'S•ESPMA►TE, FOR LANK DEuELORMENT PROJECTS Date: May 7, 2008 For File No(s): Site Address: 1805 Winchester Blvd. ENC. No. 2008-00045 ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION QTY UNIT < $250 K > $250 K $AMOUNT 4. RAISE MANHOLE TO GRADE EA $421.00 $364.45 $ - 5. INSTALL MONUMENT BOX EA $1,500.00 $900.00 $ - 6. MEDIAN BACKFILL CY $22.10 $i9.70 $ - SUBTOTAL $ 67,809.87 PREPARED BY: 10% MOBILIZATION, CONSTRUCTION TRAFFIC CONTROL/PHASING, REVIEWED BY: CONSTRUCTION STAKING CONSTRUCTION TESTING $ 6,780.99 APPROVED BY: 10% CONTINGENCY $ 6,780.99 10% SECURITY ENFORCEMENT $ 6,780.99 TOTAL FAITHFUL PERFORMANCE SECURITY $ 88,152.83 USE THIS AMOUNT FOR SECURITY $ 88,200.00 J:\LandDev\Form\SI\EngEst Page 3 of 3 2 RECEIVE',- APR d 2 2008 CITY OF CAMPBELL PUBLIC W08K, PUBLIC WORKS DEPARTMENT ADMINISTRATI®Ik ENGINEERING DIVISION Revised January 2007 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS Date: �4 15 0,5 For File No(s): Site Address: O ��� "•1C S ,!' ENC. No. ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION QTY UNIT <S250 K >S250 K S AMOUNT I.DEMOLITION/CLEARING 1. CLEARING&GRUBBING e rj LS $2,000.00 $1,500.00 gor-lo-e'V 2. SAWCUT P.C.C./A.C.(UP TO 6") 2-(10 LF $6.10 $4.10 j Z i(i'loip 3. P.C.C.REMOVAL Z6'j SF $4 00 $3.00 loxop- l 4. CURB AND GUTTER REMOVAL 2 9;p) 't35' LF $7.05 $3.45 1& - o7 5. MEDIAN REMOVAL SF $5.25 $2.65 6. DEMOLISH EXISTING INLET/PLUG RCP'S EA $I,800.00 $1,200.00 11.STORM DRAINAGE 1, 12"R.C.P.(CLASS V) LF $210.00 $180.00 2. 15"R.C.P.(CLASS III) LF $225.00 $195.00 3. 18"R.C.P.(CLASS III) LF $240.00 S210.00 4. 24"R.C.P.(CLASS 111) LF $260.00 $240.00 5. 30"R.C.P.(CLASS III) LF $280.00 $260.00 6. T.V.INSPECTION(12") LF $1.25 $0.80 7. STD.DRAINAGE INLET(C.C.DETAIL 5) EA $2,900 00 $2,300.00 8. FLAT GRATE INLET(C.C.DETAIL 6) EA $1,620.00 $1,275.00 9. STD MANHOLE(C.S.J.DETAIL D-11) EA $5,000.00 $4,000.00 10. STD MANHOLE(C.S.J.DETAIL D-12) EA $6,500.00 $6,000.00 11. BREAK AND ENTER M.H./D.I. EA $1,000.00 $835.00 III.CONCRETE IMPROVEMENTSiCJ� 1. SIDEWALK �( 2 Al SF $12.00 $9.00 2. DRIVEWAY APPROACH '-jq` 510 SF $14.00 $10.00 3. CURB AND GUTTER 2 .39 LF $45.00 $35.00 4. VALLEY GUTTER SF $20.00 $15.00 5. CURB RAMP p EA $1,900.00 $1,500.00 1 `� 6. TYPE B-1 CURB 1 LF $34.00 $29.00 7. TYPE AI-B3CURB LF $20.00 $17.00 8. COBBLESTONE MEDIAN SURFACE SF $2000 $15.00 9. P.C.C.DRIVEWAY CONFORM SF $8.20 $6.30 10. A.C.DRIVEWAY CONFORM SF $5.25 $4.40 J:\LandDev\Form\SI\EngEst Page 1 of 4 . I CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised January 2007 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS Date: )?j j1� For File No(s): Site Address: d S �b h ENC. No. ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION QTY UNIT <$250 K >$250 K S AMOUNT IV.PAVEMENT 1. ASPHALT DIGOUT AND REPLACE CF $5.80 $4.10 2. PAVEMENT WEDGE CUT(6') LF $5.00 $2.65 3. PAVEMENT GRINDING 237 SF $0.95 $0.63 2zS1� 4. PAVEMENT FABRIC(PETROTECH) ?k�3 SY $2.30 $2.10 T/ 5. ASPHALT CONCRETE(TYPE A) T $210.00 $150.00 6. AGGREGATE BASE(CLASS 2) T $80.00 $40.00 7. SLURRY SEAL(TYPE II) � SF $0.25 $0.20 S�2 V.TRAFFIC SIGNALS/LIGHTS 1. DETECTOR LOOP(6'ROUND) EA $520.00 $347.00 2. DETECTOR LOOP(6'x 30') EA $752.50 $626.25 3. DETECTOR LOOP(6'x 50') EA $1,042.00 $868.30 4. ELECTROLIER EA $4,000.00 $3,500.00 5. 1 1/2"RIGID CONDUIT &6 LF $10.40 $8.20 6. 2"RIGID TRAFFIC SIGNAL CONDUIT LF $19.70 $15.05 7. CONDUCTOR (21 LF $0.85 $0.65 ,t 'jo 8. PULL BOX(NO.3 1/2) EA $347.00 $278.00 3�(� 9. TRAFFIC SIGNAL PULL BOX(NO.5) EA $463.00 $405.25 10. PULL ROPE LF $0.57 VI.STRIPING AND SIGNS I. REMOVE PVMT.MARKINGS(PAINT) SF $2.65 $1.60 2. REMOVE PVMT.MARKINGS(THERMO) SF $3.70 $3.40 3. REMOVE PVMT STRIPING LF $1.50 $1.00 4. STRIPING DETAIL 9 LF $3.00 $2.00 5. STRIPING DETAIL 22 LF $3.00 $2.00 6. STRIPING DETAIL 29 LF $4.00 $3.00 7. STRIPING DETAIL 32 LF $4.00 $3.00 8. STRIPING DETAIL 37(THERMO) SF $5.00 $3.50 9. STRIPING DETAIL 38(THERMO) SF $5.00 $3.50 J:\LandDev\FOnn\SI\EngEst Page 2 of 4 i CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised January 2007 ENGINEER`S ESTIMATE•,FOR LAND DEVELOPMENT ;PROJECTS' Date: �7� I`�I r For File No(s): Site Address: e rl) rum. ENC. No. ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION QTY UNIT <$250 K >S250 K $AMOUNT 10. STRIPING DETAIL 39 LF $5.00 $3.00 ]l. LIMIT LINE LF $6.00 $4.50 12. CROSSWALK,12"WHITE LF $6.00 $4.50 13. PAVEMENT MARKINGS(PAINT) SF $3.25 $2.50 14. PAVEMENT MARKINGS(THERMO) SF $6.60 $5.05 15. PAVEMENT MARKER(NON-REFL.) EA $5.20 $3.50 16. PAVEMENT MARKER(REFLECTIVE) EA $6.95 $4.75 17. TYPE K MARKER EA $109.50 $92.50 18. TYPE N MARKER EA $109.50 $92.50 19. SALVAGE ROAD SIGN EA $99.00 $87.35 20. RELOCATE ROAD SIGN(W81 ON NEW POST) EA $115.75 $99.00 21. INST.RD.SIGN ON EXIST.POLE EA $231.55 $168.50 22. ROAD SIGN WITH POST EA $347.30 $277.85 23. INSTALL 1226S SIGN WITH POST EA $252.60 24. STANDARD BARRICADE LF $15.75 VII.LANDSCAPING 1. IRRIGATION,PLANTING WORK SF $7.35 2. PRUNE TREE ROOTS EA $147.35 $115.75 3. TREE REMOVAL Z EA $684.10 $526.25 ��t�p Zlf7 4. ROOT BARRIER(12") LF $21.05 $10.50 5. ROOT BARRIER(IS") LF $26.30 $15.80 6. STREET TREE EA $447.30 $342.05 7. STREET TREE(36"BOX) EA $710.40 $589.40 8. TOP SOIL BACKFILL CY $26.30 $22.60 9. IRRIGATION LS $1,368.25 $710.40 VIII.MISCELLANEOUS 1. PEDESTRIAN BARRIER LF $86.85 $69.45 2. CHAIN LINK FENCE(6) LF $17.35 $13.70 3. RAISE MISC.BOX TO GRADE EA $315.75 $210.50 J:\LandDev\Form\SI\EngEst Page 3 of 4 t / . CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised January 2007 'ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT,PRO:IECTS Date: For File No(s): Site Address: ENC. No. ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION QTY UNIT <$250 K >S250 K $AMOUNT 4. RAISE MANHOLE TO GRADE EA $421.00 $364.45 5. INSTALL MONUMENT BOX EA $1,500.00 $900.00 6. MEDIAN BACKFILL CY $22.10 $19.70 f SUBTOTAL PREPARED BY: 10%MOBILIZATION,CONSTRUCTION TRAFFIC CONTROL/PHASING, REVIEWED BY: OFESS/O CONSTRUCTION STAKING, //�� �� M i�V CONSTRUCTION TESTING C�l'7 •/10 APPROVED BY: (� F O^ 10%CONTINGENCY D o Z W N0,20941 m 10%SECURITY ENFORCEMENT EXR.4'30-C"d * TOTAL FAITHFUL PERFORMANCE SECURITY o3Z0,:< - CMS- �P USE THIS AMOUNT FOR SECURITYj J9 04Ze J:1LandDeNFonn01EngEst Page 4 of 4 NOTE: REMOVE EXISTING PAVEMENT FULL DEPTH TO CLEAN, STRAIGHTEDGE REMOVE EXISTING AC SECTION AND BASE(12"MIN) REPLACE AS SHOWN GRIND 2"DEEP PAVEMENT KEY TYPE A W MAX—MED AC (95%COMPACTION) NEW PCC IMPROVEMENTS 12" CURB,GUTTER,DRIVEWAY 9"— 12" APPROACH OR ACCESSIBILITY RAMP > t e ' •. "• _' - e _ EXISTING PAVEMENT . _ TO REMAIN PAVEMENT FABRIC OVER JOINT 6"-10"EACH SIDE OF'JOINf (PETROTAC OR APPROVED EQUAL) DOWEL TO EXISTING PCCIMPROVEMENTS WITH#4 REBAR,6 E I IIMBEDMENT I �I—1 f _!'1 ill l I I I I 10"MIN 2 SACK SAND/CEMENT. SLURRY BACKFILL,2 SACK CEMENT PER CUBIC YARD OF MATERIAL 6"CLASS 2 AGGREGATE BASE (95%RELATIVE COMPACTION) COMPACTED NATIVE NOTE: APPLY TACK OIL TO ALL (95%RELATIVE COMPACTION) SURFACES PRIOR TO PLACING NEW A.C. :.;�= �r A.C. PAVEMENT REMOVAL & RESTORATION DETAIL ' ' °��� ' DRAWN BY: AT NEW PCC IMPROVEMENTS A-3 �t'' CHECKED BY: APPROVED BY: J:\DRAW1NGS\STD—DETAELS\A-3j CITY OF CAMPBELL Print Form DEPARTMENT OF PUBLIC WORKS ENGINEERING DIVISION 70 North First Street,Campbell,CA 95008 Ph. (408)866-2150;Fx.(408)376-0958 CHECKLIST FOR STREET IMPROVEMENT PLANS APPLICATION NO(S): ADDRESS: i O �c3 Gl� 1 d1 Instructions: This checklist provides advance notification to applicants of the City of Campbell's final street improvement plans and submittal requirements. Using this checklist will expedite your applicaiton through the City's review process. Prior to submitting a final street improvement plan list to the City Engineer,please place an"X"in the space to the right of each item below to indicate you have complied with,or place"N/A"to indicate that the particular item doesn not apply. Review applicable sections,which are referenced in parentheses,before checking off each item. SEAL AND SIGNATURE OF ENGINEER OF WORK I HEREBY DECLARE THAT I AM THE ENGINEER OF WORK FOR THIS PROJECT,THAT I HAVE EXERCISED RESPONSIBLE CHARGE OVER THE DESIGN OF T tj:'P 7EE D CO PLETION OF THIS CHECKLIST,AS DEFINED IN SECTION 6703 0 . AND PROFESSION CODE,AND THAT THE DES IS ONSIS`F Wi H CUR NTSTANDARDS. OP�pFESS/O', Hui (�2 griature Date 60 Printed Name: IS NO.20941 m A 1 1 � .t.� �� 19 ii2 cif' ccEXP.9-30�: RCE 9: �('�d �s ®�//Tl'LO 0�8 CNPL Expiration Date: OF CAUf 7� ITEMS COMPLY NOT APPLY CITY COMMENTS I. GENERAL OK 1. City standard off-site title sheet with applicable notes. 2. 24"X36"sheet size used,including City Standard OK borders and Blueprint for a Clean Bay Plan Sheet. OK 3. Title Block/Scale/North Arrow Shown. 4. Plans capable of microfilm reproductions-minimum OK 1/8 inch lettering. S. Engineer's name,number,expiration date and (� OK signature included on all sheets. /` 6. Vicinity Map shown(must be microfilmable). ( OK 7. Sheet Index and kep map included for 3 or more OK (— N/A sheets. 8. Limits of Public Works inspection clearly shown OK on plan,typical section,and bond estimate. 9. Street Light locations/legend/Electric Service (X OK f7 N/A Connection Location shown. Y 10. Elevation tied to City benchmark. OK Reference City benchmark. Page 1 of 6 COMPLY NOT APPLY CITY COMMENTS 11. Curb grade plans prepared by Public Works have been incorporated into improvment plans and (` OK I N/A verified as adequate. 12. Curb grade plans prepared by Engineer for review by Public Works and cross-sections @ 50'max.intervals OK N/A ���00 along road frontage and extending 150'min. )( beyond limits of work. Profile line,centerline,&EP 13. Signing and striping plan plus existing striping F7. OK N/A included in improvement plans. Y_ 14. Development No.(SUB,MS,LUP,DP)shown on each OK N/A sheet. 15. Verification and land rights for off-tract work(title OK N/A report,recorded easement,etc.) X 16. Permits required from other agencies(Fish&Game OK N/A CalTrans,Army Corps of Engrs,Flood Control,etc.) ' 17. Right of entry submitted for review for all off-tract (— OK X N/A work. 18. Landscaping within the public right-of-way F7 OK N/A included in improvement plans. 9 19. Fence required along water district canals. (�; OK N/A II. ROADS A. TYPICAL SECTIONS 1. Street cross-section shown at 50'intervals maximum(closer intervals may be necessary per F OK N/A the City Engineer). Cross sections slopes shown. 2. Structural pavement design calculations submitted (per Caltrans Highway Design Manual)and (—; OK N/A correspond to plans. 3. Sidewalk,curb and gutter indicated with details OK I N/A included on plans. 4. Right-of-Way and street width dimensions shown. OK 5. 2:1 max.cut/fill slopes shown beginning at R/W OK N/A lines-Soils Report verifying exceptions. 6. Crown Slope indicated. OK N/A 7. Pedestrian or bike paths shown. OK N/A 8. Pavement Design Chart shown with T.I. and R-values ("; OK N/A for review. Page 2 of 6 } B. PLAN VIEWS COMPLY NOT APPLY CITY COMMENTS 1. Radius of curvature shown on all curves. Y_ OK ( N/A 2. 20'curb return radii shown for major thoroughfares OK N/A and industrial streets. ���/// 3. 24'min.curb opening for private road intersection. OK N/A 4. Horizontal curves and sight distance designed per ���/// Highway Design Manual. (� OK N/A 5. Cul-de-sac radii(35'min.)shown. F OK N/A 6. Private road turnarounds shown. OK N/A 7. R/W and street width dimension shown. OK N/A 8. Centerline stationing shown at 50'intervals. OK F— OK 9. Curve info provided in table format(i.e.BC/EC station,offset,radius,and delta). OK F N/A 10. Lot/parcel lines and numbers/letters indicated. OK 1FZ N/A 11. Valley gutters indicated. Flag flow line elevations at quarter points on curb returns and valley gutter F OK N/A centerline. 12. Stationing and offsets of all drainage structures OK F— N/A shown. 13. TC/RIM elevations at all drain structures w/invert and OK N/A FL elevations shown. (Invert and FL elevations may be shown on profile if preferred. If profile is not on same sheet as plan view,TC/RIM,invert,and FL elevations must be shown on plan and profile.) 14. Drainage easements shown and dimensioned. OK Y�_ N/A 15. Location of underground pipes and utilities shown for laterals and main lines(i.e.sanitary sewer,gas, (— OK N/A water,etc.). 16. Street monuments shown. r7 OK N/A 17. Off-tract slope easement shown,with x-sections, OK N/A YN topo and offer of dedication for slope easement r submitted for review. 18. Pedestrian Paths shown. Basic grade shown. OK N/A 19. Wheelchair ramps shown at returns with details. IX OK YI"� N/A C. PROFILES 1. Vertical curves designed for proper speeds per OK N/A Highway Design Manual. o 2. Minimum vertical curve lengths observed. r OK N/A 3. Curb returns and cul-de-sac profiles shown(high OK N/A and or low points indicated when vertical curve is used. Page 3 of 6 COMPLY NOT APPLY CITY COMMENTS 4. Vertical curve used for grade breaks greater than 2%. n (3%on sag curves). J` OK N/A 5. 6%maximum gradient observed @ intersecting streets. OK N/A 6. 6%maximum grade observed across intersections. F- OK N/A 7. 1%minimum grade observed on all streets. OK (- N/A 8. Maximum street grades per ordinance. OK N/A 9. Underground pipes and utilities shown. r OK N/A 10. Existing ground at centerline shown. Where r OK N/A topography is steep,existing ground left and right of centerline has been shown. 11. Finish grade profile for centerline and for top of curb F- OK N/A shown(left&right)if special grades required. 12. Cul-de-sacs all have I%to 4%cross slope between (- OK N/A gutter lip and high point. 13. Super elevation grades shown where required by OK N/A Highway Design Manual. 14. Back of curb flow diverters indicated on proposed county streets with grades over 5%when no sidewalk F OK N/A installed. 15. Centerline profiles of intersecting streets shown to their point of intersection. (Showing curb return or f- OK N/A other profiles in lieu of the centerline profile is not an VZ adequate or correct representation.) 16. Off-tract profile to catch point shown where road is ( OK N/A constructed to subdivision boundary. 17. Centerline stations and elevations shown @ 50' OK r/' N/A minimum intervals and @ all BVC,EVC,PIVC,and grade breaks. 18. Profile slopes indicated. OK N/A /X III. DRAINAGE A. HYDROLOGY-HYDRAULICS 1. Contours shown for 100 feet+beyond property. OK N/A 2. 100 year water surface calculations completed when OK N/A natural watercourse or drainage facility flows through or adjacent to subdivision or the property lies within flood hazards or flood prone area and water surface shown on plans. 3. EGL,HGL,F1,E1,Q,A,S,V,freeboard at structures, OK N/A structure losses,tailwater assumptions,super or r subcritical flow all indicated. 4. Adequacy of in-tract drainage system verified. Y_OK r' N/A 5. All starting water surface calculations adequately verified. (When computing beginning water surface in F, OK N/A natural watercourse and no obvious point of control is available,begin 500'downstream and work up to point in question.) Page 4 of 6 COMPLY NOT APPLY CITY COMMENTS 6. Adequacy of off-tract drainage system verified. F7., OK N/A B. EASEMENTS 1. Easements shown on map are shown on plans. NO' OK r' N/A 2. Off-tract drainage improvements(plan and profile) (— OK N/A and accompanying easements shown. Off-tract offers of dedication for drainage easement submitted for review. 3. Off-tract work to be done but no easement OK N/A requirements. Right of entry submitted for review. 4. Easement widths indicated for(a)closed conduits,(b)open channels. r OK N/A 5. Sufficient X-sections submitted to verify easement width and Development rights for open channels. r OK N/A 6. Access and ingress easements shown,graded to be OK N/A useable. 7. Minimum 12'ingress easement to public way provided to all access easements. OK N/A 8. Minimum 40'centerline radius for access easements �— OK � N/A shown. 9. Structure setback line indicated and location verified OK �f N/A with X-sections for unimproved channel. 10. Fences shown as required where street crosses r; OK N/A watercourse or drainage structure. 11. Fences shown as required at outside boundaries of OK N/A open lined channel easements and water district canalsr C. STRUCTURES 1. Inlet detail shown for new inlet installation. (— OK N/A 2. Inlet depths without manhole bases and max,dia. OK N/A Pipes through inlets observed. Type A 6' CC 3011 36"front 30"side Type B 12' CC3012 36"front 30"side Type C 4' CC3013 36"front 24"side Type D 6' CC3016 36"front 24"side Type E 4' CC3017 36"front 24"side 3. Max.diameter pipes through manholes observed. OK N/A Type[ 24" CC 3020 Typell 42" CC 3021 Type III 60" CC 3022 4. 1.25"minimum freeboard in inlets and manholes. �, OK X N/A 5. HGL shown in all structure profiles. (W OK N/A 6. Structure type indicated on plan or on structure list (' OK N/A on same plan sheet. YN Page 5 of 6 COMPLY NOT APPLY CITY COMMENTS D. PIPES 1. Closed conduit minimum slope of 0.005 observed. OK ```� N/A 2. Natural watercourses are placed in closed OK 17J N/A conduits for flows less than 80 cfs. n 3. Storm drain calculations submitted and correspond r. OK N/A with plans. 4. Water directed into inlet does not reverse the OK N/A direction of flow. 5. Minimum centerline radii of pipe checked. Beveled RCP lengths specified(bevel one or both F— OK N/A ends)and stationing of EC and BC indicated. 6. Outlet protection for closed conduits or lined OK N/A channels provided. 9 7. 2'minimum cover over pipe observed(provided OK N/A manufacturer specs does not require more)unless special design and calcs. 8. Design Q shown on pipe profile. r: OK N/A 9. Minimum cleansing velocity of 2 FPS with half (—' OK N/A design flow observed. OK N/A 10. 18"minimum pipe size. E. CHANNELS 1. Maximum velocity in earth channel verified by OK N/A soils report-minimum velocity 3 FPS. 2. Improved earth channel side slopes shown to be 2:1 or less steep as specified by soils report. (� OK N/A 3. Lined channel side slopes as specified by soils OK N/A report. 4. Areas noted to be cleared of structures,trees, OK �`[,N/A brush,and debris within natural channel and r watercourses. J:Reina\Website\Land Dev Forms\Checklist for Street Improvement Plans STATIC form2.pdf Page 6 of 6 BK 279 26 _ - 4 WINCHESTER - ( FMLY S.C.-L.G. RD. ) - -- 75 1763 o- 2 7 "LA 1739 1757 1765 1605 1675 1711-15 1735 40.04 50.06 50 110.07 .--63.14 131.99 245 40 107.25 62.15 137,16 1769 1771 - 60 • 1773 - � ;775 i w 1777 O o ! 1779 n 4 111 N I 179 1d / 3 L .'- - O O a 1 N s .1 150 0, ' PCL. A m I r:.,. 1.20 AC. NET m a c pN, ,I N N tO coai P � b N 4 a w. z H' — I PCL. A 1.51 AC. 3.25 AC, NET 1.21 AC- NET 1.88 co Q t" N 2 Hcn 21338 I �Ia' R/l.►✓ d" ? 131.42 umi U - 282.88 ?r o PCL. 8 1 1 82 I 82 40 LANI 18 15 I 14 1 II I 10 1 7 "s °o L+' 18 17 1 16 1 15 19 1 ts of r co �� �� w, io /7 1 /� � v. ol 21 1 z0 �� 19 a, /8 0" i 302.481 I 1 I 193.61 I 131.42 ( 81 I24.58 57.48 m 78:76 62.43 60 60 60 I 60 1 60 60 430 416 396 3e0 1 TRACT N°18101 350 TR. N° 153 2 300 m TRACT N°1805 -m - -- DUNSTER LAtNNDALE SUBD. �— I UPI. N°2 I AMPEX SUED. U) Q C� a � - Y J& Aa , --4 7,0 > o L'I giul, v! -11. n M YNs li z 7� H y. Z p Vt ^J W H z 0 t" * PRO ;< d the Q co C i 0\Drawfts\BKL0M\BAGDYE & KING L= tlff2 j BAGoYE & Ki-,N.TG,INCORPORATED PROFESSIONAL LAND SURVEYORS P.Q. BOX 1288 - GILROY, CALIFORNM 95021 TEL (408) 847 0233 FAX (408) 847 9933 DATE: MAY, 20o6 SCALE: 1 e 8 X 7'1;�`'CWAHrIflOg TOPOGRAPHY MAP LANDS OF HARMAN KFC INVESTMENT 1805 SOUTH WINCHESTER BOULEVARD CITY t?i" ����.'41PBELL - SANTA CLARA COUNTY - CALIFORNIA , , . I I ; I I I* I � - I . I ; I I : . I I I � ., I I 11 - " . I I � ,' (-) -'!,I / 1;-�I - Av�5 ------- I ---- - ---- - I . j,gqwnH A T . :Xq PGUrDIS;D(] . 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