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ENC2015-00190 ,z BOND FOR LABOR AND MATERIAL ENCROACHMENT PERMIT NO. CRP/SB Creekside @ 17,L.L.C., We,the undersigned A Delaware Limited Liability Company .(hereinafter"Principal")and Liberty Mutual Insurance Company a corporation organized under the laws of the State of massqrhusetts , 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 Six Hundred Ten Thousand and No/100 Dollars ($610,000.00 )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�)Er<-ht n V V ?,20L`, which said Encroachment Permit No. is 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 coon. CRP/SB Creekside @ 17, L.L.C., Now, therefore, we, A Delaware Limited Liability Company as Principal, AND Liberty Mutual Insurance CompartV ,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 suns of 'Six Hundred Ten Thousand and No/100 Dollars ($610,000.00), 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 November 20 2015 CRP/SB Creekside @ 17 L. A.•elaware Limited Liability Company j- � (P�tal y c Liberty Mutual Insurance Company (Surety) By Chafrissa D.Lecuyer,Attorney-in-Fact t1 Address of Surety: 175 Berkeley Street (Attach Acknowledgments Boston, MA 02116 _ Both Principal's and Surety's Attomey in Fact) Surety's Bond Number 674025234 (Accompany this bond with attomey-in-fact's authority from Surety to execute the bond,certified to include the date of the bond.) 1 WORM S1TemplatesT-ncroachment Permit0ond for Labor&Materials doc(Rev 03/08) PRINCIPAL ACKNOWLEDGMENT STATE OF COUNTYDF On before me, /Public m and for the above county, personally appeared who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her authorized capacity, and that by his/her signature on the instrument the person, or the entity upon behalf nf which the person acted, executed the instrument. IN WITNESS WHEREOF, I have hereunto subscribed by name and affixed my official seal the day and year first above written. ' NOTARY PUBLIC DISTRICT OF COLUM&L. 0 -4 SURETY ACKNOWLEDGMENT UN|Y OFJACK8ON) On November 20, 2015, before me, Hannah N. Hicks, a Notary 1Public in and for the above county, personally appeared Charissb D. Lecuve , who proved tomenn the basis ofsatisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged tome that he/she iaAtornay-in-Fact of Liberty Mutual Insurance Company, acorporadiun organized and existing under the laws of the State of . that the seal affixed ho'the foregoing instrument is the corporate seal of the said corporation, that the instrument was signed, sealed, and executed in behalf of said corporation by authority of its Board of Directors, and further acknowledged the said instrument and the execution thereof to be the voluntary act and deed of said corporation by his/her voluntarily executed. ' IN WITNESS WHEREOF, | have hereunto subscribed WARMIq R.nPIp;4ed my official seal the day and year first above written. NOTARY PUBLIC-NOTARY SEAL STATE oFm|Seoum cmoacoumTv 'xy COMMISSION EXPIRES 1o/a/zn10 My.Commission Expires: oomm/aa|ow# 15437380 . Signature of muu^/y ` THISPPOWER OF ATTORNEY IS f1iOT NIL IT IS PRINTED ON RED B/4CIC J. This Power of Attorney limits the acts of those nameld erein,and they have no authority to bind the Company exceptexcepil the manner and to the extent herein stated. Certificate No. 7095924 American Fire and Casualty Company Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company I POWER OF ATTORNEY � KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire&Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of R the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and WestAmerican Insurance Company s is a corporation duly organized under the laws of the State of Indiana(herein collectively called the'Companies'),pursuant to.and by authority herein set forth,does hereby name,constitute and appoint, C.Stephens Griggs;Charissa D.Lecuyer;Charles R.Teter,III;Christy M. Braile;Debra J.Scarborough; Evan D.Sizemore;Jeffrey C. Carey Larissa Smith;Laura M.Buhrmester;Mary T. Flanigan; Patrick T.Pribyl; Rebecca S.Gross;Tahitia M:Fry;Wendy A.Casey i I I all of the city of Kansas City state of MO. each individually if there be more than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in.pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed bythe president and attested by the secretary of the Companies in their own.proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed,by an authorized officer or official of the Companies and the corporateseals of the Companies have been affixed thereto this 26th day of August 2015 No cAs tv Irds� �tNSutr N t vSUR American Fire and Casualty Company The Ohio Casualty Insurance.Company �• m16Liberty Mutual Insurance Company a) i 1906 0 0 -1919 n > 1912 1991 West American Insurance Company (n ✓6,"�`tAM{"�`t� 9,y�h''hnru;0 a) # r * h * By: 9, David M.Care ,Assistant Secretary C STATE OF PENNSYLVANIA ss cc += COUNTY OF MONTGOMERY: c 26th O � On this day of August- 2015 before me personally appeared,David M. Carey, who acknowledged himself to be the Assistant Secretary of American-fire and:. v F— v a) Casualty.Company,Liberty Mutual.Insurance Company,The Ohio Casualty Insurance Company,and West American Insurance Company,and that he,as such,being authorized so to do, p 2 execute the.foregoing instrument for the purposes therein contained bysigning on behalf of the corporations by himself as a duly authorized officer. L r > my name and.affixed my notarial seal at Plymouth Meeting,Pennsylvania,on the day and,year first above written., O CL IN WITNESS WHEREOF,I haVe.hereUntO subscribed Sp, PAST, COMMONWEALTH OF PENNSYLVANIA M to Q��MONwFv F<< Notarial Seal ., P Teresa Pastella,Notary Public gy; ��'"`�",v" . 0 et O i of Plymouth Twp.,Montgomery County Teresa Pastella,Notary Public' �\e My Commission Expires March 28,:2017 L d O _ y( . yyLVP`,`�' Member,Pennsylvania Association of Notaries. - OE o a) gray Pie IL M C clis This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fire and Casualty Company,The Ohio Casualty Insurance- v_i e 6 Company;Liberty Mutual Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: - 4 rn o to L? ARTICLE IV-OFFICERS—Section 12:Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O C to such limitation as the Chairman or the President may prescribe;shall appoint such attorneys-in-fact,as may be necessaryto act in behalf of the Corporation to make,execute,seal, �+ O.� acknowledge and deliveras surety an. and all undertakings,bonds,recognizances and other surety obligations."Such attorneys-in-fact,subject to the limitations set forth in their respective '- 9 Y Y 9 9 Y 9 Y 1 �C �E6 powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to,attach thereto the seal of the Corporation. When so a) ®� 'O executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under- > " L CD- the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers,granting such power or authority. O V �N, ARTICLE XIII—Execution of Contracts—SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the.president, and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute, L M O seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their C o0 Z c) respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When.so 0 CD executed such instruments shall be as binding as if signed bythe president and attested by the secretary. O cfl Certificate of Designation—The President of the Company;:acting pursuant to the Bylaws of the:Company,authorizes.David M.Carey,Assistant Secretary to appoint such attorneys-in- ~r fact as may be necessary to act on behalf of the Company to make;execute,seal,acknowledge:and deliver as.surety any and all undertakings,bonds,recognizances and other surety' obligations. Authorization—By unanimous consent of the jCompanes Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the j Company,wherever appearing upon a certified..copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. [,Gregory W.Davenport,the undersigned,Assistant Secretary,of American.Fire and Casualty Company,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby,certify that the original powerof attorney of which the foregoing':is a full;true and correct copy of the Power of Attorney executed by said Companies,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 NOV 2 0 2015 20 s AND CA.SS L(Y IlYSV �WSUt, C,INSUR� 4, C� �4 o t�`� 1-7 f n 1906 0 o 1919 } 1912 ° y ;1991 By: Gregory W.Davenport,Assistant Secretary ��;A✓�'•H.iMC'a�F a�D .�, 'Fth tlF4�o 0 i i 413 of 1000 i LMS 12873 122013 - M M STATE OJ: CALMOANIA DEP,,l RTMFN C OF INSURANCE SAN FRANr-MCO AM Certificate of Authority "t'fnls is mg,puarssMt!o 014 Isarsavwrare Cogs of for Stara of Celljor xia Z=MWT xsavIIdAw= COMPAw r o! b»2C : t�b:19/CC34Ei»3 ,argawr3rrd pspdor lba leuu Q f q dg�g r ,iar8}ewe to Us Arri�estas oj,Txeor�aPateoa or ortss�►falsrdamrsssr�ov�eriSatiw�rl doc�ojnits�Tt fiertFey a.stborixd tv irr�Wka rs�tt6�hi tbfY SrMte,t�jr¢l 1Sp/il,prDilitj6Vu Of t�dtCo►ttjrm�..lby faltaou►rsg elers�!of isrr�ur�dsrer: FIRE, MAAIIB. ."atTv, Ax9A8mz4 TO K4= "Ana. r-uslTinw, 1fiQFz= Is Comms"'ZOX, Oowmir OLIM.yFM 1JIA9ZZjXTX, goXr= A= WAO>4ZVfiM$r ISVBGTARY. CsiF IT, SPRXNEUM,. 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F� SaT�",COIi' MdCOtti4fi'LL ? hK�.n�ru/.p POND FOR FAITHFUL PERFORMANCE ENCROACHMENT PERMIT NO.��77—f CRP/SB Creekside @ 17,L.L.C., We,the undersigned A Delaware Limited Liability Company,(hereinafter"Principal")and Liberty Mutual Insurance Company a corporation organized under the laws of the State of Massachusetts and authorized to transact business in the State of Califomia, 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 Six Hundred Ten Thousand and No/100 Dollars ($_610,000.00 )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: i Because the obligated Principal has, on `�ta�,ye ��3� �, 20115L,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 Creekside @ 17 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. In witness,the parties have executed this agreement as of November 20 20 15 CRP/SB Creekside @17,L.L.C.,A Delaware Limited Liability Company (Principal �Tttle �Ir-l�•Cx�i'cC_c'-�. �t ��L[„,�!'�� Liberty Mutual Insurance Company (Surety) Chdfissa D.Lecuyer,Attorney-in-Fast Address of Surety: 175 Berkeley Street Boston, MA 02116 (Attach Acknowledgements) Surety's Bond Number 674025234 (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.) J-\FORRtS\Templates\Encroachmenl PenmislBond for Faithful Performance doe(Rev.03109) PRINCIPAL ACKNOWLEDGMENT STATE OF " . � s f. ::• ) . l._r:�. COUNTY OF On � � �r� G 1� �� r �? before me,N�.rk� At f t� � t a Notary Public in and for the above county, personally appeared :�,�,�_A ,,c� Vj j, [�sut , who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her authorized capacity, and that by his/her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. IN WITNESS WHEREOF, I have hereunto subscribed by name and affixed my official seal the day and year first above written. CHRISTINE HALL.ORAN RJOTARY PUBLIC 14STRICT OF COLUMBIA My Commissioxa-Ex-'IreS: My Commission Expires August31,201a NE p y�� / �A •;• V ' ftrAure of Notary, M Z LXPp 04 "• * f SURETY ACKNOWLEDGMENT •••geNes o r�r �OF MISSOURI ) CIJNTY OF JACKSON) On November 20, 2015, before me, Hannah N. Hicks, a Notary Public in and for the above county, personally appeared Charissa D. Lecuyer, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she is Attorney-in-Fact of Liberty Mutual Insurance Company, a corporation organized and existing under the laws of the State of Massachusetts, that the seal affixed to the foregoing instrument is the corporate seal of the said corporation, that the instrument was signed, sealed, and executed in behalf of said corporation by authority of its Board of Directors, and further acknowledged the said instrument and the execution thereof to be the voluntary act and deed of said corporation by his/her voluntarily executed. IN WITNESS WHEREOF, I have hereunto subscribed by name and affixed my official seal the day and year first above written. HANNAH N. HICKS NOTARY PUBLIC-NOTARY SEAL STATE OF MISSOURI CASS COUNTY My Commission Expires October 5. 2019 MY COMMISSION EXPIRES 10/5/201 ICOMMISSION#15437380 � C44Vim' �' I I y 'Signature of Notary ' THIS POWER OF ATTORNEY IS PLOT�NLESS IT IS PRINTED ON RED BACK D. ? ea rTerein and the have no authority to bind the Company exce the manner and to the extent herein stated. This Power of Attorney limits the acts of those nam y y Certificate No.7095922 American Fire and Casualty Company Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company V POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire&Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and WestAmerican Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute I and appoint, C.Stephens Griggs'Charissa D.Lecuyer'Charles R.Teter III•Christy M. Braile'Debra J.Scarborough;Evan D.Sizemore;Jeffrey C. } Carey;Larissa Smith;Laura M Buhrmester•Mary T. Flanigan'Patrick T."Pribyl' Rebecca S.Gross;Tahltla M.Fry;Wendy A.Casey i i I all of the city of Kansas City state of MO each individually if there be more than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act.and deed,any and all undertakings,bonds,recognizances and other surety obligations,in.pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested.by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney-has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 26th day of August 2015 >+ PNO CAS-G P�-t`1 IN,51 P�{Nsul?",` �NtNsuR, American Fire and Casualty Company � �i e``'.v�NvortlrFos�T yJ,oirae2•,;,�92 �J�c�1UOR9�o��'� wQ`\�oerol:n�•c�. The Ohio Casualty Insurance Company o y o Liberty Mutual Insurance Company = a 1906 0 0 1919 0 1912 ° 1991 b — L 1 b ,� a WestAmerican Insurance Company N 0) ��fLy1'•Framt5��,,�>"a dy`1'•HnmlVs�'`4�aD Aij��'l�r�CHU`.,tr`r`' 1/ :^r inroH T � � ..� t 1 * 1 * * By: •� David M.Care ;Assistant Secretary C c STATE OF PENNSYLVANIA ss ca COUNTY OF MONTGOMERY _ O C On this 26th day of August 2015 before me personally appeared David M. Carey,.who acknowledged himself to be the Assistant Secretary of American Fire and v v a) Casualty Company,Liberty Mutual Insurance Company,The Ohio Casualty Insurance Company,and WestAmerican Insurance Company,and that he,as such,being authorized so to do;. W p 2 execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. L E a`) > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting,Pennsylvania,on the day and year first above written. o CL �a 6 pp ? COMMONWEALTH OF PENNSYLVANIA /� � Q 0 Q ON:V 9��! Notarial Seal �a"' ""—"— lazt& O�•y �� isy eresa Pastella,NotaryPublic By: L.a ca 4) OF muth Twp.,Montgomery County Teresa Pastella,Notary Public - y O L y y a\Q 1MyiyT0-- 0 mission Expires March 28,2017 L NSYLJP p ♦ Member,Pennsylvania Association of Notaries � O r 0 �qRY P\>�� G. � Ca This-Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fire and Casualty Company,The Ohio Casualty Insurance rn o y F Company,Liberty Mutual Insurance Company,and West American Insurance Company which resolutions are now in"full force and effect reading as follows:, - =0 tca m ARTICLE IV—OFFICERS—Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O C �y to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,. y(D O acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective "a E powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so a) O CU executed,such instruments shall be.as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under >CD the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. - t le ARTICLE XIII—Execution of Contracts—SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, "E o? >> L and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in:behalf of the Company to make,execute, L i i O " seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their o 0 Z v respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so U executed such instruments shall be as binding as if signed by the.president and attested by thesecretary. O ,o Certificate of Designation—The President of the Company,_acting pursuant to the Bylaws of the Company;authorizes David M.Carey Assistant Secretary to appoint such attorneys-in- ~ fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge.aild deliver as.suretyany.and all undertakings,bonds,recognizances and other surety obligations. i Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. 4 I,Gregory W.Davenport,the undersigned,Assistant Secretary,of American Fire and Casualty Company,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and WestAmerican Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. NOV 20 201 IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this day of 20 ! y1D CA.S" �-S't INst,�, �iNSu NtNSU,q P li P 4 P.. 1;, CS Aq• a 1906 0 0 1919 n 1912 ° ¢ 1991 o By: a Gregory W.Davenport,Assistant Secretary I r 411 of 1000 LMS 12873_122013 pop '"` WORKS DEPART NT LAN DEVELOP i Effective my 1,2015 .Tpo-0. Finance PUBLIC W RKS FILEG' �i� �'J --/l)olo V W Please collect&receipt for the following monies: PROPERTY ADDRESS ACCT. , ITEM AMOUNT LAND DEVELOPMENT: :' 4722 Encroachment Permit A ication Fee Non-Utility Encroachment Permit Ma"or>_$10 000 $395.00 Minor Encroachment Permit<gto,000 $225.00 Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $225.00 Inspection Fee Minimum Charge per Location $390.00 Street Tree Planting/Removal N/C 2203 $500 per Tree anting Deposit Required) $500.00/tree 2203 Plan Check De osi o f Engineer's Estimate $500.00 min Utility and R- ermits no deposit required 4722 Grading&Draina e.Plan Review Sir le-Family Lot $275.00 Site< 10,000 s.f. $825.00 Site% 10,000 s.f. <0.5 Acre $1,105.00 Site>_0.5 Acre $1 655.00 4722 NPDES Review C3 Requirements) For projects not required to submit numeric sizing $160.00 _ For rp ojects required to submit numeric sizing Impervious Area 10,000 Sq. Ft to 1 Acre $690.00 Impervious Area 1 Acre or more $900.00 4722 _ For projects sent to Consultant for review Consultant Cost+20% 4722 Additional treatment facilities $300 ea Plan Check&Inspection Fee(Non-Utility) 4722 _ Enqr. Est. <$250 000 14%of Engineer's Estimate 2203 Enqr. Est.>_$25U 000 and<_$500 000 $35,000+8%of Enqineers Estimate 2203 En,LEst. >$500 000 $55,000+7%of Engineers Estimate _ 2203 Emer ge ncyas mh Deposit 4% of Enqr. Est.' $500 min/$10 000 Max' _ 2203 Faithful Pei1crmance Security(FPS) 100%of ENGR. EST.* 2203 Labor and Materials Security 100%of ENGR. EST." 4721 Storm Drair:age Area Fee Per Acre R-1 $2,120.00 �T (Multi-Res$2,385.00) (All Other$2,650.00) 4722 Parcel Map 4 Lots or Less) $3,930.00+ $85/lot 4722 Final Tract Map (5 or More Lots) $4,775.00+ $116/lot 2203 Monumentation Security 100%of City's Monumentation Estimate 4920 Parkland Dedication Fee(75%/25% Due.Upon Cert. of Occupancy) 4722 Lot Line Adjustment(includes Certificate of compliance) $1,856.00 _ 4722 Vacation of Public Streets& Easements $2,480.00 4722 Certificate of Compliance $1,840.00 4722 Certificate of Correction $550.00 _ 4722 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee $100/sheet 4722 Appeal Filing Fee $200.00 4722 Notary Fee er signature) $10.00 4 22 Assessment Segregation or Reapportionment First Split $877.00 Each Additional Lot $275.00 511.7424 Postage MISCELLANEOUS' Other Please Specify) "Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $ ��onC�-��1�, � ��Ala �• NAME OF APPLICANT NAME OF PAYOR U. PHONE ADDRESS ZIP FOR RECEIVED BY CITY CLERK ONLY Date Receipt# . 'NtPbEb- J:T0RMSM,np1a, ~'P r Sam G»Rw Rcm# BY: Gmla R0896033 PAYo : HgSACA97L - mmyG DATE: 0 A: gSa DATE- 1 ds TIME: m:m . DESCRIPTION M� e2llmai G m!2 Og & mAD FILING ! &m . m9 3= b+0 &ERmgT - S! . m3aJ3 m7 SR.me . O+ ! k2g FILgGF »13S m eqI a: &DAB . G2 & kmy FILING 9G.m ma R:m &3 gGglR.Wf OGam2R FILING $21409.00 TOTAL ma «Alma! TENDERED: . g%la.q . CHANGE: . y+ . CHECK : «%lm.g _ &Fmb SmG READY MIXED CONCI ?• E SAN JOSE PLANT GILROY PLANT o p 1404 SOUTH 7TH STREET 25 BUENA VISTA WARNING SAN JOSE, CA 95112 GILROY, CA IRRITATION TO THE SKIN AND EYES ACCOUNTING OFFICE: (408) 947-0669 (408) 848-1560 Contains Portland Cement.Wear Rubber Boots and Gloves.PROLONGED CONTACT MAY QUALITY CONCRETE FAX: (408) 947-0434 CAUSE BURNS.Avoid Contact with Eyes and Prolonged Contact With Skin.In Case of Contact With Skin or Eyes,Flush Thoroughly With Water.If Irritation Persists,Get DISPATCH: (408) 947 0159 Medical Attention.KEEP CHILDREN AWAY. FAX: (408) 947-0193 SOLD T0: -��`7 �- 0Z [ SHIP TO: TIME FORMULA LOAD SIZE YARDS ORDERED USE DRIVERITRUCK MAPCOORDINATE PLANT TRANSACTION# DATE CHARGE C.O.D. LOAD# YARDS DEL. , BATCH# WATERTRIM SLUMP TICKETNUMBER PROPERTY DAMAGE RELEASE (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) WEIGHMASTER CERTIFICATE Excessive Water is Detrimental to Concrete Performance Dear Customer-The driver of thistruck is presenting this RELEASE to you for your signature is of the opinion THIS IS TO CERTIFY that the following described corn- H 0 Added B Re quest/Authorized Authorized B 'that the size and weight of his truck may possibly cause damage to the remises and/or adjacent property g 2 y Q / Y if he places the material in this load where you desire t II is our wish to�ielp you in every way that we can, modify was weighed,.measured,or counted by a but In order to do this the drivetia requesting Ihat you sign this RELEASE relieving his and his supplier from r;, C. •' any responsibility from any damage that may occur to the premisses and/or adjacent property,bulldirms; weigh master,whose signature is on this certificate,who sidewalks,drive-ways.curbs,etc.,by the delivery of this material,and that you also,agree to help him IS.a recognized authority remove mud 1mm the wheels oI his vehicle so that he will not litter the public street.Further,as additional g y of accuracy,as prescribed by CONCRETE is a PERISHABLE.COMMODITY and BECOMES the PROPERTY of the PUR- fo any and the undersa he,ad entrees esindemnityand/or dand cent ld property ewhich may be claimed by an this supplier Chapter 7(commencing with section 12700)of Division CHASER WHEN TRUCK IS LOADED.ANY CHANGES or CANCELLATIONS of ORIGINAL for any andall damage.to the premises and/or adjacent property which may be claimed by anyone to have arisen cut of delivery of this order.Jurisdiction and Venue.Seller and Buyer agree that exclusive jurisdiction and 5 of California Business and Professions Code,adminis- INSTRUCTIONS MUST be TELEPHONED to.the OFFICE BEFORE LOADING STARTS. venue arising out of and related to the subject matter of this credit appllcetlon and any sale of goods from Seller to tered b the Division of Measurement Standards of the The undersigned promises to pay all costs;including reasonable attorneys'fees, Buyer shall lie lathe Superior Court of the State of California.County of Santa Clam. Y Incurred In collecting any sums owed. SIGNED California Department of Food and Agriculture. All COD-s not paid at time of delivery will be charged a 550.00 Service Charge and bear X interest at the rate of 10%per annum. r r r r WEIGHMASTER Not responsible for Reactive Aggregate or Color Quality.No Claims For Such Allowed Unless Made at Time Material Is Delivered. s r r •r r• r,. ,.. r A$50.00 Service Charge and Loss of Cash Discount will be Collected on all Returned /,LU U RECEIVEp BY: I t "I - , Checks. XX Excess Delay Time Charged®$1.50/per minute r �/ QUANTITY CODE DESCRIPTION UNITPRICE EXTENDED PRICE r 'THERE WAS NO CONCRETE OR CEMENTITIOUS MATERIAL LEFT IN STREET OR STORM DRAIN BY STAR CONCREJJ X RETURNED TO PLANT LEFT JOB FINISH UNLOADING DELAY EXPLANATION/CYLINDERTEST TIMEALLOWED Jy'�{t •j 1.JOB.NOT READY 6.TRUCK BROKE DOWN ?_ /+ r� 2.SLOW POUR OR PUMP 7.ACCIDENTr 3,TRUCK AHEAD.ON JOB B.CITATION LEFT PLANT ARRIVED JOB STARTUNLOADING 4.CONTRACTOR BROKE DOWN B.OTHER TIME DUE J, S.ADDED WATER ERROR IN PRICE,El(TENSION AND ADDITION SUBJECTTO CORRECTION. � ADDITIONAL CHARGE 1 TOTAL ROUNDTRIP TOTALATJOB UNLOADTIME ( i DELAY TIME ADDITIONAL CHARGE 2 PUMPER COPY SUGGESTIONS FOR PLACING CONCRETE SLAB TO MINIMIZE RANDOM CRACKING WHAT YOU DO WHY YOU ]DO IT STEP t. Level and compact sub grade, place 4" of STEP 1. The sand provides a cushion for the concrete damp sand and grade so concrete and good drainage. poured is a consistent depth. STEP2. Separate your new concrete from all STEP2. The felt separates your new concrete from existing concrete with 1/2" felt. Felt must existing, so it may shrink, expand, move up match the depth of your new slab. or down without a detrimental affect. STEP3. Screen off your concrete. STEP3. Make sure there are no low spots. STEP 4. Roller bug your concrete. STEP 4. Once over the surface, it helps vibrate, con- solidate and give you a better finish. STEP 5. Float concrete with wood bull float only. sTrr s. Wood keeps the surface open and allows the concrete to bleed preventing water entrapment and discoloration and/or plastic cracking. STTIX e. Cut control joints perpendicular from edge STEP a. These joints should allow the concrete to crack 1/4 the depth of the slab, using appropriate in the joint taking the path of least resistance. spacing. 4" slab would be 8'x8'. STEP7. Allow all bleed water to evaporate from the SJEP7_ If you do not wait for all bleed water to surface, then you can finish the concrete evaporate, you end up troweling your bleed with metal trowels. water back into the surface, dramatically changing your water/cement ratio, on the surface, causing a weaker surface. STEP s. When surface is finished,spray with a concrete STEP Q. This protects the concrete fro.rn wind, heat cure,if the concrete is colored you must use a and allows your slab to cure on.its own. cure formulated for colored concrete. giving you a much better finished product. sTl'.p 9. Never add water or dry cement to the STEP 9. These two things also change water/cement surface of your slab. ratio on the surface and can ruin your slab. �W SAN`JOSE PLANT GILROY PLANT 788118 CY'�� 1404 SOUTH 7TH STREET 25 BUENA VISTA WARNINGSAN JOSE, CA 95112 GILROY, CA IRRITATION TO THESKIN AND EYES ACCOUNTING OFFICE,(408) 947-0669 (408) 848-1560 Contains Portland Cement Wear Rubber Boots and Gloves.PROLONGED CONTACT MAY FAX: 408 947-0434 CAUSE BURNS.Avoid Contact with Eyes and Prolonged Contact With.Skin.In Case of ( ) Contact With Skin or Eyes,Flush Thoroughly With Water.If Irritation Persists,Get DISPATCH: (408) 947-0159 Medical Attention,KEEP CHILDREN AWAY. FAX:(408) 947-0193 SOLD TO: SHIP TO: ' � • ` f' •_ ,�.. � � t 4T .f 1.°Y TIME ( FORMULA LOAD SIZE YARDS'ORDERED USE DRIVER/CRUCK MAP•COORDINATE. PLANT TRANSACTION# ry ili1.4 DATE.. CHARGE C.O.D. • LOAD#' YARDS DEL. BATCH# WATERTRIM SLUMP TICKET NUMBER x .. a PROPERTY OHMAGE RELEASEWEIGHMASTER CERTIFICATE Excessive Water IS Detrimental to Concrete Performance ( IN Dear Customer-.The drTDive BE SIGNED IF DELIVERY TO MADE INSIDE CURB LINE)rof.this truck is presenting this RELEASE to you for your signature Is of the opinion THIS IS TO CERTIFY that the.following described com- H 0 Added By Request/Authorized By that the sive and weight.of his truck may possibly.cause damage to the.premises and/or adjacent property 2 if he places the materal in this load where you desire.iL.It is our wish to help you in every way that we can, modjty Was weighed;measured,or counted by a but in order to do this the driver is requesting that you sign this,RELEASE relieving his and his supplier from any responsihilily from any.damage that may occur to the Oremisses and/or adjacent property;buildings, weighmaster,whose signature is on this certificate,who GAL sidewalks,drive-ways,.curbs,etc.,by thetlelivery afifiis material and that you also agree to help him IS a recognized authority of accuracy,as prescribed b remove mud from the wheels of his vehicle so that he will not litter the public street.Further,as additional 9 Y y p y CONCRETE is a PERISHABLE COMMODITY and BECOMES the PROPERTY of the PUR- consideration,the undersigned agrees to indemnity and hold harmless the driver of this truck and this supplier Chapter (Commencing with section 12700)of Division CHASER WHEN TRUCK IS LOADED.ANY CHANGES or CANCELLATIONS of ORIGINAL for any and all damage to the premises and/or adjacent.property which may be claimed by anyone to have INSTRUCTIONS MUST be TELEPHONED to the OFFICE BEFORE LOADING STARTS. arisen out of delivery of this order.Jurisdiction and Venue.SellerandBuyeragreethateiiclus1 a jurisdiction and 5 of California Business and-Professions Code,adminis- vemmansing out of and related to the subject matter of this credit application and any sale of goods from Seller to The undersigned promises to pay all costs,including reasonable attorneys'fees, Buyer shall lie in the Superior Court of the State of California,County of Santa Clara. tared by the Division of Measurement Standards of the incurred in collecting any sums owed. SIGNED California Department of Food and Agriculture. All COD-s not paid at time of delivery will be charged a$50.00 Service Charge and bear n interest at the rate of 10%per annum. ; • ; e ; � .; ,• WEIGHMASTER Not responsible,for Reactive Aggregate or Color Quality.No Claims For Such Allowed c c •� c, r Unless Made at Time Material is Delivered. r 11 r j •f 1 '!._.'1 _ .t f I i A$50.00 Service Charge and Loss of Cash Discount will he Collected on all Returned LOAD RECEIVED BY: Checks.. ' XExcess Delay Time Charged Q$1.50/per minute QUANTITY CODE DESCRIPTION UNITPRICE EXTENDED PRICE 1 .• I"' t _ < ' it�i .1.,t•i�'� *THERE WAS NO CONCRETE OR`CEMENTITIOUS MATERIAL LEFT IN STREET OR STORM DRAIN BY STAR CONCRETE X RETURNED TO PLANT LEFT JOB FINISH UNLOADING DELAY EXPLANATION/CYLINDERTEST TIMEALLOWED 1.JOB NOT READY 6.TRUCK BROKE DOWN 2.SLOW POUR OR PUMP 7.ACCIDENT B.TRUCK AHEAD ON JOB 8.CITATION LEFT PLANT ARRIVED JOB STARTUNLOADING 4.CONTRACTOR BROKE DOWN 9.OTHER TIME DUE 5.ADDED WATER ADDITIONAL CHARGE 1 ERROR IN PRICE,EXTENSION AND ADDITION SUBJECT TO CORRECTION, TOTAL,ROUNDTRIP TOTALATJOB UNLOADTIME DELAY TIME ADDITIONAL CHARGE 2 CUSTOMER COPY SUGGESTIONS FOR PLACING CONCRETE SLAB TO MINIMIZE RANDOM CRACKING WHAT YOU DO WHY YOU DO IT STU 1. Level and compact sub grade, place 4" of s,rp.p i. The sand provides a cushion for the concrete damp sand and grade so concrete and good drainage. poured is a.consistent depth. STEP 2. Separate your new concrete from all STEP 2. The felt separates your new concrete from existing concrete with 1/2" felt. Felt must 'sting, so it may shrink. expand, move tip L_ existing, rnatch the depth of your new slab. or down without a detrimental affect. STI11 3. Screen off your concrete, Make sure there are no low spots. Roller bug your concrete. Once over the surface. it helps vibrate, con- solidate and give you a better finish. S1 1_,P 5. Float concrete with. vfood bull float only. STEPS" Mood keeps the surface open and allows the concrete to bleed preventing water entrapment and discoloration and/or plastic cracking. Cut controlJoints perpendicular from cdge STU'6 These joints should allow the concrete to crack 1/4 the depth of the slab, using appropriate inthe joint taking the path of least resistance., spacing,. 4" slab would be 8'xS'. Ai low all Weed wags to evaporate from the if you do not wait for all bleed water to surface, then you can finish the concrete evaporate, you.end up troweling your bleed with metal trowels. water back. into the surface, dramatically changing your water/I cement ratio, on the surface, causing, a weaker surface. S FFP S. When surface is finished,spray with a concrete STEP S. This protects the concrete from wind, heat cure, if the concrete is colored you must use a and allows your slab to cure on its own cure -formulated for colored-concrete. giving you a much better finished product. S1 EP 9. Never add water o.T dry cement to the sr P 9. These two things also change water/cement surface of your slab. ratio on the surface and can ruin gout slab. ° •�`6 1L tzrn>aY rr+f ig CONCRErs SAN JOSE PLANT d GILROY PLANT A' 0 1404 SOUTH 7TH STREET 25 BUENA VISTA p -f.� SAN JOSE, CA 95112 GILROY, CA (�Q� � ( / WARNING IRRITATION TO THE SKIN AND EYES ACCOUNTING OFFICE:(408) 947-0669 (408) 848-1560 Contains Portland Cement..Wear Rubber Bands and Gloves.Contact With CONTACT MAYof unrazY CONCaf~rU FAX: (408) 947-0434 CAUSE BURNS.Avoid Contact Flush Eyes.and Prolonged Contact With Skin.In Case of ' Contact With Skin or Eyes;Flush Thoroughly With Water.If Irritation Persists,Bet DISPATCH: (408) 947-0159 Medical.Attention.KEEP CHILDREN AWAY. FAX: (408) 947-0193 SOLD TO: SHIP TO: TIME FORMULA LOAD SIZE YARDSORDERED USE DRIVER/TRUCK MAPCOORDINATE PLANT TRANSACTION# DATE CHARGE C.O.D. LOAD# YARDS DEL. BATCH# WATERTRIM SLUMP TICKET NUMBER PROPERTY DAMAGE RELEASE WEIGHMASTER CERTIFICATE Excessive Water is Detrimental to Concrete Performance (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) Dear Customer-The driver of this truck is presenting this RELEASE to you for your signature'is.of the opinion THIS IS TO CERTIFY that the following described com- H 0 Added B Re uest/Authorized B that the'size and lyeight di his truck may possibly cause damage to the premises and/or adjacent property 2 Y Q Y if he places the material in this load where you desire it.11 Is our wish to help you n every way that we can, modlty was weighed,measured,or counted by a ' burin order to do this the driver is requesting that you sign this RELEASE relieving his and his supplier from any responsibility from any damage that may occur to the premisses and/or adlacentproperty:hulldings, Welghmaster,whose:signature Is On this certificate,Who GAL _ sidewalks,drive-ways,curbs,atc„.by the delivery of this material,and that you also agree to help him IS a recognized authority of accuracy,as rescritietl.b remove mud from the wheels of his vehicle so That he enll not litter the puhilo street.Further,as additional 9 Y Y P y CONCRETE is a PERISHABLE COMMODITY and BECOMES the PROPERTY of the PUB for and all undersigned agrees to Indemnity and hold harmless w which dr may of this truck and this topplief Chapter 7(commencing with section 12700)of Division CHASER WHEN TRUCK IS LOADED.ANY CHANGES or CANCELLATIONS of ORIGINAL for any and.all Homage to the premises and/or adjacent end property which may ee claimed by anyone to have arisen out of delivery of this order.Jurisdiction and Venue.Sellerantl.BuyeFagree that ekciuswejudsdiction and 5 Of California BUSI00SS and PrOfOSSIGnS Code,adml0ls- INSTRUCTIONS MUST be TELEPHONED to the OFFICE BEFORE LOADING STARTS. venue arising out of and related to the subject matter of this credit application and any sale of goods from Sellerto The undersigned promises to pay all costs,including reasonable attorneys'fees, Buyer shall lie In the Superior Court of the.State of California;County of Santa.Clara. tared by the Division Of Measurement Standards Of the Incurred in collecting any Sums owed. SIGNED California Department Of Food and Agriculture. All COD-s not paid at time of delivery will be charged a$50.00 Service Charge and bear X - _ Interest at the rate of 10%per annum. r r k r WEIGHMASTER Not responsible for Reactive Aggregate or Color Quality.No Claims For Such Allowed r r r •r a, r, r Unless Made at Time Material Is Delivered. r r A$50.00 Service Charge and Loss of Cash Discount will he Collected on all Returned LOAD RECEIVED BY: J r y t „, ! Checks. X Excess belay Time Charged®$1.50/per minute QUANTITY CODE DESCRIPTION UNITPRICE EXTENDED PRICE THERE WAS NO CONCRETE OR CEMENTITIOUS MATERIAL LEFT IN STREET OR STORM DRAIN BY STAR CONCRETE X RETURNED TO PLANT LEFT JOB FINISH UNLOADING DELAY EXPLANATION/CYLINDERTEST TIMEALLOWED 1.JOB NOT READY 6.TRUCK BROKE DOWN - - 2.SLOW POUR OR PUMP 7.ACCIDENT 3.TRUCK AHEAD ON JOB S.CITATION LEFT PLANT ARRIVEDJOB STARTUNLOADING 4.CONTRACTOR BROKE DOWN 9.OTHER TIME DUE 5.ADDED WATER ADDITIONAL CHARGE 1 ERROR IN PRICE,EXTENSION AND ADDITION.SUBJECT TO CORRECTION. TOTAL ROUND TRIP TOTALATJOB UNLOADTIME DELAY TIME ADDITIONAL CHARGE 2 PUMPER COPY SUGGESTIONS FOR PLACING CONCRETE SLAB TO MINIMIZE RANDOM CRACKING WHAT YOU' DO WHY YOU DO IT STEP 1. Level and compact sub grade, place 4" of STEP 1. The sand provides a cushion for the concrete damp sand and grade so concrete and good drainage. poured is a consistent depth. STEP 2. Separate your new concrete from all. STEP I The felt separates your new concrete from existing concrete with 1/2" felt. Felt must existing, so it may shrink, expand., move up match the depth of your new slab. or down without a detrimental affect. STEEP 3. Screen off your concrete. STEP3. Make sure there are no low spots. STEP 4. Roller bug your concrete. -STEP 4. Once over the surface, it helps vibrate, con- solidate and give you a better finish. STEP5. Float concrete with.wood bull. float only. STEPS. Wood keeps the surface open and allows the concrete to bleed preventing water entrapment and discoloration and/or plastic cracking. ,STEP 6. Cut control joints perpendicular from edge STEP 6. These joints should allow the concrete to crack Z� 1/4 the depth of the slab, using appropriate in the joint.taking the path of least resistance. spacing. 4" slab would be 8'x8'. STEP 7. Allow all bleed water to evaporate frorn the STEP 7. If you do not wait for all bleed water to surface, then you can finish the concrete evaporate,you end up troweling your bleed with metal trowels. water back into the surface, dramatically changing your water/cement ratio, on the surface, causing a weaker surface. Z� STEP R. When surface is finished,spray with a concrete STEP 9. This protects the concrete from wind, beat cure,if the concrete is colored you must use a and allows your slab to cure on. its own. giving you a much better finished product. cure formulated for colored concrete. zn STEP 9. Never add water or dry cement to the. STEP 9. These two things also change water/cement surface of your slab. ratio on the surface and can niin your slab. READY MIXED cozvCr SAN JOSE PLANT GILROY PLANT 3 2 4 6•At 0 1404 SOUTH 7TH STREET 25 BUENA VISTA WARNING SAN JOSE, CA 95112 GILROY, CA IRRITATION TO THE SKIN AND 7 EYES q. ACCOUNTING OFFICE: (408) 947 0669 (408) 848 1560 Contains Portland Cement.Wear Rubber Boots and Gloves.PROLONGED CONTACT'MAY QU&I.1TY CONCRETE FAX: 408 947-0434 CAUSE BURNS.Avold Contact with Eyes and Prolonged'Contact With Skin.In Case of + - ( ) Contact With Skin or Eyes,Flush Thoroughly With Water.It Irritation Persists,Get,.. DISPATCH: (408) 947-0159' Medical Attention.KEEEHILD EN AWpY. FAX: (408) 947-0193 SOLD TO: (� `� N ��l Gf� � - - - - - _ _ SHIP T0:- ; ° t;;:t'. t s •a r°s a f.'.t:. p:.S 1, _ trr`�9i"{7,1T�_ai r " (f{ 1j7i`+ rk'{ y•1.f 1 t, :t. t / t fags tr t¢'_i' Y "ii, i,e t TIME FORMULA LOAD SIZE YARDS ORDERED USE D5kR/TRUCK MAP COORDINATE-,,•PLANT TRANSACTION# w: r � Y`� t I_ 0 1 I i"1' DATE, CHARGE C.O.D. LOAD# YARDS DEL. BATCH# WATER TRIM . SLUMP TICKET NUMBER PROPERTY DAMAGE TO TOBEMADE INSIDE CURB LINE) WEIGHMASTER CERTIFICa.RELEASEATE Excessive Water is Detrimental to Concrete Performance IN(To BE SIGNED IF DELIVERY BE Dear Customer The driver of s truck ka presorting c us RELEASE to you premises is cent property THIS IS TO CERTIFY that the following described com- H2O Added By Request/Authorized By that the size and weight of his truck may possibly cause damage to the premises and/or adjacent property - if he places the material imthis load where you desire it.It is our wish.to help yocAn every way that we can, modify Was Weighed,measured,or counted by a but in order to do this the driver is requesting that you sign this RELEASE relieving his and his supplier from - any respansibiliry iramany damage that may occur to the prern ales and/or adjacent property,buildings, weighmaster,whosesignature is on this Certificate,who ,GAL sidewalks;drive-ways,curbs,etc.,,by the deliveryrof this material;and that you also agree to help him IS a reCO nized authority of accurac „ash prescribed b remove mud from the wheels of.his vehicle so that he will not litter the.public street Further,as additional 9 Y y P y CONCRETE is a PERISHABLE COMMODITY and BECOMES the PROPERTY of the PUR- consideration,the undersigned agrees to indemnity and hold harmless the driver of this truck and this supplier Chapter 7(commencing with section 12700)of Division CHASER WHEN TRUCK IS LOADED.ANY CHANGES or CANCELLATIONS of ORIGINAL for any and all damage to the premises and/or adjacent property.which may be claimed by anyone to have arisen out of delivery of this order.Jurisdiction and Venue.Seller and.Buyer agree that exciuswe jurisdiction and 5 of California BUSIness'and Professionstode,adminis- INSTRUCTIONS MUST be TELEPHONED to the OFFICE BEFORE LOADING STARTS. -venue arising out of and related to the subject matter of this credit application and any sale of goods from Seller to The undersigned promises to pay all costs,including reasonable attorneys'fees, tered b the Division of Measurement Standards of the Buyer shall lie in the Superior Court of the State of California,County of Santa Clara. y Incurred in collecting any sums owed. SIGNED _ • I . California Department of Food and Agriculture. All COD-s not paid at time of delivery will be charged a$50.00 Service Charge and bear -X r r , - _ Interest at the rate of 10%per annum. r r r r 'WEIGHMASTER Not responsible for Reactive Aggregate or Color Quality.No Claims For Such Allowed r r _ Unless Made at Time Material is Delivered. r r �`ii I•;I';),•i,§ }?} .�.!•I j..t. A$50.00 Service Charge and Loss of Cash Discount will be Collected on all Returned L_DAO REGEI,VED BY Checks. X Excess Delay Time Charged®51.50/per minute QUANTITY ' CODE DESCRIPTION UNITPRICE EXTENDED PRICE- FA .r4i., l F� y • "THERE WAS NO CONCRETE OR CEMENTITIOUS MATERIAL LEFT IN STREET OR STORM DRAIN BY STAR CONCRETE X " RETURNED TO PLANT LEFT JOB FINISH UNLOADING DELAY EXPLANATION/CYLINDER TEST TIME ALLOWED r 1.JOB NOT READY 6.TRUCK BROKE.DOWN .0 f 2.SLOW POUR OR PUMP 7.ACCIDENT ¢+r" 3.TRUCK AHEAD ON JOB 8.CITATION LEFT PLANT ARRIVED START UNLOADING 4.CONTRACTOR BROKE DOWN 9.OTHER TIME DUE _ 5,ADDED WATER ,{}t �'1,i �� i f, ADDITIONAL CHARGE 1 ,."� Y!•Y ' ERROR IN PRICE,EXTENSION AND ADDITION SUBJECT TO CORRECTION. ` 6TALROUNDTRIP TOTALATJOB UNLOADTIME :DELAY TIME ADDITIONAL CHARGE 2 CUSTOMER COPY SUGGESTIONS FOR PLACING CONCRETE SLAB TO MINIMIZE RANDOM CRACKING WHAT YOU DO WHY YOU DO IT STEP T. Level and compact sub grade, place 4" of STEP 1. The sand provides a cushion for the concrete damp sand and grade so concrete and good drainage. poured is a consistent depth. STE P 2. Separate your new concrete from all STEPZ. The felt separates your new concrete from existing concrete with 1/2" felt. Felt must existing, so it may shrink, expand, move up match the depth of your new slab. or down.without a detrimental. affect. STE'll 3. Screen off your concrete. STEP 3. Make sure there are no low spots. STEP 4. Roller bug your concrete. 'TEP 4. Once over the surface, it helps vibrate, con- solidate and give you a better finish. STEP 5. Float concrete with wood bull.float only. STEP 5. Wood keeps the surface open. and allows the concrete to bleed preventing water entrapment and discoloration and/or plastic cracking. STLP6, Cut control joints perpendicular from edge STEP 6. These joints should.allow the concrete to crack, 1/4 the depth of the slab, using appropriate in the joint taking the path of least resistance. spacing. 4" slab would be 8'xS'. STEP 7. Allow all bleed water to evaporate from the STEP 7, If you do not wait for all bleed water to surface, then you can finish the concrete evaporate, you end up troweling,your bleed with metal trowels. water back into the surface, dramatically changing your water/cement ratio, on the surface, causing a weaker surface. STF,.P 8. When surface is finished,spray with.a concrete STEP S. This protects the concrete frorn wind, heat cure, if the concrete is colored you must use a and allows your slab to cure on its own cure formulated for colored concrete. giving you a much better finished product. STEP 9. Never add water or dry cement to the STEP 9. These two things also change water/cement surface of your slab. ratio on the surface and can ruin your slab. PG&E UTILITY RELEASE NOTICE TO: Pacific Gas&Electric Company / r+ 1-2+�2018 Attention: Service Planning Department Phone: 725-3325 Fax: 725-3333 Pulaw-W4pA-,S FROM: City of Campbell»g Inspection Division Phone: (408) 866-2130 Fax:(408) 866-8381 SUBJECT: REQUEST FOR GAS/ELECTRIC SERVICE RELEASE(S) 67 5 C90>1 Dc— 's PT20PERTY-1NI'OKMATIO : Name of Customer: 60 UTI-+ Mf C9NSTpuGTLo N Building Address: 1711 DEL AVM ' CAMP M�U- [ CA 95008 USE: Commercial V"" Industrial Residential Apartment Building Meter Location from Street: Front.V/ Rear: Left Side: Right Side: ELECTRIC RELEASE: New Service: ✓: Service Amps: Service Change/Upgrade: New Service Amps Temporary Power Pole: Temp Power Service Amps:_,_ Temporary Power.at Permanent Location: Service Amps: Volatage:' 240 VPhase: Overhead: Underground: ✓ No. of Meters: u. GAS RELEASE: New Service: BTU's: Service Change/Upgrade: BTU's: Temporary Gas Release: No. of Meters: BUILDING INSPECTION DIVISION: Inspector:_ "✓ L`1� \NA101D A Permit Number: C -,01 5 Go�`�® 41434036 Fax Date/Time: 2/ 2- ' ( 5 "+M' BL .� 0V CA CITY ®F CAMPBELL Public Works Department October 4, 2019 Mr. Brett Kondric South Bay Development 475 Alberto Way Los Gatos, CA 95032 SUBJECT: PERMIT NO. ENC 2015-00190 675 & 705 Creekside Ave. Bond Release, Bond#674025234 Dear Brett: 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. Please find enclosed the Faithful Performance of Maintenance related to the job located at 675 & 705 Creekside Ave. If you have any questions, please call me at (408) 866-2157. Sincerely, Syed Wahidi City Inspector Cc:Liberty Mutual Surety Permit File: ENC2015-00190 70 North First Street • Campbell, California 95008 TEL 408.866.2150 • FAX 408.376.0958 TDD 408.866.2790 y, r, or c UtCHAK� (CITE' of CAMPBELL Public Works Department October 4, 2019 Mr. Brett Kondric South Bay Development 475 Alberto Way Los Gatos, CA 95032 SUBJECT: PERMIT NO. ENC 2015-00190 675 & 705 Creekside Ave. Bond Release, Bond#674025234 Dear Brett: 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. Please find enclosed the Faithful Performance of Maintenance related to the job located at 675 & 705 Creekside Ave. If you have any questions,please call me at (408) 866-2157. Sincerely, Syed Wahidi City Inspector Cc:Liberty Mutual Surety Permit File: ENC2015-00190 70 North First Street Campbell, California 95008 • TEL 408.866.2150 • FAX 408,376.0958 TDD 408.866.2790 BOND FOR FAITHFUL PERFORMANCE OF MAINTENANCE PERIOD ENCROACHMENT PERMIT NO.ENC 2015-00190 We, the undersigned CRP/SB Creekside @ 17,L.L.C.,A Delaware Limited Liability Company (hereinafter "Principal") and Liberty Mutual Insurance Company , a corporation organized under the laws of the State of Massachusetts 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 One Hundred Fifty Two Thousand Five hundred and 00/100 Dollars($ 152,500.00 )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 Contract with the City dated ' '_GPI 20J_�and entitled Offsite work to install a new traffic signal,curb modifications,etc.at Creekside @ 17 fr.,oC—noO—a\ Pe_rfvOf, t:Jn e NC 20 iS-- 19n" 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 a part hereof. And,the City requires 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 defective 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 60 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 remain in full force and effect,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 Contract 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 November 8th ,2018 (Principal) CRP/SB Creekside, 7,L.L.C.,A Delaware Lim ted Liability company By Titles a z�rl Sy.yya-yr (Sur'ety) Liberty Mutual Insurance Company By Kathleen M.Coen,Attomey-in-Fact Address of Surety 175 Berkley Street (Attach Acknowledgements) Boston,MA 02116 Surety's Bond Number 674025234 (Both Principal's and (Accompany this bond with Attorney-in-fact's Surety's Attorney in Fact) authority fi•om Surety to execute the bond certified to include the date of the bond.) J:\FORMSUemplatesTricroachment Permits\Encroachment Permit Maintenance Bond.doc(Rev.03/08) CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT . Civil Code§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate Is attached,and not the truthfullness, accuracy or validity of that document. o+►��®ra®♦eei��+ ®e®a .0.4 s0 �++*�o,o0vo4-0,*#4*v.*#++*+*oo*#goo ;State ounty of��5�rtc�-e�-�Colt�rrb\t�'SS On rem `3, before me, ( t1 oiACiyC-2 , Notary Public Date Name one Td a of Notary personally appeared lwmz Name and or Names 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 s•a t he/she/they executed the same in his/her/their authorized ♦*t , I,� capacity(les), and that by his/her/their signature(s)on the ♦ ��' ... instrumentthe person(s), or the entity upon behalf of ♦ gr- wtRF,pb��f which the person(s) acted, executed the instrument. +� t I certify under PENALTY OF PERJURY under the laws of « ©% the State of California that the foregoing paragraph Is true and correct. •414 �!��O Witness my hand and official seal. Signature No ry bec Slgrtature Place Notary Public Seal Above OPTIONAL Though the information below is not required by law,it may prove valuable to the persons relying on the document and could prevent fraudulent removal and reattachment of this fomr to another document. Description of Attached Document Title or Type of Document Document Date Number of Pages: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s): ❑ Partner- ❑Limited❑General ❑ Partner- ❑Limited ❑General ❑ Guardian or Conservator Top�l,,t,,,;b El Guardian or Conservator Top auwmb ❑ Attorney-in-Fact ❑ Attomey-in-Fact ❑ Trustee ❑ Trustee ❑ Other: ❑ Other: Signer is representing Signer is representing e+ ec�a�eaoe�®.aao��ooa4�♦� CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT Civil Code § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfullness, accuracy or validity of that document. State of Pennsylvania County of Montgomery On November 8th,2018 before me, Mary C.McGinn Notary Public oate Mama and Tale of Notary personally appeared Kathleen M.Coen,Attorney-in-Fact Name and or Names or 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 helshelthey 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 COMMONWEALTH OFPENNSYLVANIA the State of California that the foregoing paragraph is true NOTARIAL SEAL and correct. MARY C.McGINN,Notary Public Conshohocken Boro.,Montgomery County Witness my hand and official seal. �y Commission Expires May 15,2019 Signature r ��" Mary C cGinn Notary Public Signature Place Notary Public Seal Above OPTIONAL Though the Information below Is not required bylaw,it may prove valuable to the 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 Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s): ❑ Partner- ❑Limited❑General ❑ Partner- ❑Limited ❑General ❑ Guardian or Conservator ToPcttnumb ❑ Guardian or Conservator Topot,twmb Cx7 Attorney-in-Fact ❑ Attorney-in-Fact ❑ Trustee ❑ Trustee ❑ Other: ❑ Other: Signer is representing Signer is representing THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No. 8162591 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance-Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS::That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Louis J.Bensinger;Kathleen M;=Coen;Mary C.McGinn;Holly l allone all of the city of Blue Bell state of?A each md'itiidually if there be more han.one.named,its true and.lawful attorney rn factao make,execute,seal,acknowledge. and deliver,for and on its behalf as surety and as its act and=deed any and all undertakings,bonds recognzanees and other:surety obligationS to pursuance of these presents and shall be as binding upon the Companies as if they have.been dulysigned byrtfie_president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney hasaeen subscribed tiy.an:authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 26th day of July ": 2018 .j,f INSD JP oeaa2u>A-q .JP upyUfw'7,v, �c.�' oirn>�n, The Ohio Casualty Insurance Company to 0 1919 g 1912 ¢ 1491 Liberty Mutual Insurance Company (D ro West American Insurance Company Jy��Nva*r.+v'+'�`a'aD ��)�`"''�n+u'>`:`y�`' T �i'Jr.1\IP �' 7� •�. STATE OF PENNSYLVANIA ss David M.Carey,Assistant Secretary. a r COUNTY OF MONTGOMERY = ! p� On this 26th day of July 2018 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance t�j j— ' O Company,The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do,execute the foregoing instrument for the purposes AU) therein contained by signing on behalf of the corporations by himself as a duly authorized officer. 4 W I > IN WITNESS WHEREOF,I have hereunto subscribed my name.and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. 0 C. �gP PAS;, COMMONWEALTH OF PENNSYLVANIA M ON � ^ �Q'o W �^�� Notarial Seal —— el 4— N O s v Teresa Pastella,Notary Public By: O ` OF Upper MerionTwp..Montgomery County Teresa Pastella,Notary Public L My Commission Expires March 28.2021 .� 'O Fly PTV Member,Pennsylvania Association of Notaries O E p This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual .�p +, Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: .� IN t ARTICLE IV—OFFICERS—Section 12,Power ofAttorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O e to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make;execute,seal, _ acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective y powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so a) to executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under > O A the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. _ a ARTICLE.XIII—Execution of Contracts—SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, �+ Land subject to such limitations as the chairman or the president.may prescribe,shall appoint such attorneys-in-fact,as may be necessary to.act in behalf of the Company to make,execute, E M seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their c 00 V respective powers of attorney,shall have full power to bind the Company by their,signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed¢y the:president and attested by the secretary, vto O o Certificate of Designation—The President:of the Company,.,acting pursuant tothe Byfaws 6f the Company,authorizes David M:-Carey Assistant"Secretary to appoint such attorneys-in- ~ fact as may be necessary to act on behalf ofthe Company to riiake execute,seal,acknowledge and deliver as"surely any and all undertakmgs bonds,recognizances and other surety obligations. a Authorization—By unanimous consent of.fh.e Company s Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of a. :power of attorney issued by the Company in connection with surety bonds,shall be valk[and binding upon the Company with. the same force and effect as though manually affixed:;= I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohlo Casualty Insurance Company Libeify Mutual:Insurance.Company;'.and West American Insurance Company do hereby certify that the original power of attomey of wflich`the foregoing is a::full true and correct copy of lh'eiPower of Attomey executed bysaid Companies, 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 �g �(Y INS( IN.Up .;Msu �J�yoxre2�:�9y .J�y)aFostrF•bc, h�Gt'',aPoa��nC� _ r//�} C' 0 1919 > 1912 ° 1991 ° By: � 4 , ',�° �.,,?r. V� � .; > Renee C.Llewe ,Assistant Secretary y� h�� I Krigs f: 'kninu� 102 of 200 LMS 12873 022017 N Libel LIBERTY MUTUAL INSURANCE COMPANY luhxa�r FINANCIAL STATEMENT—DECEMBER 31,2017 SURETY Assets Liabilities Cash and Bank Deposits......................................... $370,003,299 Unearned Premiums................................................$7,503,154,587 *Bonds—U.S Government..................................... 1,331,664,975 Reserve for Claims and Claims Expense................. 19,658,731,454 Funds Held Under Reinsurance Treaties................. 224,693,828 *Other Bonds.......................................I.................... 11,127,0533004 Reserve for Dividends to Policyholders.................. 967,520 *Stocks..................................................................... 16,367,850,688 Additional Statutory Reserve.................................. 52,491,027 Real Estate.............................................................. 272,895,626 Reserve for Commissions,Taxes and Agents'Balances or Uncollected Premiums........... 5,258,657,823 Other Liabilities................................................ 4,049,392.852 Accrued Interest and Rents..................................... 100,341,596 Total.................................................................$31,489,431,268 Special Surplus Funds................. $176,230,822 Other Admitted Assets.............................................. 11.192.287.530 Capital Stock............................... 10,000,000 Paid in Surplus............................ 9,484,316,385 Unassigned Surplus..................... 4,860,776,066 Total Admitted Assets..................................... Surplus to Policyholders............................... 14,531,323,273 Total Liabilities and Surplus................................R4(,,Q2(1.154.541 lVP u^vr��t` * Bonds are stated at amortized or investment value;Stocks at Association Market Values. The foregoing financial information is taken from Liberty Mutual Insurance Company's financial At V statement filed with the state of Massachusetts Department of Insurance. I,TIM MIKOLAIEWSKI, Assistant Secretary of Liberty Mutual Insurance Company,do hereby certify that the foregoing is a true,and correct statement of the Assets and Liabilities of said Corporation,as of December 31,2017,to the best of my knowledge and belief. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Corporation at Seattle,Washington,this 16t1,day of March,2018. Assistant Secretary S-1262LMIC/a 3118 N? 2,131 STAI-E OF CALIFORNIA DEPARTMENT OF INSURANCE SAN FR_,'iJNlCI$C0 AZN5�02 D Certificate of Authority Tif is Is To CRP.Tiry,'rl ba,p it rstwn I to Mx-Insurance Code of t1w Slate of Cal'iJor-jryo' LIBERTY W43VAL IlYSURANCE CWTANY Of BOST-02i, MASSACHUSETTS, . ,orpniZed todcr ebi lunvs vj XkSSACEUSETTS vtbic;lllo its Ayfi<.'lcs of Im-OrPoridiull or o,tjyj,r fatedamenfal oqanizzafional to trausilcl w;tllin,fbis Stak,vobjene DISAETLITY, PULTE GLASS, LIABILITY, WO-RieWFOIS 001*Fl,SATTou, CoNtIN1,011 CAR-RIUR LIABl-LITY, 2501L)II AND BURGLARY, OREDIT, SPrUl�Fm-P,, TEAM. A!rl) VEHIOLF, AUTOMOBILE, AIRCRAFT and KISCE-LLANEOUS a,.,sgeb clas es are craw or may hereafter be defived,11 fbc lies urallve Laws of the std!e Of Cal iff)rnh;, I'His ChRTIFWATF is eXpreSSly COUdiviotzed ltp;yi,fbt-btklerbereof wmv and herrafterbring ;tj lid[ COM"Wance witli all-7isd not in of any,i)f H)e ajlij)licalle 44ws and reevi-reyn-f!; Made Uilder axaburity of the laws of itir Sl4e d Californ-m 10;x laua.gy rrquh-enre)ih tire in votlTelof and applicable,imdas Such tawsarrd reqniniirevils mia.;are,cw may bvreif.eer&-EAmped or amen, ed. efialive as of day 19ll ,I leave' bereutdo set rpy)"(ved wriel raityrfliny sgvj ,o Je of da.),of 1961_ F. BRITTON Y.(,Cr)MRr..L by .., OF ' CA Uk CH AKA. CITY of CA MPBELL Public Works Department November 19, 2018 Mr. Scott Trobbe South Bay Development 1690 Dell Ave. Campbell, CA 95008 SUBJECT: PERIvHT NO. ENC 2015-00190 675 & 705 Creekside Ave. Bond Exchange, Bond#k674025234 Dear Scott: Please find enclosed the original Bonds for Faithful Performance and Labor/Material related to the job located at 675 & 705 Creekside Aves. The City has received Your Faithful Performance of Maintenance Period Bond in the amount of$152,500.00 which will be kept in force for the one-year maintenance period which began on August 23, 2018. If you have any questions,please call me at(408) 966-2157. Sincerely, J�QAnna Thomason Ofi pecialist l Cc: Liberty Mutual Surety Permit File: ENC2015-00190 70 North First Street Campbell, California 95008-1436 TEL 408.866.2150 FAX 408.376,0958 TDD 408.866.2790 of C4 'Uk CH AKA• � CITE' OF CAMPBEL.L. Public Works Department September 4, 2018 Mr. Scott Trobbe South Bay Development 1690 Dell Ave. Campbell, CA 95008 SUBJECT: PERMIT NO. ENC 2015-00190 675 & 705 Creekside Ave. _ FINAL INSPECTION AND ACCEPTANCE Dear Scott: 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 August 23, 2018. 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 Cash Deposit in the amount of$10,000.00, and your Plan Check Deposit in the amount of$8,698.93 is enclosed. Your Faithful Performance Security Bond in the amount of$610,000.00 will be kept in force for the one-year maintenance period, unless you wish to replace it with a Maintenance Bond for 25% of the original amount. Please contact us at your earliest convenience if you do wish to exchange your bonds. If you have any questions, please call me at (408) 866-2157. Sincerely, Doris Quai Hoi Assistant Engineer Cc: Inspector/Suspense Files Liberty Mutual Surety Permit File: ENC2015-00190 70 North First Street • Campbell, California 95008-1436 TEL 408.866.2150 FAX 408.376.0958 TDD 408.866.2790 F, 0 WORKS DEPARTMENT LAND DEVELOP 4 Effective July 1,2015 r�� TO: Finance PUBLIC WORKS FILE NO.V1V 11b PROPERTY ADDRESS Please collect&receipt for the following monies: ACCT. ITEM AMOUNT LAND DEVELOPMENT 4722 Encroachment Permit Application Fee Non-Utility Encroachment Permit Ma'or>_$10 000 $395.00 Minor Encroachment Permit<$1o,000 $225.00 Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $225.00 Inspection Fee Minimum Charge per Location $390.00 Street Tree Plantinq/Removal N/C 2203 ($500 per Tree Planting Deposit Required) $500.00/tree 2203 Plan Check Deposit 2%of Engineer's Estimate $500.00 min r' Utility and R-1 Permits no deposit required 47221 Grading& Drainage Plan Review Single Family Lot $275.00 Site< 10,000 s.f. $825.00 Site>_ 10,000 s.f. <0.5 Acre $1,105.00 Site>_0.5 Acre $1,655.00 4722 NPDES Review C3 Requirements) For projects not required to submit numeric sizing $160.00 For projects required to submit numeric sizing Impervious Area 10,000 Sq. Ft to 1 Acre $690.00 Impervious Area 1 Acre or more $900.00 4722 For proiects sent to Consultant for review Consultant Cost+20% 4722 Additional treatment facilities_ $300 ea Plan Check&Inspection Fee(Non-Utility) N 4722 Enqr. Est.<$250,000 14%&,En ineer's Estimate 4722 Enqr. Est.?$250,000 and 5$500,000 $35 000`+8%of Enqineers Estimate 4722 Enqr. Est. >$500,000 $55,000+7%of En ineers Estimate . Do 2203 Emergency Cash Deposit 4%of Engr. Est.*($500 min/$10,000 Max) ±> ® 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$2,38MO) (All Other$2,650.00) 4722 Parcel Map(4 Lots or Less) $3,930.00+$85/lot 4722 Final Tract Map(5 or More Lots) $4,775.00+$116/lot 2203 Monumentation Security 100%of City's Monument tion Estimate_ 4920 Parkland Dedication Fee(75%/25% Due Upon Cert.of Occupancy) 4722 Lot Line Adjustment(includes Certificate of Compliance) $1,856.00 4722 Vacation of Public Streets&Easements $2,480.00 4722 Certificate of Compliance $1,840.00 4722 Certificate of Correction $550.00 4722 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee - $100/sheet 4722 Appeal Filing Fee $200.00 4722 Notary Fee(per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split $877.00 Each Additional Lot $275.00 511.74241 Postage �a MISCELLANEOUS Other(Please Specify) `Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL !,$ 2� l 1 NAME OF APPLICANT �' wm NAME OF PAYOR f �j J 1' ®`P� ADDRESS � erv ` ZIP s rDIEC 21 FOR RECEIVED BY t R CITY CLERK ( ONLY Date Receipt# .11F[lR1.I.S\Tmmla vwwi-Fn. -- - -----iF Q: OF CAMPRELL 7ae -BY: Gala 01000261766 P ; m3§ BzR+mgE mm«S DATE: 101Z2a5 REGISTER DATE, S 15 T m;m »kggl+ dA» (mI D:DUGS m q IylmRR FILING a208.00 CAS S: MOO . 9GR& SdmF aGmGm mS Su Smo aaggD SGmF «&mCm mS d: I.me _ Oi DRAIN FEES q2 G/7624 ---------------- g9Emo w .yGG Iq+RW y2 2S2§ . CHANGE; «m SRR .D.qa G . . , kw 100 .........-.; 3 ............._........_: I .............-........................ .................................. ........._................._._ ..............._........................ (........._........................_..., ...................._._.............., CITY OF CAMPBELL VENDOR NO. 10015107 CHECK NO. 269643 Accoint Pr+rchase Order Invoree'Namber::. rlmorrnt 101 2203 CRO82718 lb,000.00 ENC201SO0190 DEP RFND r • I ' v • i I' u I J. 1 10015107 SOUTH BAY DEVELOPMENT i I CHECK DATE`' CHECK NO. �� .�r0 NOIiH FIRST STREET sAz ,FRax co EAMx, N.A.o •c,��r ,yy, C TI' ®F'CAlVIPBELL W s gAR 11-24 V 48{I;MONTGOMERY STREET 1210 - 0 9/0 3/18. 2 6 9 6 4 3 CISCO ,CA 94104 r MPBELL;,CALIFORNIA 95008 C AMOUNT , � *lb,: � 00*. :. G °2rrIpRO ;VOID.AFTER= 9.0 DAYS a I PAY THE SUM OF TEN' THOUSAND DOLLARS & ZERO CENTSIE - � To, THE SOUTH BAY DEVELOPMENT +I :. yr. A oxnsR 1690 DELL.AVE, �— /6F CAMPBELL CA 95008J II ( � � 2 239 6 43 i' Ill�1.2 10'O D ,2 4 6 18,5'.5 4 .1,5 0� / - --- s ......................_.._.... .. .................. ._.................... ............__............._ [......._. ;.. *See Reverse Side For Easy Opening Instructions* I CITY OF CAMPBELL 1 70 NORTH FIRST STREET CAMPBELL, CALIFORNIA 95008 _ SOUTH BAY DEVELOPMENT 1690 DELL AVE CAMPBELL CA 95008 Para Form CITY OF CAMPBELL ENCROACHMENT PERMIT Permit No DEPT.OF PUBLIC WORKS �Ep p `�5 (for working within the public X-Ref.File _ 70 North First Street right-of-way) Application Date Campbell,CA 95008 Application Expiration Date Ph. (408)866-2150 puhf��,��r�rl�s R�+;r�ir��s ued i I M 2 5 /k(, APN 245 ` a S Fx. (408)376-0958 fj/2�/r7 Permit Expiration Date 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.) A. Work Address or Tract No.: 675&705 Creekside Avenue Utility Trench Location: Along Creekside Way near the Courtyard Marriott Hotel B. Nature of work: New curb and gutter,sidewalk,curb ramps,signal intersection,and utilities 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 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. Name of Applicant: Campbell Hamilton,LLC,dba South Bay Development Telephone: 408 379-0400 Address: 1690 Dell Avenue,Campbell,CA 95008 E-Mail Address: mregoli@southbay.us 24-HOUR EMERGENCY PHONE NUMBER: 408 379-0400 Is this work being done by the property owners at their own residence? r YES r 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 he work c vexed by �/U� Q1' ot�� The Applicant/Permittee reby acknowledges that th y)have read and und�'stand both thent and bac f this permit, affd �16forrn their contractor(s) of the inforr ation. Applic�fiT`i5 advis (that upon issuance of this permit, property owner, or property owner's successors, shall be responsible for any and a�,Ida(r�ages aNysin,putPf the c ditionof any private improvements in the public right-of-waAccepted: _ r (Applicant Pe ittee) (sign) a /Date Contractor) (Print Name) Date 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 the Engineer. 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. S. 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 A U J/ RECEIPT NO. PERMIT APPLICATION FEE $ 26 O Z&3 PLAN CHECK DEPOSIT $ 2�0s,i 6 SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $ &I a GVU r-4 f.)'D CONSTRUCTION CASH DEPOSIT $ to.6ov 7-G 1*7 U, PLAN CHECK&INSPECTION FEE $ 9.71:700 Er APPROVED FOR ISSUANCE O-A 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 or 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. S. 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. A 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 the 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 emeregencies 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. Permitttee must provide advance notification to all parties that may be affected by the permit activities. Notification shall be reviewed by the City prior to distribution and include dates of work and a contact name and phone number. Applicant sh responsible for ensuring a all those providing services under the applicant are aware and understand all of the a ove conditions. i Applicant Date: �v-4- s fm • �Atv- C N g/-Z,57/1(o Contractor t Name) Date: J:Reina\Website\Land Dev Forms\Encroachment Permit STATIC form2.pdf Rev.(11/9/05) PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2015 T7: Finance PUBLIC WORKS FILE NO. L- 1�21 �� PROPERTY ADDRESS Please collect& receipt for the following monies: ACCT. ITEM AMOUNT LAND DEVELOPMENT 4722 Encroachment Permit Application Fee - _ Non-Utility Encroachment Permit Major>_$10 000 $395.00 Minor Encroachment Permit<sio,000 $225.00 Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $225.00 Inspection Fee Minimum Charge per Location $390.00 _ Street Tree Planting/Removal N/C —2203 P ($500 per Treee=-arat)n ■D,eposit,.Re,quired)— $500.00/tree 2203 _ _ {—�hr__c _ep sl o�:f Engmee lssl stirr'�iat $500.00 min -�. .,_ Utility and"lf - ermits no deposit required 4722 Gradinq & Drainage Plan Review Single Family Lot $275.00 Site< 10,000 s.f. $825.00 Site_% 10,000 s.f. <0.5 Acre $1,105.00 Site>_0.5 Acre $1 655.00i- 4722 NPDES Review(C3 Requirements) For projects not retired to submit numeric sizing $160.00 For protects required to submit numeric sizing Impervious Area 10,000 Sq. Ft to 1 Acre $690.00 Impervious Area 1 Acre or more $900.00 4722 _ For project s_sent to Consultant for review Consultant Cost+20% 4722 Additional treatment facilities $300 ea Plan Check& Insrection Fee(Non-Utility) _ 4722 _ Eogr. Est. < $250,000 14%of Engineer's Estimate 22031 Engr. Est.?$250,000 and_<$500,000 $35,000+8%of Enqineers Estimate _ 2203 _ Enqr. Est. >$50,000 $55,000+7%of Engineers Estimate 2203r_Emergencv Cash Deposit 4% of Enqr. Est.' $500 min/$10,000 Max) 2203 _Faithful PefformanceSecurity(FPS) _ 100%of ENGR. EST." 2203� Labor and Materials Security 100%of ENGR. EST. 4721 i 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) $3,930.00+ $85/lot 4722 Final Tract Map (5 or More Lots) $4,775.00+ $116/lot 2203 Mo_numentation Security 100%of City's Monumentation Estimate 4920 Parkland•Dedication Fee (75%/25% Due Upon Cert. of Occupancy) - 4722 Lot Line Adjustment(Includes Certificate of compliance) $1,856.00 4722 _Vacation of Public Streets& Easements $2,480.00 17 4722 Certificate of Compliance $1,840.00 4722' Certificate of Correction $550.00 _ 47221 Document Recording Fees $15.00/first page$3 ea.Additional _ 47221 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee $100/sheet 4722 Appeal Filing Fee $200.00 4722 Notary Fee per signature) $10.00 4 22 Assessment Segregation or Reapportionment First Split $877.00 Each Additional Lot $275.00 511.74241 Postage ,MISCELLANEOUS \_ Other(Please Specify) 'sneer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $ ')F APPLICANT FAYOR PHONE U ZIP '7,EIVED BY V 4� pate Receipt# 2 a :LL . »Eq 9; 9WIq Rmy 3: . . A @R QLga Gw§yE ms Us �E: & «}3 yTC S &}: 2� mD« UC# CgTImbQGymgo am & mgIV SiDir. mg ID 2me RE Rmgl - mi m,0Q q . 3 aw.me . a9lmGy SE"aE 2= &+ eqI q: 6mG dm & mRy SSmF wD. US 1D:m563 CIREEEKSIDE AW,,Wlf gm & gaR QQ+ E R,kGm T ER D E KD CHANGE: &m . q ; . . /d. Ry mw 6m6 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT CLEARANCE FOR FINAL INSPECTION AND ACCEPTANCE LETTER Encroachment Permit#: ENC 2015-00190 Name: South Bay Development Property Address f�+ &1i�70'SGCrtee�id°e Q+u Date of Final Inspection: On File: Bonds CD Cash o i-a C ec1<"Deposit —8f6 8t,9," lrad by Hamilton, Campbell LLC) Labor and Material: Con.,g ruefion CashiD.epos tAo&beyreleased: $f�O.A:0,0 0Oxfil dffb�So B—�o Development ) Bonds f 500.0'0 Other overdue deposits to be released (Description): Processed by: 2 ministrator Reviewed by: 2 p 4nipector U Reviewed by: 9&-t? <� Land Development gngin6er JAJoAnnaT\Deposit refunds\CHECKLISTS\Creekside 675.705A.doe(Rev. 10/11) LIBERTY MUTUAL SURETY 001761 2200 Renaissance Blvd Contract Bond Like Mutual. Suite 400 Status Query 1 — _J King ofPrussia,PA 19406-2755 SURETY Date of Request: 3/2/2018 � MgR Public City of Campbell �oru Office: Philadelphia Public Works Dept mf°lisftb'o 1 Phone: 610-832-8240 70 N First Street Fax: 855-318-1836 Campbell,CA 95008 Email: StatusQuery@LibertyMutual.com In order to allow us to monitor the progress of our contractor,please complete and return this form.Your response will not prejudice your rights or affect our liability under our bond(s)referred to below.We enclose a prepaid return envelope for your use. Bond Number: 674025234 Contract Price: $610,000.00 Inception Date: 11/20/2015 Cross Reference Bond Number: Fund 7 Contract Description: Encroachment Permit Performance and Payment bond-Offsite work to install a new traffic signal, curb modifications,etc.at Creekside @ 17 Our Bond On Behalf Of: CRP/SB Creekside @ 17, LLC Bond Executed In The Following Company: Liberty Mutual Insurance Company Signed Tim Mikolajewski President-Liberty Mutual Surety 1. HAS CONTRACT BEEN COMPLETED? { v J 2. IF COMPLETED PLEASE STATE: a. Date of acceptance b. Total amount of completed contract _- 3. IF NOT COMPLETED PLEASE STATE: a. Probable completion date � � G b.'Amount paid contractor to date c. Amount withheld as retained percentage 4. HAS WORK PROGRESSED SATISFACTORILY? C'� 5. ARE THERE ANY UNSATISFIED CLAIMS OR LIENS ON FILE? REMARKS: Dated: C Signed_ � 01 Name(' Title _,-((D Phone: ' F ': ' '� lJ T -, ' C K. ..',�'1 .Iv. is ! _ ' - ,-�_'t._- .�-'��-.�-_,.--.�,�,.-,_-,._.:-e,_-,-",..._,';,',�_.-".I�,-"--,,"-�""-,,-.z....--h%-�'-1�.1_.-�"�,I-"'r-r--�7�-�--I;-�,-I-L,.`-_,�..,.-,.,, ---,- ' r i ' } 'r .v. -7 .-t. - - - - - _t.-,-I_ .t--1'-.I_I_..--._.'`--._,,-..I"._.,!_!_-.�1'-�'.-.,--...t I-.....,,,LJ�;,'��.,.I�1 �,I1.-�_--..,;,',---:...,,�.;.-,.z.,m,-.I__:_,*I----7,�,.,,,.-'---�r�_:1:-.-.`._:,..�,,-,,,i I,.,__�:''-..�.'r-;-_--�.,:_,.I"%,'�_.,,-'1."�.:.--:_!I-�!--1-_-,--�.,`1i,'�.��,,I---��,.I-1.1,-1j.';,-1,_i;�`,'.."��,.-A-,-,",J-.,��,�-'"-,I�--.',.,.�',1,."_�,,�,.I�`",r,-,.I_,�..:�-�i�,::,1-,-,-__.,-"1...',,�1_.,_,,,".J-%..l�-,".,,,m:".11-t-��,_Q4�:0�,.I--:i��: --; :�I�1,.,_--,—"�...r...,,�,_.�A_.:�I:.%:-2".---1 1,,�;..,-1,_,,,?I`.'-,.I1,'..-I,1..,....�.; �,,_,-.-_�1"-.-,,,I-..--,..".-":_..--..1-_-;,-,-1,v ._,:L'- �,7--,...". ;. Ref undnble D=eposit Check: Request = � � ,��._,�_,�-,,�---',,�;I,��I,_.,.---I�.� To Finance Director \ - , r` Check Payable To Hamllton;Campbell' LLC.: - f 1. /. ?'. - 1. Address_'Llne 1 1.690 DeII AvQ _ . Line ,: Y � Clty.I Campbell. State CA Zlp 95008 . : ' ,, pescrlpfio. L__ ENC2015 00190 " r Account Number, _ 104.2203 Amount _ $8,698.93 , =I - Accoilnt:Numb er 101`.2203 Amount t ... _ ' . ;l Account Number r' 101 540 74. Amount a (Fmnnce:Dephonly).: ilgtepesC Enrned'" I(Finence Dept only) - _ - TOta1 Payable (Exact Amountj` , r, 't' > .:'- P.urpose. ,a Check D'eposlt Refund ,, - i - Perrrilt# _ ENC2015 00190 _ _• Receipt# 260283 Date 9/9/201'5t 7„ s " , c 4 Receipt#' Dafe _ +. 4, _ - - , Y ' Requested by _ Title - Asst'Engineer Date` / . - Dons" u'al°Hoi s u. „ :. I . _ . A �ovedb r_ _ Tlfle Sr .Engineer Date . pW } t' pP Y Rog r orz ` F Q ,' Approved bY,:_' Title Clty Englnee� Date ' ti.,, . . - :Am` 1 t Y. Y ; `, ti ,*: f t Finance Dept Only - -,,,, ed by i. ' Title `Accounting CIeFk II > Date _ t Approved by- : x. _,Title Accountant- Date f.. • . • -y S s ruc nndl�n Check, 3 -.. C - - S ' Ma _ s Mau in Attached Envelope Interim Check 5 ` (� . !F - F f Needed{By , T t ; r n .. eturn To J.oAnna.Thomason Pubhc.,Works ;; ; f I* (Name) (Departure x Y '' Other Please;return`check;to;:JoAnria } t. :,r. sk , j , =, ., — s X ,l ,i f y. r F. c St ". '.. f .r - rI f,r` ` Ref undnbae Deposit Check= Request f r. ti "::-.,-I.,",:--�'"�'--.�'a-�--,,..,"",.-,.L._-7_"".-,""-_',":-.�.L'_"�.1,;�:.-.,J,�;..:..=,,..-�-��;:,�..,:�,:-,-,,",-,-f,-I.A":',�,,_.�",'�_.__"rj1.-'�--,.',�--,,-,-,!--I,�",__.;."--._�.'`r,*.,:-�"-A,..i"',-,.`-._..�.��..-._.�-:,.I'.-�—�-"�-_'.-�'_-l,'-.I�.,I,'1-,�;'-_..,,,;r_.,-,1":,--.�,�-,_-.-�-;�.'-..�',:-,1:---%1��..,..-.,`E"�,-,1'-�-.;,,-_.-.�.,�.._1"-.,-,:':I,,,-.,-"--:j"-j�,.,�".-..I,..,I 1,�.--".;K�...,_..,."-��.�.".,,-:-j'I,,...,-�—.,�.._�-�i.".,�._"-,l1;�,W,--,`.,-�,.-�..:';I-1,..�-�'-�,i 7,�._..._�"_-�,,-,,�-".'I-,",",,'.,-._...,.-�'..,.\-—,.,,-:_�4��,-,._�I-�.:_1,",,,�,.-.,-�,:---`.-:"_;-,-_,1-.��I:l,.-,-,.-I.I,-,.1 l-.--,�,�L,.,;--�-,,��:.,7:--"",,f,..-.:U..I-�,,�._-. r a. - - - ` k To F(nance D(rectoc � _ ,'� Check Payable To South Bay,Development ;j ,t ,y rA 'f 4 4 'i f - _ j.• -I f - . Address-Line-1: 1690 DeII-Ave _i :i 1me2:: ;" ; City Campbell' _ 1 State CA Zip 95008. i • Description:, ENd .15 00990 `` «: _ ii ! Account Number 101.2203 Amount $tS;69893' -.i�IQQ�O o , 'y Account Number 101'.2203 Amdunt = _ 1; Account Number .r 101 540 7448 Amount ti _ (FAnance.Deptonly)` s" Interes['Earned x _ _ ^(Emeuce Dept,only) r , :TotaFPayable _ _ ([k*t,Am ,:,) i Purpose Deposit Refunds;,` - _ - _ -.j S � 4 , tl ' Permit ENC20150.01.90 ` ( - V ' V Receipt# 261766 Date 9`2121/2015 I Receipt#_ ', 4; 200283 _ Date '.9/91id" '; [[�� pp__ '. Requested by �; T(tle City,lnspectoi^ ;Date , T,. `U SyedWhidr , ;, A roved b Titf .: e Sr.Engineer Date - .} pp Y, , ; `��' Rog tort - y -I- Ar - i. � 3. Approved by Title Cfty•Eng�neer Date: Amy I - - _ l t , ._ 4 •'l ,,I h f Fina'nce Dept Only i ,' Verified by _ _' Title Acconnt_mg Clerk.11.. . Date .- .. _ r g Approved by T(tle Accountant_ Date k_' u_ctions._ Fo_.r Handl�n_ Check: '� ;I. Ma�l'AS IS Mail.in'Atfachetl Envelope rim Check ; Need By - ;r Re rn To JoAnna Thomason , 4, -Public Works __-' _ y(Nam. Y' .�(Deparlment) _ er Please:retum:check to;.JoAnna• _, - ! :.r r �_ i tf -� " i ..' ,. , .. _ •+ +- y: - �; e B Syed Wahidi From: Doris Quai Hoi Sent: Friday, February 24, 2017 11:54 AM To: 'Michelle Crow' Cc: Michael Ingram; Michael O'Malley; Syed Wahidi;John Burchfiel Subject: R :`Creek d 2-- -Site Submittals Attachments: - AC Mi,p d f See attached. Please provide the PCC mix design. Doris C. 9uai Hoi Land Development Section, Public Worl<s Engineering 408-866-2157 From: Michelle Crow [mailto:mcrow@sbci.com] Sent: Friday, February 24, 2017 9:44 AM To: Doris Quai Hoi Cc: Michael Ingram; Michael O'Malley Subject: Creekside Off-Site Submittals Good Morning Doris, I have attached (3) Submittals for the Creekside Off-site work. They are as follows: 0220-01R—CT Recycled Class II Base Rock 0220-04R— Reed & Graham AC Mix Design 0220-05R—SS1h Fog Seal Specifications Please let me know if you need any additional information, or if you need me to bring you down hard copies. Thank You, Michelle Crow Project Engineer South Bay Construction (408) 874-2223 From: Doris Quai Hoi [mailto:dorisgh(a)cityofcampbell.com] Sent: Thursday, February 23, 2017 9:30 AM To: Michelle Crow i r Cc: Michael Ingram; Michael O'Malley Subject: RE: Creekside Off-Site Submittals Email is fine. S i,�ue,�ety, Doris C. `uai Hoi l._and Devc.10pl11e11t Section, Public%-Vorks Engi.neer.ing 408-806 21.57 From: Michelle Crow [mailto:mcrow(&sbci.com] Sent: Thursday, February 23, 2017 9:15 AM To: Doris Quai Hoi Cc: Michael Ingram; Michael O'Malley Subject: RE: Creekside Off-Site Submittals No problem. Would you like Hard Copies, or are emails okay? Thank You, Michelle Crow Project Engineer South Bay Construction (408) 874-2223 From: Doris Quai Hoi [mailto:dorisgh cityofcampbell.com] Sent: Thursday, February 23, 2017 8:34 AM To: Michelle Crow Cc: Michael Ingram; Michael O'Malley Subject: RE: Creekside Off-Site Submittals Yes, we need to verify the off-site work meets city standards. Doris C. (,)uai Hoi. Land Development Section, Public Worl<s Engineering 408-866-21157 From: Michelle Crow [mailto:mcrowC�sbci.com] Sent: Wednesday, February 22, 2017 9:38 AM To: Doris Quai Hoi z r Cc: Michael Ingram; Michael O'Malley Subject: Creekside Off-Site Submittals Hi Doris, I wanted to check in with you to see if we should be sending in submittals to you for the off-site materials for the Asphalt, the Fog Seal Material, and the Class 2 Base Rock. These items were approved a while back from our Civil Engineer, but it was for the on-site work. Thank You, Michelle Crow Project Engineer Main Office PH (408) 874-2223 1 CELL(408) 210-7664 1 FX (408) 379-3256 .CiOU'HSAY 1711 DELL AVENUE CAMPBELL, CA 95008 A REPUTATION BUILT ON TRUST. 408-379-5500 . e Er �`AZDCOST � �,� � ' ek WWW.SBCI. COM If you have received this e-mail in error please notify the sender immediately by reply e-mail and permanently delete this e-avail and any attachments tvithout reading.fa vardirtg or saving them. Do not share, copy,or otherwise use or disclose its contents. 3 i 1 REED & GRAHAM, INC. ,,) t vL)ver (e .� P.O.BOX5940 - 95150-5940 690 SU�JOL STREET - 95126�-3?51 ' pte�,! i S_ N JOSE•CALIFORNIA � FB G htt ?rv' r igiTic:cvr TELEPHONE:i408;287-1400 j •❑ I�� 1'ICE' TIOIf TAIIEN MAKE C01111ECT'tOPd9 N0= FAX(408)294-3E96 ° 0 11LIECUD ❑ REVISE AND RESUBMIT i Contractor: C6arDRAI�' / IVR DES,��IrmtrActa af:h Iho dogtepatt ^Trot 2122/2017 ©j�•�/) ro t r r npTlanco t='$ t'^e+ {nP.•rrtpllan rtt ap v �%L 111 cetQptjVl�$P Tf{ -MIS �?50 action Eto•-n 'a dla,rst to etru�`mittaT#: S13900 o'w a 0 `pecMcatlons. i i Y'•e contractor IS R1Nfi0rjSi}�!O for 9Lntrnatona w•`1cA a5o'1 hen'E•. rtd ; Attention: a%: Mike�Gnraav o 'o5 sft., taPrlcat� faoe3aene. •cn! tf5opni 9 Creekside of a not. .t.�n, co.'atnztinn ®t the work •..l,b 1!:C5 01 L�Ca 6w, Campbell i.'�d.en A the ra®tia:vetor! W'fl:.racrm.•4 o:,tf: w�o:k. BY® DA The mate Specificaa� p�J�1e•.�#oy�ot roject,indicat aboPe will meetthe 2010 Section 39 C'al�tran�s S`ta�nd�ard t orlft�r tF�rnt��4'()r�V(la�;gn um TypgeJ�,F�,P�t t i spfia['t` JOB MIX FORMULA FOR 19 MM(3/4��7CIIUIUM HMA TYPE A HMA FOR THE STATE OF CALIFORNIA SIEVE Percent Target Target Allowable Grading SIZE Passing Value Limits Values Tolerance Specification 25 mm (1") 100 100 100 19 mm (3/4") 96 90-100 94 TV±5 89-99 12.5 mm (1/2") 80 70-90 83 TV±6 77-89 4.75mm (#4) 55 45-55 55 TV±7 48-62 2.36 mm (#8) 33 32-40 36 TV±5 31-41 600pm (#30) 15 12-21 17 TV±4 13-21 75pm (#200) 4.0 2-7 4 TV±2 2-6 AGGREGATE PROPERTIES Test Result Specification Percent of Crushed Particles per CT 205 Coarse Aggregate-one fractured face 100 90%Min -two fractured faces 100 75%Min Los Angeles Rattler per CT 211 Loss @ 100 Revs. 5 12%Max Loss @ 500 Revs. 23 45%Max Sand Equivalent per CTM 217 65 y/ Min HMA MIX PROPERTIES ' Stability Value per CT CT 366 41 37 Min Air Voids @ 5.0%AC per CT 367 -4-2' +,01/0 , -10 Unit Weight 151.5 Ib/cuft o BIN PERCENTAGES Bin 1 41% Bin 3 20% Bin 2 24% 4 14% ! Mineral Filler 1% OIL:PG64-10 F 1 5.0% Aggregate Source:Vulcan Materia14-PI anto Sand Source: A.R.Wilson Quarry-Aromas Liquid Asphalt: Greka Refinery-Santa Maria PG_ 6 �.f (9 { CL� v If any further information is required, please call. Approved By, Submitted by, 1 I Eric Richard Salvador Lopez Quality Control Manager Senior Laboratory Technician -OVER 80 YEARS OF SERVICE TO THE ROAD CONSTRUCTION INDUSTRY- D REED & GRAHAM. INC. Fes" Ifver (D P.O.BOX 5940 - 95150-5940 590SUNOLSTREET 9512637 -��^°""`""' tr c�v rc �Qte SAPJ JOSE.CALl EB SITE:�tt� v, c.co ��taCORRC?to TELEPHONE:f408)28?�-!1'4 00 boa vE It to RRT6CYt ► o wiih tho d®mSa3a ccmeept . FAX I408;i 294-3696 �ht§ctitn4 in 0014 foe ogoneral eoutormanc Leon in ' gral cornplionce with tho informotiorr 43 Contractor: DUR pt�$�&� ra Aq ,,,IJC. lint+actions ehosrn le�a to th®2%22 20 7 748 Si'.. LLeWIN[)r€3rwinq® and $pocif3catiann. MILPITAS,CA 95035 � / YFo coalractor W eeananeffito for dtmons.nrte ocemseaiitt��i�'W&O '. 1'I v f A) ,. #at:rieat`.aa, , - � I i o,.•} 'o t ct t'_® a� of The erorh with that of allatio iUs i Attention: Mika CzarZ�hmrr t:cn, coon,ctor,s osto_onco ®f t'd projectEr Za? eksi a�� J� i idgy, tha iislactort7 6r `1 t/ (/t Location/Z �I I PRC1EC # CITY 6F CADIpaUt AL 1 The material supplied o�ragq pgro)ggy�dic�8r'6bovewill�i�e 0 eetion-a9-ftIt s Standard Specifications for 12.5 rn�'b/2�Ma)m a otMixAsphalt. JOB MIX FORMULA FOR 12.6 MM(112")MAXIMUM TYPE A HMA FOR THE STATE OF CALIFORNIA SIEVE Percent Target Target Allowable Grading SIZE Passing Value Limits Values Tolerance Specification 19 m m (3/4") 100 100 100 12.5mm (1/2") 98 95-99 95 TV±6 89-100 1 9.5 m m (3/8") 88 75-95 83 TV±6 77-89 4.75 mm (#4) 59 55-66 59 lV±7 52-66 {4 2.36 m m (#8) 41 38-49 42 TV±5 32-42 600pm (#30) 19 15-27 21 TV±4 17-25 75pm (#200) 4.0 2-8 4 TV±2 2-6 AGGREGATE PROPERTIES Test Result Specification Percent of Crushed Particles per CT 205 Coarse Aggregate-one fractured face 100 90%Min -two fractured faces 100 75%Min Los Angeles Rattler per CT 211 Loss @ 100 Revs. 5 12%Max Loss @ 500 Revs. 23 45%Max Sand Equivalent per CTM 217 65 (�,� Min Flat&Elongated Particles per ASTM D4791 0.0 10 Max j (by weight @ 5:1) HMA MIX PROPERTIES Stability Value per CT CT 366 41 37 Min Air Voids @ 4.0%AC per CT 367 a->'�,t� r3—W?l Unit Weight 148.31b/cult i BIN PERCENTAGES Bin 1 48% Bin 3 15% Bin 2 36% OIL:PG 0 5.2% Aggregate Source:VulcanAggregates� easanton Sand Source: AR.Wilson Quarry-Aromas l Liquid Asphalt: Greka-Santa Maria �`�� / If any further information is required,please call. Approved By, Submitted by, f Eric Richard Salvador Lopez Quality Control Manager Senior Laboratory Technician -OVER 80 YEARS OF SERVICE TO THE ROAD CONSTRUCTION INDUSTRY- REED & GRAHAM, INC. t` "j Ver ;D P.O.BOX 5940 - 95150-5940 , ; .v' fi90 SUN STREET - 95126-375-1 �te SW,1 1 . 'r SAN JOSE.CALIFORNIA SITE:http:l?*vvvurginc.com TELEPHONE:{408 287-1400 FAX:f406%294-3696 Contractor: DURAN&VENABLES, INC. Date: 2/17/2017 748 S. HILLVIEW DR. j MILPITAS,CA 95035 CertificateM S13887 Attention: Mike Garza Project: Creekside Location: Campbell The undiluted asphalt emulsion SS-1h to be supplied to the above reference projectconforms with Section 94 of the Caltrans Standard Specifications, 2010. Tests on Emulsion ASTM AASHTO Specification Saybolt Viscosity, @ 77°F, seconds D244 T59 20-100 Settlement, 5 days, % D244 T59 5.0 max Storage Stability, 1 day, % D244 T59 1.0 max Cement Mixing, % D244 T59 2.0 max i Sieve Test, % D244 T59 0.1 max j Residue by Distillation, % D244 T59 57 min Tests on Residue by Distillation Penetration @77°F, 100g, 5s, dmm D5 T49 40-90 Ductility @77°F, 50mm/min, mm D113 T51 400 min Solubility in Trichloroethylene, % D2042 T44 97.5 min _ I .INC, ExcrPTION TAK.EPTN Ate0 ]VLAvE COURCTfONS NOTM t ItG'i�'�T cZi 1�.'�'1':-n ' O ❑ r i n Q sr s?iuT i 6h clri is only far genet r) cnn{o^ante with the dosinn ccmcopi ; ut.t'.e r•ra: t ccai Grancrvzi ',C'M'{ience mi!h the ingC'�nvtFon gi•yen in ' tha rI ntreci -!o,fr•rn^sits. Anil. a!-tico Shhm n L eubiec? to the Yegt'.tsrL ! rncn!s. M t".er D;uw lqs atr.i StNe,cica?ions. ... ., rC:F.n i; rer.c�rrvi��r fnr �i-,_ns->nn wNch sL:r3 ho Coafi.rrr. d � 'L - -n. Pro -age:. rnl tschniq•:_ nt coas!:•, tion, cOo--'ilvr+ir^ of e work with t}ia+ of all other e•adas a.. th Jt i Isr iory (.3rlxr. r._. of tho wvors. OF CA!,1?3£LL £Rr:.71i T �J✓��1 DEPT. OF PUBLIC WORKS SUHMMAL# If any further information is required,please call. Approved By, Submitted by, Eric Richard Salvador Lopez Quality Control Manager Senior Laboratory Technician -OVER 80 YEARS OF SERVICE TO THE ROAD CONSTRUCTION INDUSTRY- j I . j ( G -.lam REED & GRAHAM, INC. � 1�ver u . P.O.BOX 5940 - 951511-5940 1390 SUNOL STREET - U.�i r 1"� CORIIECTi7T�ELLEPHO�t-- j�� Ote;` IITO gxc o Bh16Efi ❑ BflASB S.AN JOSE.CALIFORNIA � MIGH AND RT S r/ 1.,VEB SITE:http:V*wk+d.rgin �n CT0 ❑ E.(408 287-1400 -checlrtn7 Is 0017 for weneral coaforn-ce with the d"41n con 61F.P"":(408,294-3696 09 its Pcotoct cmd f3onerw comPtionce with We Wormatdon given to Rortltad dommenta. Aa7 actlan shown is subicat is the Contractor: DURAN&VENABLES, a aI the I?c®c,tngs a1DAteag�t02e2/17/2017 748 S. HILLVIEW DR. MILPITAS, CA 95035 T`,a cantractw to cesP� ta�Q[j it[af iSQn@SQ3��1`b®8 �` ed m"I con"INPd al tt'o 'a*. :�::e. (•1'rirn!nri, Prorosaeb rtctd ioehu'411 s 61 cyctstr�. dlon. come.watton al C:c "ark with lhcri 01 CU @MW Attention: Mike Garza tmj*4, acd Lbo P410110009 FFfdj 2t--nce 'N°e7csY P'� DY422LocationDATE 9.pig]ptell�� CITY OF cANINUE.L6 PROTECT# IDEPT. OF PUBLIC WORKS SUBMITTAL# m. ---- 19mm (3/4") Recycled C-lass-RAggregate Bagej-P FCIW rfi-ans 2010 Specs) GRADATION-CTM 202 SIEVE 25mm 19mm 12.5mm 9.5mm 4.75mm 2.36mm 1.18mm 600µm 300µm 150µm 751im %Passing 100 96 84 76 54 38 26 18 12 9 6.4 CT Spec. 100 100-90 35-60 10-30 2-9 SAND EQUIVALENT-CTM 217 DURABILITY INDEX -CTM 229 SE 62 SPEC.: Min 25 D,: 43 Di SPEC.: Min 35 LOS ANGELES RATTLIER-CTM 301 RESISTANCE(R-Value)-CTM 301 %loss @500 revs: 29.2% SPEC.: 50%Max R-Value: 83 SPEC.: 78 min PLASTICITY INDEX OF SOILS -ASTM D4318 MOISTURE CONTENT-CTM 226 Liquid Limit:na Pastic Limit:na Plasticity Index:NonPlastic MC: 4.0% MAX. DENSITY CURVE(ASTM D1557 METHOD C) SPECIMEN A B C D DRY UNIT WT.(pcf) 127.0 128.4 129.0 125.7 MOISTURE(%) 3.8 5.3 7.0 8.2 MAX.DRY DENSITY @ OPTIMUM MOISTURE(pcf) 128.4 OPTIMUM MOISTURE CONTENT(%) 7.0 100/o Saturated Curve-Estimated Sp.Gr. 2.465 i 134.0 D 132.0 _..._. N 130.0 \ - S 128.0 1 126.0 T 124.0 I i Y 122.0 " 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 MOISTURE CONTENT(%) I If any further information is required, please call. fi Approved By, Submitted by, I I Eric Richard Salvador Lopez Quality Control Manager Senior Laboratory Technician j I I -OVER 80 YEARS OF SERVICE TO THE ROAD COJ,JSTRUCTION IP•1DUSTRY- 8/2O/20l8 Fees Associated With 2:0814PM � ��-�� -�� Cswm#: ENC2015-00190 ceeaW ra VACA 7/1/2015 680/2016 Vacation ofSto. JtBuseo/ 101.7404722 JT 9/14/2015 2,480.00 0.00 '4SE2 7/l/2015 680/2016 Assess 8ug'Ea. /\dd'ILu 101.740.4722 JT 1/4/2016 5,400.00 0.00 PCl] 7/l/2015 6/30/2016 NonDtUP|nCk/loup>=5 101.740.4723 JT 1M/2016 '7,700.00 0.00 SZ)C 7/l/2015 680/2016 Storm Drain Fee'All 0tb 209.715.4721 JT 1/4/2016 97764 0.00 CASH 7/1/2015 688/2016 Construction Cash Depooi 1012203 JT 8/11/2016 0.00 4pRF 7/1/2015 6/30/2016 AppP|unDevPuelO0/sbc 101J40.4722 J7 10/24/2016 500.00 0.00 Total Due: $0'00 \ PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2016 TO: Finance PUBLIC WORKS FILE NC ENC2015-190 PROPERTY ADDRESS 675 Creekside Way Please collect&receipt for the following monies: ACCT. ITEM AMOUNT LAND DEVELOPMENT 4722 Encroachment ermlt Application Fee Non-Utility Encroachment Permit Major>_$10,000 $403.00 Minor Encroachment Permit<$10,000 $230.00 Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $230.00 Inspection Fee Minimum Charge per Location $398.00 Street Tree Planting/Removal N/C 2203 ($500 per Tree Planting Deposit Required) $500.00/tree 2203 Plan Check Deposit 2%of Engineer's Estimate $500.00 min Utility and R-1 Permits no deposit required 47221 Grading&Drainage Plan Review Single Family Lot $281.00 Site< 10,000 s.f. $841.00 Site>_10,000 s.f. <0.5 Acre $1,127.00 Site>_0.5 Acre $1,688.00 4722 NPDES Review C3 Requirements For projects not required to submit numeric sizing $163.00 For projects required to submit numeric sizing Impervious Area 10,000 S . Ft to 1 Acre $704.00 Impervious Area 1 Acre or more $918.00 4722 For projects sent to Consultant for review Consultant Cost+20% 4722 Additional treatment facilities $300 ea Plan Check& Inspection Fee(Non-Utility) 4722 Engr. Est. <$250,000 14%of Engineer's Estimate 4722 Engr. Est.>_$250,000 and<_$500,000 $35,000+8%of Engineers Estimate 4722 Engr. Est. >$500,000 $55,000+7%of Engineers Estimate 2203 Emergency Cash Deposit 4%of Engr. Est.*($500 min/$10,000 Max 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 4009.00+ 87 lot 4722 Final I ract Map 5 or MoreLots) 4,871.00+ 118 lot 2203 Monumentation Security 100%of Cit 's Monumentation Estimate 4920 Parkland Dedication Fee 75%/25% Due Upon Cert.of Occupancy) 4722 Lot Line Adjustment(Includes Certificate of Compliance) $1,893.00 4722 Vacation of Public Streets&Easements $2,530.00 4722 Certificate of Compliance $1,877.00 4722 Certificate of Correction $561.00 4722 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee (Grading Plans) $100/sheet Sheet 6,7,10,11,12 $ 500.00 4722 Appeal Filing Fee $200.00 4722 Notary Fee per signature) $10.00 4722 Assessment begregation or Heapporuonment First Split $895.00 Each Additional Lot $281.00 511.7424 Postage MISCELLANEOUS Other Please Specify) *Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $ 500.00 NAME OF APPLICANT South Bay Development /+ NAME OF PAYOFj ® S ,Q� I/4,C� PHONE !!,, ADDRESS I ZIP V KNELLS FARGO BAfVK N.A. FOR RECEI ED BY Gr:CITY CAS P6ELL ITY CLERK _ 4-1,218.5541.5 ONLY Date Receipt# At L J JU anaflnNPlan Chxk Cunmmn\1-S ifc Praxis-ACOw Pruecl in Prmirs\CreeluN167S7OSG MMPl.n Rer BLD2015 1314V dit,eWPl ,hxh G# OF GyRw «m; BY: CASHIER 01000266385 RaA: CRP/SD mRgIR S mk9S DATE; lelww REGISTER DATE: 1+1'y TIME; +:m . R«Q IA AAm ma 11I:a901 lm 9maASD FILING $mGm ---------------- TOTAL DUD »m.m . GmgD: $mGm Dq+: «m CHECK : $mEm REF NUN: mgG . 7 PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2017 TO: Finance PUBLIC WORKS FILE NO. tt ER� C 0 PROPERTY ADDRESS 1J7 Please collect&receipt for the following monies: ACCT. ITEM AMOUNT' LAND DEVELOPMENT 4722 Encroachment Permit Application Fee Non-Utility Encroachment Permit Ma'or>_$10 000 $425.00 Minor Encroachment Permit<$io,000 $240.00 Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $240.00 Inspection Fee Minimum Charge per Location $420.00 Street Tree Planting/Removal N/C 2203 $500 per Tree Planting Deposit Required $500.00/tree 2203 Plan Check Deposit 2%of Engineer's Estimate $500.00 min Utility and R-1 Permits no deposit required 4722 Gradinq&Drainage Plan Review Single Family Lot $295.00 Site<10,000 s.f. $885.00 Site>_10,000 s.f. <0.5 Acre $1,185.00 Site>_0.5 Acre $1 772.00 4722 NPDES Review C3 Requirements) For projects not required to submit numeric sizing $175.00 For protects required to submit numeric sizing Impervious Area 10,000 S . Ft to 1 Acre $740.00 Impervious Area 1 Acre or more $965.00 4722 For ro'ects sent to Consultant for review Consultant Cost+20% 4722 Additional treatment facilities $315 ea Plan Check& Inspection Fee(Non-Utility) 4722 En r. Est. <$250 000 14%of Engineer's Estimate 4722 Enqr. Est.>_$250,000 and<_$500,000 $35,000.00+8%of Engineers Estimate 4722 En r. Est. >$500 000 $55 000.00+7%of Engineers Estimate 2203 Emergency Cash Deposit 4%of En r. Est.*($500 min/$10 000 Max 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) $4,200.00+$90/lot 4722 Final Tract Ma 5 or More Lots) $5,115.00+$124/lot 2203 Monumentation Security 100%of City's Monumentation Estimate 4920 Parkland Dedication Fee(75%/25% Due Upon Cert. of Occupancy) 4722 Lot Line Adjustment(Includes certificate of Compliance) $1,990.00 4722 Vacation of Public Streets&Easements $2,700.00 4722 Certificate of Compliance $1,970.00 4722 Certificate of Correction $590.00 47221 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $100.00 4722 Approved Plan Revision Fee $100/sheet 4722 Appeal Filing Fee $200.00 730.4924 Notice of Improvement Obligation Payment 4722 Assessment Segregation or Keapportionment First Split $940.00 Each Additional Lot $295.00 511.74241 Postage•_____.._ _ ------ MISCELLANEOUS' '-� ��--- ��-^--�- - Other(Please Specify) *Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $ NAME OF APPLICANT NAME OF PAYOR APV - ADDRESS l` _L- -6 g7 ZIP FOR RECEIVED BY. CITY CLERK q ONLY Date Recei t# a-7 0 Ll 5 1 J'TORM kTemp ENTRAL SClPF1:M'�,YJI�l+liljll Y 5D11120 u'� TINNY'siC'N F1.F,C1'i W, ProjectNarme.- 67N (:rPA.ride Way Cups [ marll4yi•ojo.C't Nu.111be1% ProfectAddress: 6}5 Crukside Vhy (Fit muie this numaerwt►m taton`L Len trato eWerI i t>tVSt� 'CrbTti'1l;11volimtItwS CII,,-c ht Ivj,%ties110rs httt rtcC''ij tla llt.'lrsed IUa \marjmur ,ct Flease°svp tie reivor Imer ra goo rhr a"tema..,Gi1mL}m it's it1x C tuttltl 11C 11sve (,;i,a1lLlit��'a,ra�?rI•r; 41e;l l�s;b Ir cl:H:l � t,i at�;ttrn++IPrlt+'yea=t�a.r .>I��rr�fmn �.hcA usr d7d >hese alu'r-tt1'e uxeltlls. mix # Aw �� - . .14ix OIL sm-1ptihutn: US e•. %V/Cry l,aFlo: 0,49 j n,e%la" S:tength: $066 m' A p1mit; Sr rC l't:if r16f" 'tYrTF'i,r;ft" (t) 9steriaUCtxle ( CkyCrilati¢+ta SOUIce5UuialiiI tairantlr;' Yoluerr� G .f cri Ctnsnt A'ST1" Ctt3 I.e3ti la•F�Er�ta:ant�rta -,1G Fly P;I, �ASI M C 610 Ca'atis F' wfilPS�i l cur C'4 r:icr• ,-_ i41 Ada r,�, � C494 TY1.11 -1!W - i v,1; -C.9f tre1.tmi t - 1t.P,�tcr P Ccnti al r—J? �•�9 l L:narSr P. j'CE'4:tit' �ASI ,M L SA .•d57 W.mt4t'E22c L, Co dtronuo, !.e Ott (rt `+ f FinC,A, rt A`"T'`�", C.�3 f'ir+n�� IVuic,�rn 1'le�ti� uet -- W42 dlp Fanc m atc �it�'N, r_."3 mink A� Ifinsno-Pi r 104,•Orra 470 b d.i! •r�c,31� 1 atfrSl Pb '" Optional to be added upon mquerf I Si tic Freak ASTNI C 4-, T1ryre: f3&® tU h 4.tv -O AI;TM C-- 94 T}o+r r F[11f+1 • t i tw dr�M r�� ,;,.:5 air 6urryyM At 4 /its fpu 'i{N«71" t•�':d�f vrt� 4. 3 y! yL� R r - r° 9 RECEIVE'? LIAR 8 2017 DATE(MMIDDIYYYY) Ac"R" CERTIFICATE OF LIABILITY INSURANCE 3/1/2017 ISSUE THIS CE A EIS D AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONAPRODUCER Asero Insurance Services NAME: Asero Insurance Services 200 N. Almaden Blvd. 3rd Floor aCN o Ext: 866-966 8928 plc No: 408 271-1802 San Jose, CA 95110 E-MAIL ADDRESS: CertS aserOinS.Com - INSURER(S)AFFORDING COVERAGE NAIC# www.aseroins.com License No.OA91339 INSURERA: Allied World Assurance Co U.S. Inc. 19489 INSURED INSURER B: Travelers Property Casualty Co of Amer 25674 S B C C, I N C DBA South Bay Construction INsuReRc: Continental Insurance Company 35289 1711 Dell Avenue INSURERD: Campbell CA 95008 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 34476659 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBRTYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDPOLICY"Y LTR MM DDIYYYY LIMITS A V COMMERCIAL GENERAL LIABILITY 0309-4606 3/1/2017 3/1/2018 EACH OCCURRENCE $ .1,000,000 CLAIMS-MADE ❑✓ OCCUR PREM SES Eau e occnce $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY DT-810-8G380993-TIL-17 3/1/2017 3/1/2018 Ea acccidentSINGLELIMIT $ 1.000,000 ✓ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS ✓ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY ✓ AUTOS ONLY Per accident $ B / UMBRELLA LIAB V OCCUR ZUP-15S20818-17-NF 3/1/2017 3/1/2018 EACHOCCURRENCE - $ 5,000,000 EXCESS LIAB CLAIMS-MADE _ AGGREGATE $ 5,000,000 DED I ✓I RETENTION$10,000 $ B WORKERS COMPENSATION DT-JUB-8G380993-3-17 3/1/2017 3/1/2018 / STAfFERTUTE ERH AND EMPLOYERS'LIABILITY _ ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Leased/Rented Equipment 6024085132 3/1/2017 3/1/2018 Limit: $500,000 Dedt: $ 1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) SBC Job#2610-675&705 Creekside Way,Campbell,CA.95008 The City of Campbell,its agents,officers,attorneys,employees,officials and volunteers,Hamilton Campbell,LLC and South Bay Development are named as additional insureds Insurance is Primary where required by written contract. l "0 CERTIFICATE HOLDER CANCELLATION #2610 The City of Campbell SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y p THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. 70 North First Street Campbell CA 95008 AUTHORIZED REPRESENTATIVE Marko Trapani ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 34476659 1 17/18 All Lines I Stephanie Schelle= 1 3/l/2017 1:17:47 PM (PDT) I Page 1 of 6 AGENCY CUSTOMER ID: LOC#: ,d1C0 ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Asero Insurance Services S B C C,I N C DBA South Bay Construction POLICY NUMBER 1711 Dell Avenue Campbell CA 95008 CARRIER NAIC CODE EFFECTIVE DATE. ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE:Certificate of Liability(03/16) HOLDER:The City of Campbell City Clerk ADDRESS:70 North First Street Campbell CA 95008 General Liability Additional Insured as required by written contract per form CG 20 10 07 04 and CG 20 37 07 04 General Liability Insurance if Primary and Non-Contributory as required by written contract per form GL 00030 00 Workers' Compensation Waiver of Subrogation as required by written contract per form WC 99 03 76 (A) ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ATTACHMENT 34476659 1 17/18 All Lines I Stephanie Schelle= 1 3/1/2017 1:17:47 PM (PDT) I Page 2 of 6 AGENCY CUSTOMER ID: LOC#: A�® ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Asero Insurance Services S B C C. I N DBA South BCay Construction . POLICY NUMBER 1711 Dell Avenue Campbell CA 95008 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE:Certificate of Liability(03/16) HOLDER:The City of Campbell City Clerk ADDRESS:70 North First Street Campbell CA 95008 THIS PAGE INTENTIONALLY LEFT BLANK ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ATTACHMENT 39976659 1 17/18 All Lines I Stephanie Schaller 1 3/1/2017 1:17:47 PM (PDT) I Page 3 of 6 POLICY NUMBER: 0309-4606 COMMERCIAL GENERAL LIABILITY. INSURED: South Bay Construction CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR . ORGANIZATION This.endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ ization s : Locations Of Covered Operations (Where required by written contract) Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to-these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the. Schedule, but .only sions apply: with respect to liability for "bodily injury "property This insurance does not apply to "bodily injury" or damage"..or "personal and advertising injury" °property damage"occurring after: caused, in whole or in part, by: I. All work, including .materials, parts or equip- 1 Your acts or omissions; or ment furnished in connection with -such work,- 2. The acts or omissions of those acting on your on the project(other than service, maintenance - behalf; or repairs) to be performed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig= covered operations has been completed; or nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a_ principal as a part of the same project. CG 20 10 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 ❑ . 39976659 1 17/18 All Lines I Stephanie Schellex 1.3/l/2017 1:17:47 PM (PDT) I Page 4 of 6_ . . .. - . s C POLICY NUMBER: 0309-4606 COMMERCIAL GENERAL LIABILITY INSURED: South Bay Construction CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ ization s : Location And Description Of Completed Operations (Where required by written contract) . Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured. the person(s) or organization(s) shown in the Schedule, but only with respect to liability for"bodily injury' or"property dam- age" caused,.in whole or in part, by."your work" at the location designated and described in the sched- ule.of this endorsement performed for that additional insured and included in the "products-completed operations hazard". CG 20 37 07 04 ©ISO Properties, Inc., 2004. Page 1 of 1 ❑ 34476659 1.17118 All Lines I Stephanie Schellex 13/l/2017 1:17:47 PM (PDT) I Page 5 of 6 . . .. - POLICY NUMBER: 0309-4606 COMMERCIAL GENERAL LIABILITY THIS.ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT (PRIMARY AND NON-CONTRIBUTORY WHERE REQUIRED UNDER CONTRACT) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Section II_Who Is An Insured is amended to include any person or organization to whom you become obligated to include as an additional insured under this policy, as.a result of any contract or.agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy. However,the insurance provided will not exceed the lesser of: a. The coverage and/or limits of this policy; or b. The coverage and/or limits required by said contract or agreement. Coverage afforded to these additional insured parties will be primary to, and non-contributory with, any other insurance available to that person or organization where required of you by written contract or agreement. GL 00030 00 (10/09) 34476659 1 17/18 All Lines I Stephanie Schellex 1 3/l/2017 1:17:47 PM (PDT) I Page 6 of 6 - - . CENTRAL CONCRETE SUPPLY CO., INC. TICKET NUMBER Y ' Central NIAIN'OFFICE: ;/ r Bode 755 Stockton Avenue, „r ilk m1� CONCRETE SUPPLY COMPANY WestSide San Jose , CA 95126 _ 1 866-404-1�000 a U.S.CONCRETE conaPAW WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO RESIGNED IF DELIVERY TO BE MADE INSIDE CU INE EXCESSIVE WATER IS DETRIMENTAL prolonged contact with skin.In case of contact with skin or eyes,Flush thoroughly with water.If TO CONCRETE PERFORMANCE. Irritation persists,get medical attention.KEEP CHILDRENAWAY. Dear Customer—The size and weight of this truck could c e to the CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you de -.It is our wish PURCHASER UPON LEAVING THE PLANT.ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are esting that you INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from. X 4 WE DO,NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, REQUESTOR'S NAME ':CONCRETEAS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to _ COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter;lhe ;e ,used in any particular environment or soil conditions orthat the concrete is fit for any particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA ,Selection of the,mix design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and responsibility of the Customer,and we assume no liability therefore. FULL.LOAD '/<LOAD %LOAD 1/4 LOAD all damage to the premises and/or adjacent property which may be claimed by anyone' PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order. STANDARD SPECIFICATIONS FOR READY MIX.CONCRETE ASTM.ANY DE-ICING , MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A (GALLONS) (GALLONS)" (GALLONS) (GALLONS) DECREASE IN STRENGTH.NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ-THE HEALTH WARNING SIGNED: X TEST RESULTS NOTICEAND SUPPLIER WILL NOT BE RESPONSIBLE FORANY DAMAGE CAUSED WHEN ' DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGEDAT CURRENT DELAY SLUMP CONC.TEMP. AIR RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured, SIGNING THIS DELIVERY TICKET BEFORE POURING. or counted by a weighmasldr,whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES "❑ NO LOAD RECEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB: Division 5 of the California Business and Professions Code;administered by the Division X of Measurement Standards of the California Department of Food and Agriculture. CUSTOMER _ CUSTOMER CODE DELIVERYADDRESS I i=.1•�P'd�'1`;�t.�Y�l(__�_{.�9_! f i- .l.{a ._.::diii_4� )! .. PROJECT NAME PROJECT CODE )1 CUSTOMER P.O.#. SPECIAL INSTRUCTIONS x. !{:.x.x. !}T N- I_(1 5 (P IR E 1"1) .,01 j i:'" M"' '✓ I ID 1-11"i1 !._1... M l'!r, i i 1">t i,...:131 I ( s..J CUSTOMER JOB ID# RETURNED CONCRETE LOAD QUANTITY ORDERED QTY,,: CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE ii t? "r lri F.E I�l'?�.L. :)frj P`' � 1\i`.11,frC)INSE N rj';lG'I 4i-S !CIFt•i`L.O P it, - BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE,GODE SUB TOTAL TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX 4 T31�1.i.1,_•J 1 J('.Q12 1 DATE ORDER# PLANT TRUCK # DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL !71_1 J� ',i"1 J 1. 'E.i-„-. L-i(-'I R Z1-'i•, Cl•+N e_:._f-ejC-1 I DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER- WEIGHMASTER CERTIFICATE# tPli lC.tlt_,_t 9, ,.,iJE III IIIIII IIIII 4 5,'t'i L.jt`_-.I.�.•N` L.,11I a Ci-11,.!J0, A. `.) Material" escriyfz on 1}L'.ic�rt G?tu fter,liit°e l Pia ch?u % vay1 Moisture Ache+-I,Oat 15527502 C11C"ttd� C i5+ i �F £iJ'1' 423 lb I G lb- 1iI5 lh I�,59Y CURISr',123 C61U Ty F.Rsh 141 ib e35 lu 6=45 1b 1.6;11 Xul+11122 C'a94 T@e : F WNR 2J,NIJ 103,co 07 1 fii,,00 -0,48,1 �!�•Tr� Ea;aTE=�;—;;lL'� °�.� r i .� a 1 �� g 1 , C ;::; F?f',Lr.9a 4042 16 48914 .n 4760 63 lb -0. 3:84, A !lU6LDAB C j3 F11:E -470 1 b 21 C78 i b 2152Vi lb -a.K% 2.49% A C-16 :=' l ATER 3 1..1 ss fit 113.E g1 103.1 91 •-o"YN wt:,.3 qs (-tf_al Pd1Jo 8= zi�ess ?' tlanual 14,3`+.I Load Itotai: 1794E 1b Design 1.4,08 Later/f:j:Dent 0.404 T `- I' Des;a!1 1A3 5 n1 Pict fia1 125.0 P, To MM- 23.5 gl 311�w(!; 4.tn t in !ata- in Tru-k., 0.0 y1 Rditsst t4atnr- 0.GJ gl / Me.24 Tr D d?aGe:^: -5.0 y1/ ti;`r`D I.'PAYMENT TERMS:TAXES.Customer shall pay to Supplier alf amounts due under these terms and conditions(the"Terms") regarding the sale and delivery of the products,materials and supplies listed on the reverse side(the`Products"),including all taxes applicable to the sale of such Products,within 30 days of the delivery date.All such amounts not paid within days of delivery will bear interest up to the maximum rate allowable by applicable law.Customer agrees to pay all collection costs,' including attomey's fees,sheriffs fees and court costs,incurred by Supplier in connection with any attempt by Supplier to collect - - any amounts due underthese Terms.All payments shall first be applied to unpaid finance charges with the balsnce being applied - to unpaid principal debt. Customer shall pay to Supplier a returned check fee In the amount of S30.00 for each of Supplier's - WARNING: checks dishonored for any reason. 2. DELIVERY. May Cause Cancer .a. It is agreed that Seller is todeliver the materials and supplies only to the curb or public street line to which the relevant lot - May Cause damage to Organs adjoins.If Purchaser,or an employee,agent or contractor of Pcrchaser(a"Representative")requests delivery of said materials Causes skin burns and'eye damage . and supplies beyond the curb or public street-on and over private property;such service is additional service preformed by Seller for the Purchaser,and Purchaser(i)shall maintain,or cause to.be maintained safe,suitable and sufficient means of access for - - Seller's trucks at the requested and directed points of discharge in order:to safely discharge the ordered product(s);and(i)as ..This product contains crystalline silica.Prolonged and repeated breathing of crystalline silica dust can cause a progressive consideration for the additional services,hereby releases;indemnifies,and holds harmless Seller and its Representatives from lung disease called silicosis, - and against any and all liability fordamages to such third party's property which may fesult front the movement of Seller's delivery trucks over sidewalks,driveways or any part of the third parry's premises.If wrecker service is necessary,all such vests shall be Several scientific organizations have reported that prolonged and repeated exposure to respirable dust containing crystalline the responsibility of the Purchaser. silica can Cause lung Cancer. b. Upon arrival and if required,Customer shall designate to Supplier's driver a safe place where the delivery truck equipment Silicosis or lung cancer can result in permanent Injury or death. • ' can be washed out after discharge of the ordered concrete before it can leave the site,which area shall become the sole responsibility of,Customer for ultimate cleanup and remove of any residual concrete that may be left as a result of such necessary To reduce the risk of injury,prevent excess and repeated exposure to dust or use a NIOSH approved respirator as describer cleaning process. - In the SDS. , c. Concrete and flowable fill are perishable commodities and become the property of Customer upon leaving Supplier's plant.It The risk of silicosis Is dependent upon the duration and levels of silica exposure. - - Is Customer's responsibllily to protect freshly poured concrete from freezing during the first seven days after delivery, -- , d. Supplier will reasonably attempt to adhere to the estimated delivery schedule;however Supplier shall not be responsible for Do not handle until all,safety precautions have been read and understood. any claims for damages for failure to do so.Handwritten delivery times on the reverse side are for reference only,and Supplier's California Prop 65 WARNING;This product contains chemicals known to the State of California to cause cancer ane GPS System will be the source of official delivery times. birth defects or other reproductive harm.Wash hands after handling, e. Customer shall pay to Supplier,in addition to all other amounts,at Supplier's prevailing hourly delivery rate as calculated in - one-quarter hour intervals,for all(1)waiting time caused by the Customer's delaying and/or holding the departure of Supplier's Review the SDS before using or handling this product.SDS's are available on our website at www.us- ' delivery trucks at the plant and/or delaying and/or holding discharge upon arrival at the delivery location,and(ii)unloading time In excess of five minutes per yard. _ - COncrete.Com. f. Customer is responsible for obtaining any and all required permits.. - 3. WARRANTY:INDEMNITY. First Aid a. EXCEPT AS OTHERWISE STATED IN THIS SECTION-3,SUPPLIER WARRANTS THAT THE PRODUCT(S)SOLD PURSUANT HERETO SHALL CONFORM WITH THE PRECISE DESCRIPTION OF THE PRODUCT(S)THATAPPEARS ON THE If inhaled,remove person to fresh air.Contact a physician if irritation persists or develops later FACE OFTHIS DELIVERY TICKET WHEN TESTED AND SAMPLED IN ACCORDANCE WITH SECTION 3.b.HEREOF.SUPPLIER If on skin(or hair)remove/take off immediately all contaminated clothing.Rinse skin with water/shower HEREBY EXPRESSLY DISCLAIMS ANY AND ALL OTHER WARRANTIES,WHETHER EXPRESS OR IMPLIED IN NATURE, If in eyes,dose cautious) with water for several minutes.Remove contact lenses,If resent and easy to do.Continue rinsinr INCLUDING BUT NOT LIMITED TO ANY WARRANTY OR MERCHANTABILITY AND/OR FITNESS,FOR A PARTICULAR Y Y P Y PURPOSE UNDERTHE UNIFORM COMMERCIAL CODE. If swallowed,rinse mouth.Do not induce vomiting. _ 'b. Concrete shall be tested in accordance with ASTM standards. Testing samples shall be taken at Supplier's plant which is - producing the concrete or from the delivery truck at the point of discharge(without the addition of any water to the mix following - delivery)in the presence of an authorized representative of Supplier. c. With respect to ready-mixed concrete,Supplier shall not be liable,pursuant to a breach of the above warranty,or otherwise, - _for any liabilities,damages or other claims whatsoever resulting from:,(i)the deviation from applicable ACI standards for placement,finishing,protection and curing,JolnUng techniques,or any other factors beyond Supplier's control;(ii)any alteration of the concrete by the addition of any materials(including,without limitation,water,additives,chemicals,etc.)other than those provided by and/or approved by Supplien(iii)any concrete mix designs provided by Customer or its Representatives;unless such - -' mix design is tested and certified by Supplier;or(Iv)any color variations due to ambient,envlronmental,placement and curing ' practices and/orjobsite conditions outside the control of the Supplier. d. Customer shall Indemnify,defend and save harmless Supplier,its officers,agents and employees,from all claims,damages, - -- - -- liability,actions,loss,costs,and expenses,Including attorney's fees,arising out of the use of the concrete,Including,but not ' limited to,those asserted by the end user of this concrete,except for the sole negligence or willful misconduct of Supplier. ADVERTENCIA: e. Acceptance and use of this delivery shall constitute the Customer's acceptance of the above-menfloned terms and conditions - _. Puede causar el cbncef - -of this warranty and indemnity and any Inconsistent terms shall not be binding on Supplier. - PUede CBUSar dafi0 a OrganOS -I. Customer shall make any claims for(1)shortage at the time of actual discharge by so indicating such protest upon the face of La fiat de causes se uema dano de o 0 this delivery ticket;or(ii)the lack of product yield of the discharged concrete to Supplier by doing so in writing within forty-eight P q Y j (48)hours of the time that the concrete has been discharged and accepted. 4. LIMITATION OF LIABILITY. a. SUPPLIER SHALL NOT BE LIABLE IN ANY EVENT OR FOR ANY REASON,INCLUDING BREACH OF THESE TERMS, Este producto contiene la silica Crlstalina.La respiracibn prolongada y repetida dat polvo de since cristallno puede Causer EITHER DIRECTLY OR INDIRECTLY,TO CUSTOMER OR ANY THIRD PARTY FOR ANY SPECIAL,INDIRECT,INCIDENTAL, Una enf@fin@dad pUlmOnar prOg(eSIVa Ilamada la SILICOSIS. PUNITIVE,EXEMPLARY OR CONSEQUENTIAL DAMAGES OR LOSS OF PROFITS ARISING OUT OF THESE TERMS,EVEN IF SUCH DAMAGES WERE FORESEEABLE OR SUPPLIER HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH ° Varias organizaciones cientificas han relatado qua la exposid6n prolongada y repetida at polvo de respirable que contiene li DAMAGES.IT IS EXPRESSLYAGREED THAT SUPPLIER SHALL NOT,UNDERANY CIRCUMSTANCES,BE LIABLE TOANY spice cristalina puede causer el cbncer pulmonar. PARTY FOR AN AMOUNT GREATER THAN THE NET PURCHASE PRICE OF-THE PRODUCT. b. In the event the product does not conform to the precise descdptlon set forth on the face of this delivery ticket,then Supplier E•Silicosis o ebncer pu monar puede causar a herida permanence o la muerte. 'shall,in Its sole and absolute discretion,either replace such product with conforming product,or refund the amount of the Para reducir el desgo de herida,prevenga el exceso y la exposition repetida pare quitar el polvo o user un NIOSH aprob6 e purchase price,or give a credit in a like amount to the account of the Customer with no further liability,including but not limited to fespirador Como descrito en el SDS. any claims for damage or destruction to other property that may be caused by the removal of the nonconforming product,breach of contract,breach of warranty or any other damage,delay or penalty claims. El riesgo de silicosis es el dependiente sobre la durac116n y los niveles de la exposid6n de silica. c. Supplier,without prior notification to the buyer,reserves the right to change or modify mix designs for any of its manufactured No se manejan hasta que todas las medidas de seguridad hayan silo leidas y entendidas products.Customer acknowledges that changes to the mix designs may alter weights,appearance and color.Raw material puntal de California 65 ADUERTENCIA:Este producto contiene roductos uimicos conocidos al Estado de suppliers cannot guarantee the color consistency of a natural product extracted from the earth.Supplier does not guarantee color P P q uniformity or guarantee against stains due to eforescerim or other,reasons for any of the materials delivered. California causar.cancer y defectos de nacimiento u otro dano reproductive.Lave manos despues del manejo. 5. FORCE MAJEURE.Neither party shall be liable.for failure or delay in performing obligations set forth'in these Terms,and Los Examinan el SDS antes de user o manejar este producto.El SDS'S est6 disponible en nuestro sitio Web en www.us neither party shall be deemed In breach of its obligations,if such failure or delay is due to natural disasters,strike,lock-out,or other industrial or transportational disturbances,law,regulation or ordinance,or any causes reasonably beyond the control of Concrete.com. such parry. 6. ENTIRE AGREEMENT.These Terms constitutes the entire agreement between the parties and supersedes any and all other' Primeros auxilios - agreements,either oral or written with respect to the subject matter hereof. 7. ARBITRATION•GOVERNING LAW.The parties agree to attempt,in good faith,to resolve any claims or disputes relating to De set inhalado,quite a la persona al afire fresco.P6ngase en conlacto con un mbdico si la irritation persiste o se desamolia these terms promptly by negotiation between an executive selected by,each of the parties.If the executives fail to resolve the m2s tarde - - claim or dispute within thirty(30)days of first attempting to do so,then it shall be submitted to and settled by final,binding and Si en la piel(o pelo)quitanitoman de inmediatamente toda la rope contaminada.Pie[de aclarado exclusive arbitration in Harris County,State of Texas,under the Commercial Arbitration Rules of the American Arbitration Association then in effect.The laws of the State of Texas shall govern without regard to its conflicts of law principles.The ° Si en ojos,aciare con cautela con e[echar ague durante varios minutes.Quite lentes de contacto,s[presente y facil pare prevailing party may enter anyarbitral award or decision as a judgment in any court of competentjurisdiction and any such award — hater.Slga aclarando • or decision shall be enforceable by such court.The non-prevailing party shall bear the fees and expenses of the arbitrator and the ' arbitration.NO ACTIONS,OR:.PROCEEDINGS, INCLUDING ARBITRATION,ARISING FROM THESE TERMS MAY BE De ser ingerido,aclare la boca.No induzca v6mitos. BROUGHT BY CUSTOMERiMORE THAN TWO(2)YEARS AFTER CUSTOMER KNEW OF SHOULD HAVE KNOWN OF THE CAUSE OF ACTION. 8. MISCELL tijls.tSupp)ler is eh Inddoendenl contractor of Customer,and nothing contained in these Terms is Intended to create the relationship of prigcipalarid agent.partners orjoint venturers,or any other fiduciary relationship between Supplier and Customer.If any provrsiori herein is held to be illegal,invalid or unenforceable under present or future laws,such provision shall he fully severable and these Terms shall be construed and enforced as if such provision had never been a part hereof.The failure of either party to enforce any provision of these Terms shall not be construed as a waiver or limitation of that parys right to USER AGREES TO CONVEY THIS WARNING TO ALL'PERSONS WHO MAY PURCHASE,USE,OR COME IN CONTACT subsequently enforce and compel strict compliance with every provision of these Terms. WITH WET(UNHARDENED)CONCRETE,MORTAR,CEMENT OR CEMENT MIXTURES. CENTRAL CONCRETE SUPPLY CO., INC. TICKET NUMBER Central MAIN OFFICE: Bode � 755 Stockton Avenue, COIVCRETESUPPLYCOMPANY Westside San Jose, CA.'95126 1 -866-404-1000 � - fi-,1�4��1�.�;!I I ff��14�•!�fit a U.S.CONCRETE coMPANY .n - f WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE y WATER ADDED AT CUSTOMER,REQUEST boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURBLINE) EXCESSIVE WATER IS DETRIMENTAL prolonged contact with skin.In case of wntacl with skin oPeyes,flush thoroughly with water.If TO CONCRETE PERFORMANCE. Irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer-The size and weight of this truck could`cause'damage to the CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property,if this load is placed where you,desire.It is our wish PURCHASER UPON LEAVING THE PLANT.ANY CHANGESIOR CANCELLATION OF ORIGINAL to help you In every way that wed Can,but in order to do this we are requesting thafy0u INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and Its affiliates from any responsibility from X" WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD:OF damage that may occur to the premises and/or adjacent property;'buildings,sidewalks, REOUESTOR'S NAME CONCRETEAS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that y'du also agree to COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the used in any particular environment or soil conditions orthatthe concrete isfitforany particularuse. public street.Further,as additional consideration;the undersigned agrees to indemnify SA • _ Selection of the mix design and/or specification of the mix design parameters are solely the and hold harmless the driver of this[ruck and this supplier and its affiliates for.any and responsibility of,the Customer,and we assume no liability therefore. all damage to the premises and/or adjacent property which may be claimed by anyone FULL,LOAD P/.LOAD %LOAD %LOAD . PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order. 7 STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM. ANY DE-ICING MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A DECREASE IN STRENGTH. (GALLONS) (GALLONS) (GALLONS) (GALLONS) yy NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: A TEST RESULTS NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN - DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY - SLUMP CONC.TEMP. AIR% RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured, SIGNING THIS DELIVERY TICKET BEFORE POURING. or counted by a weighmastei,whose signature is on this certificate,who is a recognized _CYLINDERS TAKEN: ❑YES ❑ NO LOAD RECEIVED BY: .. authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of •.NAME OF TESTING LAB: Division 5 of the California Business and Professions Code,administered by the Division X of Measurement Standards of the California Department of Food and Agriculture. CUSTOMER ;1_IL li-.i �_•1^:-�•L.i I CUST.OMER-CODE-; DELIVERYADDRESS 4 PROJECT NAME PROJECT CODE E-;`5 )CR:.::_!'', I;P.' j:F'!!t`:F';-':;.........__ CUSTOMER P.O.# SPECIAL INSTRUCTIONS. w 3 :( .I l 'I";, '. J.I._l%.-1`r 1`i I. )_j, .. CUSTOMER•JOB ID# RETURNED CONCRETE LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE v 't z Z.- _ � a ; , 1 �tA� .avd it)ofe A'6( v - 1 ` BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL 'i DRUM REV-AT PLANT DRUM REV-START- DRUM REV-FINISH DEPUTY WEIGHMASTER WEIGHMASTER CERTIFICATE# jr'Ti v `I•� -y-; El1... ai s - _ - r- 1 J.UCy� i III IIIIIIIIIIIIII�IIIIII q r 17 i wa_' �J p:� M ( i r. 9( LrlcriQtinr esign 6j„ h_ Jit`:t� C:iis Jar' i•„ :sl.ti'e i tlai -_t 15527485 Eim[`.r) !' ?a1, j't`l,-, H/V ii'D 1:? �,' i10 3�1:t[t iJ el.[T+=',% ('II c - IC }r ' -- j� 14 I, t, 1•2;-,r 1 121 8', 14 5r1-H 1��CJ J.L� {'j'Q r ?ti:l A'�7,. -.0 J 1� .L',,{ ) h iyi�t__ `•k9-4 T()e H,E' �tV ri C,i.is"(, {)= Gt7:. is Z 0v 00 t};` C ii 57 1_0 )�± :{D 60i it) �.�?ia I i] - 37 C N �,G- f b r('c-• n••' _f. -tc� E f�•,J v�' L :}J l �!'�L 1-f I i.. Ll! �UJ: iI� 7�..i�'� 1,�) iI.,.I�t'a '� ._}t° L j 'T)1 Ijl A/' IE rt/''I(1 '2'7 t�,f' ��}}`ice f7jj:'' }}.... r,T:7i h �r(e, }, ��q FIG D .1`.�y,. ;1 tl:.�L)_r"IJ L+J' Fi:_ You�. ;ik) �i1 T.-::�. � 1 '1J_•c' a4l 0.V'_1A 2.;._ i1 z r (:-11_G++ TLI: 1.1 so ;1 OF, e.). cCUf,,.l Pc',I_'cI ttin u•::ts rl?@_. 1 I(diiii?. ,y?1, c y! fl%• t: t 0 I 1� j 1O t I.3 / Prr 'b :t,S; �� r - 7 '� V h d ;r3.3� f_ -�r'•11 IF•s lesirn .. ft,•� E",.a'IrrC >,e;tt c•, � '�" �`esign �'3 .1u �l ILtc.a'1 i�jt,�' yi. iv I:,a =13,0 eI c•j'ly Jpn ie WHt+a' e g1 , :l tt.'a.., k,Gi �� t 1 C 1 `19 r Lr— J f1,/ tYD r, l , I 1. PAYMENT TERMS:TAXES.Customer shall pay to Supplier all amounts due under these terms and conditions(the"Tienns') regarding the sale and delivery of the products,materials and supplies listed on the reverse side(the"ErQQggrs"),including all taxes applicable to the.sale of such Products,within 30 days of the delivery date.All such amounts not paid within 30 days of delivery will bear interest up to the maximum rate allowable by applicable law.Customer agrees to pay all collection costs, _ including attorneys fees,sheriffs fees and court costs,incurred by Supplier In connection with any attempt by Supplier to collect 7 tth - any amounts due under these Terms.All payments shall first be applied to unpaid finance charges with the balance being applied to unpaid principal debt. Customer shall pay to Supplier a returned check fee in the amount of S30.00 for each of Supplier's WARNING: checks dishonored for any reason. May cause cancer 2. DELIVERY. a. It Is agreed that Seller is to deliver the materials and supplies only to the curb or public street line to which the relevant lot.. May Cause damage to organs adjoins.If Purchaser,or an employee,agent or contractor of Purchaser(a"Representative")requests delivery of said materials Causes skin bums and eye damage and supplies beyond the curb or public street on and over private property,such service is additional service preformed by Seller' , for the Purchaser,and Purchaser(I)shall maintain,or cause to be maintained safe,suitable and sufficient means of access for - -- - Seller's trucks at the requested and directed points of discharge in order to safely discharge the ordered product(s);and(ii),as ThIS pfOduct COntalns crystalline silica,Prolonged and repeated breathing of crystalline silica dust Can cause a progressive consideration for the additional services,hereby releases;indemnifies,and holds harmless Seller and Its Representatives from lung disease called slllcosls. and against any and all liability for damages to such third parry's property which may result from the movement of Seller's delivery Several scientific organizations have reported that prolonged and repeated exposure to respirable dust containing c stallinE trucks over sidewalks,driveways or any part of the third partys premises.If wrecker service is necessary,all such costs shall be 9 P P 9 P P P 9 ry the responsibility of the Purchaser. silica can Cause lung cancer. b, Upon arrival and if required,Customer shall designate to Supplier's driver a safe place where the delivery truck equipment Silicosis or lung cancer can result in permanent injury or death. can be washed cut after discharge of the ordered concrete before it can leave the site,which area shall become the sole responsibility of Customer for ultimate cleanup and remove of any residual concrete that may be left as a result of such necessary To reduce the risk of injury,prevent excess and repeated exposure to dust or use a NIOSH approved respirator as describe( cleaning process. In the SDS. c. ,Concrete and flowable fill are perishable commodities and become the property of Customer upon leaving Supplier's plant.It. The risk of silicosis is dependent upon the duration and levels of silica exposure. ' is Customer's responsibility to protect freshly poured concrete from freezing during the first seven days after delivery. , d. Supplier will reasonably attempt to adhere to the estimated delivery schedule;however Supplier shall not be responsible for Do not handle until all safety precautions have been read and understood ariy claims for damages for failure to do so.handwritten delivery times on the reverse side are for reference only,and Supplier's California Prop 65 WARNING;This product contains chemicals known to the State of California to cause cancer anc DIPS System will be the source of official delivery times. birth defects or other reproductive harm.Wash hands after handling. ' e. Customer shall pay to Supplier,in addition to all other amounts,at Supplier's prevailing hourly delivery rate as calculated in one-quarter hour intervals,for all(I)waiting time caused.by the Customer's delaying and/or holding the departure of Supplier's Review the SDS before using or handling this product.SDS's are available on our website at www.us- delivery'trucks at the plant and/or delaying and/or holding discharge upon arrival at the delivery location,and(ii)unloading time in excess of five minutes per yard. concrete.tofu. I. Customer is responsible for obtaining any and all required penults. _ 3. WARRANTY:INDEMNITY. First Aid a. EXCEPT:AS OTHERWISE STATED IN THIS SECTION 3, SUPPLIER WARRANTS THAT THE PRODUCT(S)SOLD If inhaled,remove arson to fresh air.Contact a physician if persists or develops later PURSUANT HERETO SHALL CONFORM WITH THE PRECISE DESCRIPTION OF THE PRODUCT(S)THAT APPEARS ON THE P P Y P P FACE OF THIS DELIVERY TICKET WHEN TESTED AND SAMPLED IN ACCORDANCE WITH SECTION 3.1b.HEREOF.SUPPLIER • If on skin(or hair)removeltake off immediately all contaminated clothing.Rinse skin with water/shower HEREBY EXPRESSLY DISCLAIMS ANY AND ALL OTHER WARRANTIES,WHETHER EXPRESS OR IMPLIED IN NATURE, • If In eyes,rinse cautious) with water for several minutes.Remove contact lenses,if resent and easy-to to do.Continue rinsing INCLUDING BUT NOT LIMITED TO ANY WARRANTY OR MERCHANTABILITY AND/OR FITNESS FOR A PARTICULAR Y Y P Y PURPOSE UNDER THE UNIFORM COMMERCIAL CODE. If swallowed;rinse mouth.Do not induce vomiting. b. Concrete shall be tested in accordance with ASTM standards. Testing samples shall be taken at Supplier's plant which is - producing the concrete or from the delivery truck at the point of discharge(without the addition of any water to the mix fall owing delivery)in the presence of an authorized representative of Supplier. c. With respect to ready-mixed concrete,Supplier shall not be liable,pursuant to a breach of the above warranty,or otherwise, 'Z for any liabilities,damages or other claims whatsoever resulting from:(1)the deviation from applicable ACI standards for placement,finishing,protection and curing,Jointing techniques,or any other factors beyond Supplier's control;(ii)any alteration of the concrete by the addition of any materials(including,without limitation,water,additives,chemicals,etc.)other than those /,y��,�'y.�� provided by and/or approved by Supplier,(iii)any concrete mix designs provided by Customer or its Representatives,unless such r a mix design Is tested and certified by Supplier;or(iv)any color variations due to ambient,environmental,placement and curing practices and/orjobsite conditions outside the control of the Supplier. \V�"/ d. Customer shall Indemnify,defend and save harmless Supplier,Its officers,agents and employees,from all claims,damages, liability,actions,loss,costs,and expenses,Including attorney's fees,arising out of the use of the concrete,Including,but not limited to,those asserted by the end user of this concrete,except for the sole negligence or willful misconduct of Supplier. ADVERTENCIA: e. Acceptance and use of this delivery shall constitute the Customer's acceptance of the above-mentioned terms and conditions _ Puede causar el cancer . of this warranty and indemnity and any inconsistent terms shall notbe binding on Supplier. Puede causar dali0 a 6rganos f. Customer shall make any claims for(i)shortage at the time of actual discharge by so indicating such protest upon the face of La jel de causas se uema daifo de o o this delivery ticket;or(ii)the lack of product yield of the discharged concrete to Supplier by doing so in writing within forty-eight P q Y 1 (48)hours of the time that the concrete has been discharged and accepted. 4. LIMITATION OF LIABILITY. a. SUPPLIER SHALL NOT BE LIABLE IN ANY EVENT OR FOR ANY REASON,INCLUDING BREACH OF THESE TERMS, Este producto contlene la slllce crystallna.La resplraci6n prolongada y repetida del polvo de sil]ce crystallno puede causar EITHER DIRECTLY OR INDIRECTLY,TO CUSTOMER OR ANY THIRD PARTY FOR ANY SPECIAL,INDIRECT,INCIDENTAL, Line enfermedad pulmonar prOgfeSlVa Ilamada la SIIICOSIs. PUNITIVE,EXEMPLARY OR CONSEQUENTIAL DAMAGES OR LOSS OF PROFITS ARISING OUT OF THESE TERMS,EVEN IF SUCH DAMAGES WERE FORESEEABLE OR SUPPLIER HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH Varias organizaciones cientificas han relatado quo la exposici6n prolongada y repetida al polvo de respirable que contlene II DAMAGES.IT IS EXPRESSLY AGREED THAT SUPPLIER SHALL NOT,UNDER ANY CIRCUMSTANCES,BE LIABLE TO ANY silica cristalina puede causar el cancer pulmonar. PARTY FORAN AMOUNT GREATER THAN THE NET PURCHASE PRICE OF THE PRODUCT. b. In the event the product does not conform to the precise description set forth on the face of this delivery ticket,then Supplier El•Silicosis o ranter pulmonar puede causar la herida permanente o la muerte. shall,in its sole and absolute discretion,either replace such product with conforming product,or refund the amount-of the Para reducir el riesgo de herida,prevenga el exceso y la exposition repetida para quitar el polvo o user Lin N10SH aprob6 e purchase price,or give a credit in a like amount to the account of the Customer with no further liability,including but not limited to resp]rador como descrlto an al SDS. any claims for damage or destruction to other property that may be caused by the removal of the nonconforming product,breach of contract,breach of warranty or any other damage,delay or penalty claims. El nesgo de silicosis as el dependiente sobre la duraci6n y los niveles de la exposici6n de slice. c. Supplier,without prior notification to the buyer,reserves the right to change or modify mix designs for any of its manufactured No se manejan hasta qua Incas Ias medieas de seguridad hayan sido leidas y entendidas products.Customer acknowledges that changes to the mix designs may alter weights,appearance and color.Raw material Punta]de California 65 ADVERTENCIA:Este producto contlene productos quimicos conocidos al Estado de suppliers cannot guarantee the color consistency are natural product extracted from the earth.Supplier does not guarantee color uniformity or guarantee against stains due to efflorescence or other reasons for any of the materials delivered. California causar cancer y defectos de nacjnrtento u otro dano reproductlyo.Lave manos despues del manejo. 5. FORCE MAJEURE.Neither party shall be liable for failure or delay in performing obligations set forth in these Terms,and Los Examinan at SDS antes de usar o manejar este producto.El SDS'S est6 disponible an nuestro sitio Web an www.ut neither party shall be deemed In breach of its obligations,if such failure or delay is due to natural disasters,strike,lock-out,or ' other Industrial or transportational disturbances,law,regulation or ordinance,or any causes reasonably beyond the control of ' conerete.com. ' such party. 6. ENTIRE AGREEMENT.These Terms constitutes the entire agreement between the parties and supersedes any and all other Primeros auxilios agreements,either oral or written with respect to the subject matter hereof. 7. ARBITRATION,GOVERNING LAW.The parties agree to attempt,In good faith,to resolve any claims or disputes relating to De ser inhalado,quite a la persona al afire fresco.P6ngase an contacto con un m6dico si la irritaci6n persiste o se desarrolls these terms promptly by negotiation between an executive selected by each of the parties.If the executives fail to resolve the mas tarde - claim or dispute within thirty(30)days of first attempting to do so,then it shall be submitted to and settled by final,binding and j Si an la Dial(o Palo)quitanitoman de inmetliatamente lode la rope contarninada.Piet de aclarado exclusive arbitration in Harris County,State of Texas,.under the Commercial Arbitration Rules of the American Arbitration Association then in effect.The laws of the Stale of Texas shall govern without regard to its conflicts of law principles.The Si an Ojos,aclare con cautela con el echar agua durante varios minutos.Quite lentes de contacto,si presence y facil para prevailing party may enter any arbitral award or decision as a judgment in any court of competent jurisdiction and any such award hater.Siga aelarando or decision shall be enforceable by such court.The non-prevailing party shall bear the fees and expenses of the arbitrator and the ' arbitration. NO ACTIONS OR PROCEEDINGS, INCLUDING ARBITRATION,ARISING FROM THESE TERMS MAY BE De ser ingerido,aclare la boca.No induzca v6mitos. BROUGHT BY CUSTOMER MORE THAN TWO(2)YEARS AFTER CUSTOMER KNEW OF SHOULD HAVE KNOWN OF THE CAUSE OFACTION. 8. MISCELLANEOUS.Supplier is an independent contractor of Customer,and nothing contained in these Terms is intended to - create the relationship of principal and agent,partners orjolm venturers,or any other fiduciary relationship between Supplier and Customer.If any provision herein is held to be illegal,invalid or unenforceable under present or future laws,such provision shall be fully severable and these Terms shall be construed and enforced as if such provision had never been apart hereof.The failure 1 of either parry to enforce any provision of these Terms shall not be construed as a waiver or limitation of that parry's right to USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY PURCHASE,USE,OR COME IN CONTACT subsequently enforce and compel strict compliance with every provision of these Terms. WITH WET(UNHARDENED)CONCRETE,MORTAR,CEMENT OR CEMENT MIXTURES. ,l l I S u CENTRAL CONCRETE SUPPLY CO., INC. TICKET NUMBER Central MAIN OFFICE: E�r�L Bode 75,5 Stockton AVenue, CONCRETE SUPPLY COMPANY Westside San,-Jose, CA 95126l of 11 a U.S.CONCRETE comPANY�Ru 866-404-1000 WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST bootsnd gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL prolonged contact with skin.Inicase of contact with skin or eyes,flush thoroughly With water.If imitation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer—The size and weight of this truck could cause damage to the TO CONCRETE PERFORMANCE. CONCRETE IS A PERISHABLE.. COMMODITY AND BECOMES THE PROPERTY OF THE jpremises and/or adjacent property if this load is placed where you desire.It is our wish PURCHASER UPON LEAVING THE PLANT ANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from X WE DO NOT,GUARANTEE FINISHED RESULTS'OBTAINED FROM THIS LOAD OF damage that may occyrt6 the premises and/or adjacent property,buildings,sidewalks, REQUESTOR'S NAME CONCRETEAS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OFTHE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to'COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the: used in any particular environment or soil conditioris oFthat We cortcrete is fit for any particular use. public street.Further,bs additional consideration;the undersigned agrees to indemnify, SA 't Selection of the 6x design and/or specification of the mix design parameters are solely the and hold harmless the driv4of this truck and this supplier and its affiliates for any and; responsibility of the Customer,and we assume no liability therefore, e _1 all damage to,the premises and/or adjacent property which may be claimed by anyone' FULL LOAD 'X LOAD, %LOAD 1/4 LOAD PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery pf this order. STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM. ANY DE-ICING MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A DECREASE IN STRENGTH. " 11 1 (G (GALLONS) (GALLONS) (GALLONS) NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN DELIVERING INSIDE CURB LINE AND AGREE.-TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT DELAY SLUMP CONC.TEMP. AIR% RATE.ALL C.O.D.DELIVERIES MUST BE PAID.IN ADVANCE AND LOAD ACCEPTED By THIS IS TO CERTIFY that the followingdescribed commodity was weighed,measured SIGNING THIS DELI�VERYTICKET BEFORE POURING. or counted by a weighmaster,whose signature is on this certificate,who is a recognized CYLINDERS TAKEN-., [:]YES E] NO LOAD RECEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12 of NAME OF TESTING LAB.", Division 5 of the California Business and Professions Code,administered by the Division X of Measurement Standards of the California,Department of Food and Agriculture. CUSTOMER CUST.O.ItAER.I�E DELIVERYADDRESS T N PROJECT NAME PROJECT CODE I Ri :. CUSTOMER P.O.# 1 SPECIP,LyINSTRUCTIONS .-Y x. CUSjTQ-MER JOB ID# RETURNED CONCRETE LOAD QUANTITY ORDERED CITY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE Iv/ tZ. 0 t BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL F. LJ I\I Ct TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX + ZI. 11.�.%(.6"Zi Z.; .1!11.i;., . 1 t DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL -7 DRUM REV-AT PLANT DRUM REV-START DRUMREV-FINISH DEPUTY WEIGHMASTER WEIGHMASTER CERTIFICATE# EJ'JI . 15526957 r1.e PAYMENT TERMS:TAXES.Customer shall pay ri Supplier all amounts due under these term-s and conditions(the udin all regarding the sale and delivery of the products,materials and supplies listed on the reverse side(the"Products'-),including all taxes applicable to the sale of such Products,within 30 days of the delivery date.All such amounts not paid within 30 days of e delivery will bear interest up to the maximum rate allowable by applicable law.Customer agrees to pay all collection costs, including attorneys fees,sheriff's fees and court costs,incurred by Supplier in connection with any attempt by Supplier tocollect - •k ' any amounts due under these Terms.All payments shall first be applied to unpaid finance charges with the balance being applied ' to unpaid principal debt. Customer shall pay to Supplier a returned check fee in the amount of S30.00.for each of Supplier's WARNING: _ checks dishonored for any reason. May cause cancer 2. DELIVERY. a. It is agreed that Seller is to deliver the materials and supplies only to the curb or public street line to which the relevant lot May cause damage to organs adjoins.If Purchaser,or an employee,agent or contractor of Purchaser(a'Reoresentative")requests delivery of said materials Causes skin burns and eye damage and supplies beyond the curb or public street on and over private property,such service Is additional service preformed by Seller for the Purchaser,and Purchaser(1)shall maintain,or cause to be maintained safe,suitable and sufficient means of access for Seller's trucks at the requested and directed points of discharge in order to safely discharge the ordered product(s);and(f)as This product contains crystalline silica.Prolonged and repeated breathing of crystalline silica dust can cause a progressive consideration for the additional services,hereby releases,indemnifes,and holds harmless Seller and Its Representatives from lung disease called silicosis. and against any and all liability for damages to such third party's property which may result from the movement of Seller's delivery Several scientific organizations have reported that prolonged and repeated exposure to respirable dust,containing crystalline tacks over sidewalks,driveways or any part of the third party's premises.If wrecker service is necessary,all such costs shall be 9 P P 9 P P P 9 ry. the responsibility of the Purchase, silica can cause lung cancer. b. Upon arrival and if required,Customer shall designate to Supplier's driver a safe place where the delivery truck equipment Silicosis or lung cancer can result in permanent injury or death. ,can be washed out after discharge of the ordered concrete before it can leave the site,which area shall become the sole responsibility of Customer for ultimate cleanup and remove of any residual concrete that may be left as a result of such necessary To reduce the risk of injury,.prevent excess and repeated exposure to dust or use a NIOSH approved respirator as descdbe( cleaning process. In the SDS. c. Concrete and flowable fill are perishable commodities and became the property of Customer upon leaving Supplier's plant.It The risk of silicosis is dependent upon the duration and levels of silica exposure. is Customer's responsibility to protect freshly poured concrete from freezing during the first seven days after delivery. d. Supplier will reasonably attempt to adhere to the estimated delivery schedule;however Supplier shall not be responsible for Do not handle until all safety precautions have been read and understood any claims for damages for failure to do so.Handwritten delivery times on the reverse side are for reference only,and Supplier's ° California Prop 65 WARNING:This product contains chemicals known to the State of California to cause cancer anc GPS system will be the source of official delivery times. birth defects or other reproductive harm.Wash hands after handling. e. Customer shall pay to Supplier,in addition to all other amounts,at Supplier's prevailing hourly delivery rate as calculated In one-quarter hour intervals,for all(i)waiting time caused by the Customers delaying and/or holding the departure of Supplier's Review the SDS before using or handling this product.SDS'S are available on our website�at www.us- delivery tacks at the plant and/or delaying and/or holding discharge upon arrival at the delivery location,and(ii)unloading time in excess of five minutes per yard. _ concrete.com. f. Customer is responsible for obtaining any and all required permits. , 3. WARRANTY:INDEMNITY. First Aid ~ a. EXCEPT AS OTHERWISE STATED IN THIS SECTION 3,SUPPLIER WARRANTS THAT THE PRODUCT(S)SOLD PURSUANT HERETO SHALL CONFORM WITH THE PRECISE DESCRIPTION OF THE PRODUCT(S)THATAPPEARS ON THE If inhaled,remove person to fresh air.Contact a physician if irritation persists or develops later FACE OF THIS DELIVERY TICKETWHEN TESTED AND SAMPLED IN ACCORDANCE WITH SECTION 3.b.HEREOF.SUPPLIER Ifonskin(or hair)remove/take off immediately all contaminated clothing.Rinse skin with water/shower HEREBY EXPRESSLY DISCLAIMS ANY AND ALL OTHER WARRANTIES,WHETHER EXPRESS OR IMPLIED IN NATURE, If In eyes,rinse cautious) with water far several minutes.Remove contact lenses,if resent and easy to do.Continue rinsing INCLUDING BUT NOT LIMITED TO ANY WARRANTY OR MERCHANTABILITY AND/OR FITNESS FOR APARTICULAR - Y Y P Y PURPOSE UNDER THE UNIFORM COMMERCIAL CODE. - If swallowed,rinse mouth.Do not induce vomiting. _ b. Concrete shall be tested In accordance with ASTM standards.Testing samples.shall be taken at Supplier's plant which is producing the concrete or from the delivery truck at the point of discharge(without the addition of any water to the mix toll owing delivery)in the presence of an authorized representative of Supplier. c. With respect to ready-mixed concrete,Supplier shall not be liable,pursuant to a breach of the above warranty,or otherwise, for any liabilities,damages or other claims whatsoever resulting from:(i)the deviation from applicable ACI standards for '- -- placement,finishing,protection and curing,jointing techniques,cr any other factors beyond Supplier's control;(ii)any alteration of the concrete by the addition of any materials(including,without limitation,water,additives,chemicals,etc.)other than those provided byand/orapproved by Supplier,(iii)any concrete mixdesigns provided by Customerorits Representatives,unless such s - mix design is tested and certified by Supplier;or(iv)any color variations due to ambient,environmental,placement and curing 4>I>practices and/or jobsite conditions outside the control of the Supplier. d. Customer shall Indemnify,defend.and save harmless Supplier,its officers,agents and employees,from all claims,damages, liability,actions,loss,costs,and exrieds`es,including attomey's fees,arising out of the use of the concrete,including,but not - limited to,those asserted by the end user of this concrete,except for the sole negligence or willful misconduct of Supplier. ADVERTENCIA: e. Acceptance and use of this delivery shall constitute the Customer's acceptance of the above-mentioned terms and conditions _ Puede causar of cancer of this warranty and indemnity and any Inconsistent terms shall not be binding on Supplier. Puede causar dafio a 6rganos I. 'Customer shall make any claims for(i)shortage at the time of actual discharge by so indicating such protest upon the face of La let de causes se tierce demo de o 0 this delivery ticket;or(if)the lack of product yield of the discharged concrete to Supplier by doing so in writing within forty-eight P q y ) (48)hours of the time that the concrete has been discharged and accepted: 4. LIMITATION OF LIABILITY. a. SUPPLIER SHALL NOT BE LIABLE IN ANY EVENT OR FOR ANY REASON,INCLUDING BREACH OF THESE TERMS, Este producto contlene la silice crlstalfna.La resplracl0n prolongada y repetida del polvo de sfljce cristalino puede causar EITHER DIRECTLY OR INDIRECTLY,TO CUSTOMER OR ANY THIRD PARTY FOR ANY SPECIAL,INDIRECT,INCIDENTAL, Una enfermedad ro ulmonaf resiva Ilamada la silicosis. PUNITIVE,EXEMPLARY OR CONSEQUENTIAL DAMAGES OR LOSS OF PROFITSARISING OUT OF THESE TERMS,EVEN P P g IF SUCH DAMAGES WERE FORESEEABLE OR SUPPLIER HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH • Vanas organizaciones cientificas han relatado qua la exposici6n prolongada y repetida al polvo de respirable que contiene II DAMAGES,IT IS EXPRESSLY AGREED THAT SUPPLIER SHALL NOT,UNDER ANY CIRCUMSTANCES,BE LIABLE TO ANY slice cristalinapuede causar elcancerpulmonar. PARTY FOR AN AMOUNT GREATER THAN THE NET PURCHASE PRICE OF THE PRODUCT. b. In the event the product'does not conform to the precise description set forth an the face of this delivery ticket,then Supplier El Silicosis o c.6ncer pulmonar puede causar la herda permanente o la muerte. shall,in its sole and apsqule discretion,either replace such product yilith conforming product,or refund the amount of the Para reducir el riesgo de herida,prevenga of exceso y la exposici6n repetida pare quitar of polvo o usar un NIOSH aprob6 e purchase price,or give a credit in a like amount to the account of the Cu4omer with no further liability,including but not limited to - any claims for damage or d2sWction to other property that may be caused by ifre removal of the nonconforming product,breach respirador como descrito en el SDS. of contract,breach of warranty or any other damage,delay or penally claims..' El riesgo de silicosis es el dependiente sobre la duraci6n y los niveles de la exposici6n de silica. c. Supplier,without prior notification to the buyer,reserves the right to change or modify mix designs for any of its manufactured No se manejan haste que todas las medidas de seguridad hayan sido le]das y entendicas products.Customer acknowledges that changes to the mix designs may alter weights,appearance and color.Raw material suppliers cannot guarantee the color consistency of a natural product extracted from the earth.Supplier does not guarantee color Punta]de California 65 ADVERTENCIA:Este producto contlene productos quimicos conocidos al Estado de uniformity or guarantee against stains due to efflorescence or other reasons for any of the materials delivered. California causar cancer y defectos de nacimiento u otro daflo reproductivo.Lave mancts despues del maneao. _ 5. FORCE MAJEURE.Neither party shall be liable for failure or delay in performing obligations set forth in these Terms,and Los Examinan of SDS antes de usar o maneJar este producto.El SDS'S este disponible en nuestro sitio Web en www.us neither party shall be deemed in breach of its obligations,if such failure or delay is due to natural disasters,strike,lock-out,or other industrial or transportational disturbances,law,regulation or ordinance,or,any causes reasonably beyond the control of Concrete.Gom. such party. - - - 6. ENTIRE AGREEMENT.These Terms constitutes the entire agreement between the parties and supersedes any and all other - Pflmeros auxlllos agreements,either oral V written with respect to the subject matter hereof. De.ser Inhalado,quite a Ia erscna al aire fresco.P6n ase en contacto con un medico s]la irritaci6n ersiste o se desarrol]a 7. ARBITRATION'GOVERNING I.AW.The parties agree to attempt,In good faith,to resolve any claims or disputes relating to ' q� P 9 P these terms promptly by negotiation between an executive selected by each of the parties.If the executives fail to resolve the - mes tarde - - claim or dispute within thirty(30)days of first attempting to do so,then it shall be submitted to and settled by final,binding and Si en la pie](o pelo)quitanitoman de inmed]atarrente toda la ropa contaminada.Piel de aclarado exclusive arbitration in Harris County,State of Texas,under the Commercial Arbitration Rules of the American Arbitration Association then in effect.The laws of the State of Texas shall govern without regard to Its conflicts of law principles.The - Si en Ojos,aclare con cautela can el echar agua durante vanos minutes.Quite lentes de contacto,si presente y facil para prevailing party may enter any arbitral award or decision as a judgment in any court of competent jurisdiction and any such award hacer.Siga aclarando - or decision shall be enforceable by such court.The non-prevailing party shall bear the fees and expenses of the arbitrator and the - arbitration.NO ACTIONS OR PROCEEDINGS, INCLUDING ARBITRATION,ARISING FROM THESE TERMS MAY BE De ser ingerido,aclare la boca.No induzca v6mitos. BROUGHT BY CUSTOMER MORE THAN TWO(2)YEARS AFTER CUSTOMER KNEW OF SHOULD HAVE KNOWN OF THE CAUSEOFACTION.' 8. MISCELLANEOUS.Supplier is an independent contractor of Customer,and nothing contained in these Terms is intended to I create the relationship of principal and agent,partners or joint venturers,or any other fiduciary relationship between Supplier and - Customer.If any provision herein is held to be illegal,Invalid or unenforceable under present or future laws,such provision shall _ be fully severable and these Terms shall be construed and enforced as if such provision had never been a part hereof.The failure -1.. of either party to enforce any provision of these Terms shall not be construed as a waiver or limitation of that party's right to WS£R AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY PURCHASE,USE,OR COME IN CONTACT subsequently enforce and compel strict compliance with every provision of these Terms. WITH WET(UNHARDENED)CONCRETE,MORTAR,CEMENT OR CEMENT MIXTURES. f ' CENTRAL CONCRETE SUPPLY CO., INC. ' TICKET NUMBER Central MAIN OFFICE: Bode 755 Stockton Avenue, CONCRETE SUPPLYCOMPgNY Westside a U.S.CONCRETE coMPANY= San Jose, CA 95126 -866-404-1 000 ,1�4E,iJ1li!Il. i�ril+3� 6l WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) EXCESSIVE WATER IS DETRIMENTAL prolonged contact with skin.In case of contact with skin or eyes,Flush thoroughly with water.If TO CONCRETE PERFORMANCE. Irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer-The size and weight of this truck could cause damage to the CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish PURCHASER UPON LEAVING THE PIANTANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to do this we are requesting that you INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates from any responsibility from X WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that may occur to the premises and/or adjacent property,buildings,sidewalks, REQUESTOR'S NAME CONCRETEAS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF THE drive-ways,curbs,etc.,due to the delivery of this material,and that you also agree to 'COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheels of his vehicle so that it will not litter the used in any particular environment or soil conditions orthat the concrete is fit forany particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA Selection of the mix design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and ` responsibility of the Customer,and we assume no liability therefore. FULL LOAD '/n LOAD %LOAD '/4 LOAD all damage to the premises and/or adjacent property which may be claimed by anyone PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order. STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM. ANY DE-ICING MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A (GALLONS) (GALLONS) (GALLONS) (GALLONS) DECREASE IN STRENGTH. NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FORANY DAMAGE CAUSED WHEN DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON WEIGHMASTER CERTIFICATE REVERSE SIDE.TIME IN EXCESS OF FREE TIME WILL BE CHARGED ATCURRENT DELAY ;SLUMP CONC.TEMP. AIR RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured, SIGNING THIS DELIVERY TICKET BEFORE POURING: or counted by a weighmaster,whose signature is on this certificate,who is a recognized CYLINDERS TAKEN: ❑YES ❑ NO LOAD RECEIVED BY: authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of NAME OF TESTING LAB: Division 5 of the'California Business and Professions Code,administered by the Division X of Measurement Standards of the California Department of Food and Agriculture. CUSTOMER CUSTOMER,CODE DELIVERY ADDRESS c. f.., 'j�.T.r '•,;'1. �}�:.' f:.i-) ;-• I rj j::a F?i_I_..1._ PROJECT NAME PROJECT CODE f'+'•-! 4 CUSTOMER P.O.# SPECIAL INSTRUCTIONS F j�l (.,_C,j `i'i'ii1 t,)�.J. i..�`:] i=i a.A7 i}i i'i CUSTOMER.JOB_(D# I ` RETURNED CONCRETE LOAD QUANTITY ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE EXTENDED PRICE t:rJ u l.IlL4 if 'I - 7� F ( l?L...I...: 4`I„ ;!iI/1 ;, ,� t.t.!`•l�,j .Li: :..�'�I�Ii;T��../r'il'll:_I't+i �w�._ h BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL TOTAL WAIT TIME PREVIOUS TRUCK LOAD# SLUMP MAP PAGE TIME DUE ON JOB TAX RATE TAX DATE ORDER# PLANT TRUCK# DELIVERY PROFESSIONAL ORDER GRAND TOTAL TOTAL E :i:.'0i?J i (=if=?"..(=;a t�if`.iSf�l..tfil'? I;'' DRUM REV-AT PLANT DRUM REV-START DRUM REV-FINISH DEPUTY WEIGHMASTER WEIGHMASTER CERTIFICATE# 4. EE . t.' ff IIIII IIII III II IIIIIIIIII `;•�';Y��?�.!1"..��.t�_}��i',{,t ti:i�1 r`.�.,j S_J]I:.:n t�.•i`�u '.;� t 1.i:� 15526945 / ' a I ,I f 1. PAYMENT TERMS:TAXES.Customer shall pay to Supplier all amounts due under these terms and conditions(the"Terms regarding the sale and delivery of the products,materials and supplies listed on the reverse side(the'Products'),Including all � i taxes applicable to the sale of such Products,within 30 days of the delivery date.All such amounts not paid within 30 days of - V ' o del .[/\�/�f��/ ivery will bear interest up to the maximum rate allowable.by applicable law.Customer agrees to pay all collection costs, ' Including attomey's fees,sheriff's fees and court costs,incurred by Supplier In connection with any attempt by Supplier to collect ' any amounts due under these Terms.All payments shall first be applied to unpaid finance charges with the balance being applied to unpaid principal debt. Customer shall pay to Supplier a returned check fee in the amount of$30.00 for each of Supplier's WARNING: ' checks dishonored far any reason. May Cause Cancer 2. DELIVERY: - - May cause damage t0 Organs a. It is agreed that Seller is to deliver the materials and supplies only to the curb or public street line to which the relevant lot adjoins.If Purchaser,or an employee,agent or contractor of Purchaser(a"Representative")requests delivery of said materials Causes skin burns and eye damage and supplies beyond the curb or public street on and over private property,such service is additional service preformed by Seller ' for the Purchaser,and Purchaser(i)shall maintain,or cause to be maintained-safe,suitable and sufficient means of access for - - - - - •- Seller's trucks at the requested and directed points of discharge in order to safely discharge the ordered product(s);and(ii)as This product contains crystalline silica.Prolonged and repeated breathing of crystalline silica dust can cause a progressive consideration for the additional services,hereby releases,Indemnifies,and holds harmless Seller and Its Representatives from lung disease called silicosis. and against any and all liability for damages to such third party's property which may result from the movement of Seller's delivery Several scientific organizations have reported that prolonged and repeated exposure to respirable dust containing crystalline trucks over sidewalks,driveways or any part of the third parry's premises.If wrecker service is necessary,of such costs shall be g P P 9 P P P 9 ry the responsibility of the Purchaser. silica can cause lung cancel - b. Upon arrival and If required,Customer shall designate to Supplier's driver a safe place,where the delivery truck equipment Silicosis or lung cancer can result in permanent injury or death. can be washed out after discharge of the ordered concrete before it can leave the site,which area shall become-the sole responsibility of Customer for ultimate cleanup and remove of any residual concrete that may be left as a result of such necessary To reduce the risk of injury,prevent excess and repeated exposure to dust or use a NIOSH approved respirator.as describe( cleaning process. In the SDS. c. Concrete and flowable fill are perishable commodities and become the property of Customer upon leaving Supplier's plant It The risk of silicosis is dependent upon the duration and levels of silica exposure. is Customer's responsibility to protect freshly poured concrete from freezing during the first seven days after delivery. d. Supplier will reasonably attempt to,adhere to the estimated delivery schedule;however Supplier shall not be responsible for Do not handle until all safety precautions have been read and understood anyclalms for damages for failure to do so.Handwritten delivery times on the reverse side are.for reference only,and Supplier's California Prop 65 WARNING:This product contains chemicals known to the State of California to cause cancer anc GPS System will be the source of official delivery times. birth defects or other reproductive harm.,Wash hands after handling, e. Customer shall pay to Supplier,in addition to all other amounts,at Supplier's prevailing hourly delivery rate as calculated in one-quarter hour intervals,for all(1)waiting time caused by.ihe Customer's delaying and/or holding the departure of Supplier's Review the SDS before using or handling this product.SDS's are available on our website at www.us- delivery,trucks at the plant and/or delaying and/or holding discharge upon arrival at the delivery location,and(ii)unloading lime in excess of five minutes per yard.. concrete.com. f. Customer is responsible for obtaining any'and all required permits. , 3. WARRANTY:INDEMN[TY. ' First Ald a. EXCEPT AS OTHERWISE STATED IN.THIS SECTION 3, SUPPLIER WARRANTS THAT THE PRODUCT(S) SOLD PURSUANT HERETO SHALL CONFORM WITH THE PRECISE DESCRIPTION OF THE PRODUCT(S)THATAPPEARS ON THE If inhaled,remove person to fresh air.Contact a physician if irritation persists or develops later FACE OF THIS DELIVERY TICKET WHEN TESTED AND SAMPLED INACCORDANCE WITH SECTION 3.1b.HEREOF.SUPPLIER • If on skin(or hair)removeltake off immediately all contaminated clothing.Rinse skin with water/shower HEREBY EXPRESSLY DISCLAIMS ANY AND ALL OTHER WARRANTIES,WHETHER EXPRESS OR IMPLIED IN NATURE. If in eyes,rinse cautious) with water for several minutes.Remove contact lenses,If resent and ea to do.Continue rinsim INCLUDING BUT NOT LIMITED TO ANY WARRANTY OR MERCHANTABILITY AND/OR FITNESS FOR A PARTICULAR y y P Y PURPOSE UNDER THE UNIFORM COMMERCIAL CODE. ' ' If swallowed,rinse mouth.Do not induce vomiting. ',- b. Concrete shall be tested in accordance with ASTM standards.Testing samples shall be taken at Supplier's plant which Is - - producing the concrete or from the delivery truck at the point of discharge(without the addition of any water to the mix foil owing delivery)in the.presence of an authorized representative of Supplier. c. With respect to ready-mixed concrete,Supplier shall not be liable,pursuant to a breach of the above warranty,or otherwise,- for any liabilities,damages or other claims whatsoever resulting from:(1)the deviation from applicable ACI standards for placement,finishing,protection and curing,jointing techniques,or any other factors beyond Supplier's control;(ii)any alteration of the concrete by the addition of any materials(including,without limitation,water,additives,chemicals,etc.)other than those provided by and/or approved by Supplier;(ii)any concrete mix designs provided by Customer or its Representatives,unless such - - mix design Is tested and certified by Supplier;or(iv)any color variations due to ambient,environmental,placement and curing 44><�> practices and/or jobsite conditions outside the control of the Supplier. d. Customer shall Indemnify,defend and save harmless Supplier,Its officers,agents and employees,from all claims,damages, - - - liability,actions,loss,costs,and expenses,including attorney's fees,arising out of the use of the concrete,Including,but not limited to,those asserted by the end user of this concrete,except for the sole negligence or willful misconduct of Supplier. • ADVERTENCIA: e. Acceptance and use of this delivery shall constitute the Customer's acceptance of the above-mentioned terms and conditions Puede causer el c6ncer - of this warranty and indemnity and any inconsistent terms shall not be binding on Supplier. - Puede causar daflo a 6rganos ' f. Customer shall make any claims for(I)shortage at the time of actual discharge by so indicating such protest upon the face of La iel de causes se uema darlD de o 0 this delivery ticket;or(ii)the lack of product yield of the discharged concrete to Supplier by doing so In writing within forty-eight P q Y I (48)hours of the time that the concrete has been discharged and accepted. 4. LIMITATION OF LIABILITY. a. SUPPLIER SHALL NOT BE LIABLE IN ANY EVENT OR FOR ANY REASON,INCLUDING BREACH OF THESE TERMS, Este producto CDntlene la silice cristalina.La resplracl6n pfolongada y repetida del polvo de silica cdstalino puede causar EITHER DIRECTLY OR INDIRECTLY,TO CUSTOMER OR ANY THIRD PARTY FOR ANY SPECIAL,INDIRECT,INCIDENTAL, aria enfermedad pulmonar prOgreSlVa Iiamada la SIIICOSIS. PUNITIVE,EXEMPLARY OR CONSEQUENTIAL DAMAGES OR LOSS OF PROFITS ARISING OUT OF THESE TERMS,EVEN IF SUCH DAMAGES WERE FORESEEABLE OR SUPPLIER HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH ' Varias organizaciones dentificas han relatado que to exposici6n prelongada y repetida al polvo de respirable que contiene Ii DAMAGES.IT IS EXPRESSLY AGREED THAT SUPPLIER SHALL NOT,UNDER ANY CIRCUMSTANCES,BE LIABLE TO ANY spice cristalina puede causar el c6ncer pulmonar. PARTY FOR AN AMOUNT GREATER THAN THE NET PURCHASE PRICE OF THE PRODUCT. b. In the event the product does not conform to the precise description set forth an the face of this delivery ticket,then Supplier El•Silicosis o c6ncer pulmonar puede causar la herida permanence o la muerte. shall,in its sole and absolute discretion,either replace such product with conforming product,or refund the amount of the Para reducir el riesgo de herida,prevenga el exceso y la exposici6n repetida para quitar of polvo o user un NIOSH aprob6 e purchase price,orgive a credit in alike amount to the account of the Customerwith no further liability,including but not limited to respirador como descrito en el SDS. any claims far damage or destruction to other property that may be caused by the removal of the nonconforming product,breach of contract,breach of warranty or any other damage,delay or penalty claims.. El nesgo de silicosis es el dependiente sobre la duraci6n y los niveles de la exposid6n de silice. c. Supplier,without prior notification to the buyer,reserves the right to cliange or modify mix designs for any of its manufactured No se manejan hasta que todas las medidas de seguridad hayan silo leldas y entendidas products.Customer acknowledges that changes to the mix designs may alter weights,appearance and color.Raw material Puntal de California 65 ADVERTENCIA:Este producto contiene roductos uimlcos conocidos al Estado de suppliers cannot guarantee the color consistency of a natural product extracted from the earth.Supplier does not guarantee color ° P P q uniformity or guarantee against stains due to efflorescence or other reasons for any of the materials delivered. California causar c6ncer y defectos de naclmlento u otro dano reproductiv0.Lave mantis despu6s del maneao. 5. FORCE MAJEURE.Neither party shall be liable for failure or delay in.performing obligations set forth In these Terms,and Los Examinan el SDS antes de user o mari este producto.El SDS'S est6 disponible en nuestro sitio Web en www.u: neither party shall be deemed In breach of its obligations,if such failure or delay is due to natural disasters,strike,lockout,or other industrial or transportational disturbances,law,regulation or ordinance,or any causes reasonably beyond the control of concrete.com. _such party.. . . - ... -. - -' _ 6. ENTIRE AGREEMENT.These Terms constitutes the entire agreement between the parties and supersedes any and all other, Prlmeros auxillos ' agreements,either oral or written with respect to the subject matter hereof. 7. ARBITRATION:GOVERNING LAW.The parties agree to attempt,in good faith,to resolve any claims or disputes relating to De ser inhalado,quite a la persona al afire fresco.P6ngase en centacto con un medico si la irritacibn persiste o se desarroll2 these terms promptly by negotiation between an executive selected by each of the parties.If the executives fail to resolve the - ni tarde - - - - claim or dispute within thirty(30)days of first attempting to did so,then It shall be submitted to and settled by final,bindinlg and Si en la piel(o pelo)quitan/toman de inmediatamente toda la rope contaminada.Piel de a6larado exclusive arbitration In Harris County,State of Texas,under the Commercial Arbitration Rules of the American Arbitration Association then in effect.The laws of the State of Texas shall govern without regard to its conflicts of law principles.The Si en Ojos,aclare con cautela con el echar agua durante varios minutos.Quite lentes de conlaclo,si presente y f6cil pare prevailing party may enter any arbitral award or decision as judgment in any court of competent jurisdiction and any such award - hacef.Slga aclarando - - or decision shall be enforceable by such court.The non-prevailing party shall bear the fees and expenses of the arbitrator and the - arbitration. NO.ACTIONS OR PROCEEDINGS, INCLUDING ARBITRATION,ARISING FROM THESE TERMS MAY BE De ser ingerido,aclare la boca.No induzea v6mitos. BROUGHT BY CUSTOMER,MORE 7HQN;TWO(2)YEARS AFTER CUSTOMER KNEW OF SHOULD HAVE KNOWN OF THE CAUSEOFACTION. " B. MISCELLANEOUS,Supplier is an Independent contractor of Customer,and nothing contained in these Terms is intended to create the relatlonshipbf:principzl and agent,partners orjoint venturers,or any other fiduciary relationship between Suppfer'and- - Customer.If any provision herein Is held to be illegal,invalid or unenforceable under present or future laws,such provision shall be fully severable and these Terms shall be construed and enforced as if such provision had never been a part hereof.The failure of either party to enforce any provision of these Terms shall not be construed as a waiver or limitation of that parry's right to USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY PURCHASE,USE,OR COME IN CONTACT subsequently enforce and compel strict compliance with every provision of these Terms. WITH WET(UNHARDENED)CONCRETE,MORTAR,CEMENT OR CEMENT MIXTURES. WEIGHMASTER CERTIFICATE 83475 THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted b a.weighmaster,whose signature is on this certificate,who is a recognized authority of accuracy,as prescribed by Chapter 7 by with section 12700)of Division 5 of the California Business and Professions Code,administered by the Division of Measurement Standards of the California Department,of Food and,Agriculture. 1 MT ENTERPRISES, INC. CA,#30012 1996 OAKLA'ND ROAD MG# 177583 SAN JOSE, CA 95131-1696 11111A& PHONE (408)432-9040 FAx(408)432-9429 DATE: JOB NAME: JOB# SOLD TO:, P.O.# ADDRESS: DRIVER SHIPPED TO: VEHICLE LIC.NO. SHIPPED VIA TRAILER LIC. SOLD BY CASH CHARGE C.O.D. ON ACCT. cu.YDS. SIZE COMMODITY UNIT AMOUNT Weight in LBS.. GROSS WT. TARE WT. NET WT. NET TONS SUB-TOTAL, TMT ENTERPRISES;INC.WEIGHMASTER TAX By' Deputy TOTAL THE UNDERSIGNED CUSTOMER BY THE PLACING'OF THIS ORDER OR THE ACCEPTANCE OF THIS INVOICE AGREES TO PAY REASONABLE ATTORNEY'S FEES OR COLLECTION CHARGES IN THE,EVENT ACTION,HEREAFTER BECOMES NECESSARY FOR THE COLLECTION OF THE VALUE OF THE WORK OR THE MATERIALS HEREIN AUTHORIZED:, NOTICE:A 1-1/2%per month service charge will be charged on all past due balances. ' r RECEIVED BY: PRINT NAME: 'WEIGHMASTER CERTIFICATE 83476 THIS IS TO CERTIFY'thatthe following described commodity was weighed,measured;or counted by a weighmaster,whose signature is on this certificate,who is a recognized authority of accuracy,as prescribed by Chapter 7(commencingwith section 12700)of Division 5 of the California Business and Professions Coda,administered by the Division of Measurement Standards of the California Department of Food and Agriculture.,. TMT ENTERPRISES, INC. CA#30012 1996 OAKLANID READ MC # 177583 SAN JOSE, CA 95131-1696 PHONE (408) 432-9040 FAX(408) 432-9429 DATE: JOB NAME: JOB# SOLD TO: ' PO.# ADDRESS: DRIVER SHIPPED TO: VEHICLE LIC.NO. SHIPPED VIA TRAILER LIC.- SOLD BY CASH CHARGE C.O.D. ON ACCT. --CU.-YDS. .SIZE COMMODITY UNIT AMOUNT Weight in LBS. GROSS WT TARE WT. - NET WT. NET TONS SUB-TOTAL TMT ENTERPRISES,INC.WEIGHMASTER TAX 13y Deputy TOTAL THE UNDERSIGNED CUSTOMER BY THE PLACING OF THIS ORDER OR THE ACCEPTANCE OF THIS INVOICE AGREES TO'PAY REASONABLE ATTORNEYS FEES OR COLLECTION CHARGES IN THE EVENT ACTION HEREAFTER BECOMES NECESSARY FOR THECOLLECTION OF THE VALUE OF THE WORK OR THE MATERIALS HEREIN AUTHORIZED. NOTICE:A 1-112%per month service charge will be charged on all past due balances. RECEIVED BY: PRINT'NAME: ;1, WEIGHMASTER CERTIFICATE 83474 THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted by aaweighmaster,whose signature is on this certificate,who is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with section 12700)of Division 5 of the California Business and Professions Code,administered by the Division of Measurement Standards of'the California Department of Food and Agriculture. TM ENTEI PRISES, INC. ' CA#30012 1996 OAKLAND ROAD MC # 177583 SAN JOSE, CA 95131-1696 PHONE (408) 432-9040 FAx(408) 432-9429 DATE: JOB NAME: JOB# SOLD TO: P.O.# ADDRESS: DRIVER SHIPPED TO: VEHICLE LIC.NO. ISHIPPED VIA TRAILER LIC. SOLD BY CASH CHARGE C.O.D. ON ACCT. CU.'YDS. SIZE COMMODITY UNIT AMOUNT Weight in LBS. GROSS WT. TARE WT. NET WT. NET TONS SUB-TOTAL TMT ENTERPRISES,INC.WEIGHMASTER TAX By Deputy TOTAL THE UNDERSIGNED CUSTOMER BY THE PLACING OF THIS ORDER OR THE ACCEPTANCE'OF THIS INVOICE AGREES TO PAY REASONABLE ATTORNEY'S FEES OR COLLECTION CHARGES IN THE EVENT ACTION HEREAFTER BECOMES NECESSARY FOR THE COLLECTION OF THE VALUE OF THE WORK OR THE MATERIALS HEREIN AUTHORIZED. NOTICE:A 1-1/2%per month service charge will be charged on all past due balances. RECEIVED BY: PRINT NAME:,' ,' 10/2/2019 Fees Associated With 1:35:34PM LA Case #: ENC2015-00190 Start End : .< rans evenue =Created Type `o Date a �� Date= P �' P Code AccountsNumber 4 �Y= Date Amount Due_ De t Deser� Lion AF02 7/1/2015 6/30/2016 PnntAppFee-Major-Eng 1= 101.730.4722 JT 9/14/2015 395.00 ` 0.00 PCDP 7/1/2015 6/30/2016 101.2203 JT 9/14/2015 8 698 9 %f 0.00 GRA4 7/1/2015 6/30/2016 Grdng&Drain Pln Rev>= 101.740.4722 JT 9/14/2015 1,655.00 0.00 VACA 7/l/2015 6/30/2016 Vacation of Sts. &Easemt 101.740.4722 JT 9/14/2015 2,480.00 0.00 ASE2 7/l/2015 6/30/2016 Assess Seg-Ea.Add'I Lo 101.740.4722 JT 1/4/2016 5,400.00 0.00 PC13 7/l/2015 6/30/2016 NonUtilPlnCk/Insp>=5 101.740.4722 JT 1/4/2016 7,700.00 0.00 SDC 7/l/2015 6/30/2016 Storm Drain Fee-All Oth 209.715.4721 JT 1/4/2016 977.64 0.00 CASH 7/l/2015 6/30/2016 c,'O4lCtl 7l Cash ugr Deposi 101.2203 JT 8/11/2016 O�Qp.� W 0.00 APRF 7/l/2015 6/30/2016 AppPlanRevFee 100/she r 101.740.4722 JT 10/24/2016 500.00 ' 0.00 CASR 7/l/2015 6/30/2016 Construction Cash Dep. R 101.2203 JT 9/4/2018 :,MOW 0.00 CASR 7/l/2015 6/30/2016 Construction Cash Dep.R 101.2203 JT 9/4/2018 jQ19aWS 0.00 Total Due: $0.00 Page 1 of I CaseFees..rpt Encroachment Permit Final Sign Off Encroachment Permit# �`�`�L 157 Address: 67 A Date of Final Inspection and Acceptance: (b12 �( Inspected by: OK to release deposits: 100% 75% Comments: r t BOND FOR FAITHFUL PERFORMANCE OF MAINTENANCE PERIOD ENCROACHMENT PERMIT NO.ENC 2015-00190 We, the undersigned CRP/SB Creekside @ 17,L.L.C.,A Delaware Limited Liability Company (hereinafter "Principal") and Liberty Mutual Insurance Company , a corporation organized under the laws of the State of Massachusetts ,and authorized to transact business in the State of California,as Surety,are obligated to the City of Campbell(hereinafter"City"),a municipal corporation under the laws of the State of California,in the sum of One Hundred Fifty Two Thousand Five hundred and 00/100 Dollars($ 152,500.00 )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 Contract with the City dated ,20_S' and entitled Offsite work to install a new traffic signal,curb modifications,etc.at Creekside @ 17 (E,()cnaacAN&,efi+ fcrf -- tJo £Ni ..2c 1,5—19C)" - 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 a part hereof. And,the City requires 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 defective 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 60 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 remain in full force and effect,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 Contract 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 November 8th 12018 (Principal) CRP/SB Creekside 7,L.L.C.,A Delaware Limited Liability Company By Title �vlt,ori-mod i •nc�� (Surety) Liberty Mutual Insurance Company BY Cif' Kathleen M.Coen,Attorney-in-Fact Address of Surety 175 Berkley Street (Attach Acknowledgements) Boston,MA 02116 Surety's Bond Number 674025234 _ (Both Principal's and (Accompany this bond with Attorney-in-fact's Surety's Attorney in Fact) authority from Surety to execute the bond certified to include the date of the bond.) JAFORMSUemplatesTncroachment Permits\Encroachment Permit Maintenance Bond.doc(Rev.03/08) ' r , CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT Civil Code § 1189 A notary public or other officer completing this certificate verifies.only the identity.of the individual who signed the document to which this certificate is attached,and not the truthfullness,accuracy or validity of that document. ;State �is�-trtc�e�-IFCoIt�.►�b�o`,SS ounty of to On �ern1� : �3.1 201� before me, AY ,.Notary Public Date Name and TWO or Notary personally appeared u�?-- cr >' �s � t��lCjiiM-.S Name and or Names of Signar(s) Who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) istare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized E capacity(ies), and that by his/her/their signatures)on the instrument the person(s),. or the entity upon behalf of • • 'Ex#IR . b�0 which the person(s) acted, executed,the instrument. 4 if * `� I certify,under PENALTY OF.PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ,,rr 0 Witness my hand and official seal. Signature ....... "No ry ilo Signature "" Place Notary Public Seal Above OPTIONAL Though the Information below Is not required by law,it may prove valuable to the persons relying on the document and could prevent fraudulent removal and reattachment of this thrm to another document Description of Attached Document Title or Type of Document Document Date Number of Pages: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer-Title(s): ❑ Partner- ❑Limited❑General ❑ Partner- ❑Limited ❑General G ❑ Guardian or Conservator Guardian or Conservator ' 7mumb Top of throb ❑ Attorney-in-Fact ❑ Attomey-in-Fact ❑ Trustee ❑ Trustee ❑ Other: ❑ Other: Signer is representing Signer is representing CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT Civil Code § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfullness, accuracy or validity of that document. State of Pennsylvania County of Montgomery , On November 8th,2018 before me, Mary C.McGinn Notary Public. Date Name and YItle Or otary personally appeared Kathleen M. Coen,Attorney-in-Fact Name and or Names of signer(s) 7 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/th.ey 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 COMMONWEALTH OFPENNSYLVANIA the State of California that the foregoing paragraph is true NOTARIAL.SEAL and correct. MARY C.McGINN,Notary Public Conshohocken Boro.,Montgomery County My Commlaslon Ex ices May 15,2019. Witness my hand and official,seal. 201 Signature Mary C Onn —Notary Public Signature Place Notary Public Seat Above OPTIONAL Though the information below is not required by law,it may prove valuable to the 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 Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer—Title(s): ❑ Partner- []Limited ❑General ❑ Partner- ❑Limited ❑General ❑ Guardian or Conservator ❑ Guardian'or Conservator ' Top of thumb tamb ❑ Attorney-in-Fact ❑ Attorney-in-Fact Top of Ih ❑ Trustee ❑ Trustee ❑ Other: ❑ Other: Signer is representing Signer is representing -- "_ ,THIS'FOVNER OF ATTORNEY IS NOT VALID UNLESS IT 15 PRINTED ON`RED BACKGROUND _ _ �:c. ,_ This'Fobuerof Attorney;limits the acts of those named herein and they have rio,authority.to bind:the Company'except in the manner and to'the extentherern stated_: _ - - - - - - - Certificate No.8762591 - _ _ = _ - - - al Insurance Com an . ,- - - -- - = - - = _ ' = _ _ _ _ _ _ - Liberty Mutu p y _ - _ - - - - _- - - - _ The Ohio Casualtylnsurance,Company_ WestAmerican Insurance Gompany=I:z "- _ - POWER OF.�►TTORIVEY _ J - _ _ _ _ _ -_ - -. � :� -KNOWN ALL PERSONS,BY THESE PRESENTS:That The_-Ohio:Casualty-Insurance Company is a corporation duly organized under the laws_of the'Stete of New Ham-s— that ~Libert;Mutual Irisurance,Compeny:is,a'corporation duly orgamzed;underthe laws of the.State of Massachusetts and West American lnsurance�Company� a`corporation.duiy _ -.Y._ __ "organized"under-the laws of the Stateof-Indiana;(herem collectively called the Companies)`_pursuantao and byauthonty he�em set forth,does hereby name consti(ute and appoint, _ -Louis J:'Bensin er'Kathleen M:Coen=Ma C:McGinn Holl Tallone - - _ _ _ _`-'all of the city"of-Blue Bell: ;state of PA- each individually if.there be more than one named;_its trueand.lawful attorney m act to,make'ezectite;seal acknowledge Y_ -and deliver f&and on its behalf,as surety and as:is act and deed any and all undertakings bonds recognizances and of &surety obligations in-pursuance of these presents and shall be asbinding`upon the Companies a1.sif they have:been duly signed by the preslderit`antl attested by the secretary of the Coriapan' to their own proper persons - 1N WITNESS-WHEREOF this:Power of Attorney has been subscribed bean authorized officer or offaal=of the Companies ana the corppTate seals:of the Companies have been`affixed == ctheretothis,26th dayof`July - 2018 'mil_ - - M- 1 r - `� :.. _ <�'I`'Sr °S1R htNS - The Ohlo CasualtyJnsura ce Company M y c�poo2q>G'yq �S��nvoa��i�� F��'.owrat� ^ - "� - _ _ _ J fin, Liberty Mutual losurance Campany_ -a�. 0 19i9 0 I 1912 n 1991 % - -- ,__ E_ x . ' WestAmencan=lInsurance Company En_ O �_ `rp JD ��y, ,( 2 '" !. V- P J / �- r„`f-- �//j \. .1��. .~iI ,- �� 3= N--. J3 kAid J 7 ^..�U T. — DION / /i �- r ��✓ �' Q_ ,d, � _-. ` , r `f`David Nl Care Assistant SecretaryU_ - -_ :STATE OF PENNSYLVANIA ss `� �. r % : +, COUNTY-0F MONTGOMERY �, - _fir - �� f _c_ =' �, �_i.^ ,.:�`�-. Y _ �` r-�i---_-\,- �. 1-��,��• �^`.f-:✓-��f 4% , III:O- "='- ` �' Y �'�- '�- 2D18 beforefine personally appeared=David(N<Carey�who acknowledged imself to-be the'Assistant:Secretary of,Liberty,umUtual insurance, ti`t-,_ _dl� On thts,26th da of July. �- v Gi.Company TheAfiio Cas`ualty`Company, a`nd Wesi;American,nsurance`:company=and ihat`he as such;.bethg:aufhorrzed soao do execute the-foregoing instrument for ing purposes , : O. therem.coritalnedby-s uing o rbehalf of,the corporations byhimself as a"duly authored officer- — � r —,, y - dc�s 1N WLTNESS:WNEREOF 1:have'hereunto:subscribed"my name and affixed;my notanal_seal at King ort Prussia Pennsylvania orrthe aay,and=year f rst:atiove=written;;_ _= -v :0=>- —"rC'" < r - -N-VAS, \ , COMMONWEALTH OF PENNSYLVANIA ! � = 1 a_M- _2. , ./r_� ��. _r.Vj �/P O�F,pNWg1'. ( v t r—� -i_� �` ��,\ 0_•� No4-naLSel� ,� �7 1 d' C,N;= - i� o s ` I �Tcresa,f�astPlla-t�lntary Public_,�-�.� BYE `-� _ j .✓�J �- y 0; 'tC;y - of I llpperMenonTv p Monigomrry County Teresa Pastella NotarPubhc = pjS- 0 - ` z _ q v M Commissi _-_]resMarch282021 ", .- ---_N �-,- ram` v a. _UgV �.~�f_Wmber P�nns>'Iv`ania Association of�lotarlos�;'. �^_ ,�-�,� :�^y�� _ -8,cj ThWs 6o erofAtlorney is;made and executed pursuant to and by,authordy of the following;;By-laws and Authorizatton5 of-The=Ohio Casualty,Insurance Company,Lberty Mutual p1 p_ y F;-:Insurance Company;and West AmericanrIns Company which resolutions are:now m.full,force and.effect reading as7ollows -fir. .� "' ,,., .._ `.-�•._%�z' 5 l - f l��r'�\�^��%✓ , -:ice ^,-/��'_::�1:i--, ,-�---- /_�._��I"PIE "te"_O:.ARTICL-E,IV,-OFFICERS :Section.l-2=Power 617-A rney Any officero�other official of the Co[porahon aulhonzed for that purpose in venting by,lherChairma_n'or the President;and subfect O'e m.y -to such'limitahon as the_Chairman or the=President`may,prescnbe shall appointsuch attorneys m fact as may be;necessary io act In behalf of ttie Corporation to make execute`seal y; _O s::acknowledge antl deliver assu`rety any and all undertakings bCr ds re6ogoi2 noes entl other surety�otiligetions;Such attorneys m fact subfect to the-iimltaUoris set fort}iyin=tFieir respective =E` _powers'ofatto neyshall=have full over tobind=the Cor oration by_their signature and'executlon of any such instruments and to attach thereto_the seal ofvthe Corporatjon When o gem_ =0-W _ Y_ Y Yp y9_ y P y O O-.executed;sucljinst-urnents_shall be as b iding as ifsigned by.ttie President and attested to-, -the Secretar An oweror authont ranted to an re resentative or attorne In(achunder >_ '~''-: theprovisions of this"articleamay be revoked-at any time by tFe'Board.the.:Chairman,-the President 'by ttie offce_'': officers gianling such power or authority: _� 0-- s- -w: ,. _ - Y g y p Y P,P 9 Y_ P -c,:-ARTICLE-XIII,-Eicecution of,Contracts'SECTIO_N 5 Surel Bonds and Undertaken s An officervf the-Com an authorized fior that ur ose ln.writin :b-the chalrmanb�the res"idenf, n?- >`4 _ -` . -, _a - bject to_such limita_lions.as the chairman or-the president:may prescribe shallappo.such attorneys-in'fact as maybe necessarylo act in_bet all of the.Company;to make execute `M _L; _0 3..seal:ackndwled---, deliver as suety any and all undertakings;;borids secognizances and.other suretyobligations Such attorneys;in fact:sublecf_to,tfie•bmitations_'set forth m their'.c-�; Z'v =respective powers:of attorney,shall have full-power to bind ihe.Compariyby their signature acid execution of any.such instruments and toattach thereto the seal of�he.Company Wiien so v_ , - executed such instruments.shall be asbjndirigas if signedby_ttiepresident and attested by thesecretary- r - 0-D= _ _ - _ H_, - Certificate.of Designation-'The President of:the Company acting pursuant to the Bylaws-Nh'Company authorizes David`M Carey AsststanYSecretary to appomtsuch:attorneys m (fact as may be necessary to act on behalf of the_Company to_make execute seal,_acknowledge and deliver as surety any and all undertakings lionds recognizances_and other`surety _ _ - = - -.." _ _ - uth&kation-B-unanimous consent of the Company's Board of Directors-the Company-consents:that facsimile or mechanically,reproduced signature of anyyassistant secretery of they. - A _ Y :Company,wherever appearing upon'a certified copy of any power of attorney issued by the.Company In:connection with surety""bonds`shall be valld and binding upon the Company wdh -"aheaarne force and effect as though manually 2ffzed - = - - - = " - ".I, Renee C..Llewellyn, the'undersigned,'Assistant Secretary`The Ohio Casualty InsuranceCompany Liberty Mutual Insurance Company and:West American Insurance Company do `^t :. .hereby certify that ihe_origirial power,of attorney of-which the foregoing.is a full arue`and correct copy of the Power of Attorney executed:=by said-Co,-Panies,`is"infull force and-effect and _ _ has not been revoked.• - :_ _ - _ - v = -IN_TESTIMONY WHEREOF,I have hereunto set my hand and ahixed the seals of sa d Companies"this ;Bt day of - 20 6 : - ._ _._ 1YiiJS(j �,\h5U2, �lidSUh� - _ _ _ _ _ - _ _- �JI"oa°crtar192 J�JProaaor,.��^^.�,� :. ��,.�,v.Cc.2�T��'�� _ _ - _ - - _ s� �> - - y 1919 1917_ °. 1991 ° - By. L� - - :o a �, a� _ Renee C.Llewe ssistant Secretary. . -, - -, SD 9 %Lri1nN� Sy r'+rm,,cS^� - ij` - - . __ _ _ _ " .- _ - `rncn - - _ - - - .. . . - -_ -_ - -i o2-of-2oo LMS -12873 022017 - - - - - - - - �� LIBERTY MUTUAL INSURANCE COMPANY >�t-'ualg FINANCIAL STATEMENT—DECEMBER 31,2017 SURETY Assets Liabilities Cash and Bank Deposits......................................... $370,003,299 Unearned Premiums................................................$7,503,154,587 *Bonds—U.S Government................:.................... 1,331,664,975 Reserve for Claims and Claims Expense................. 19,658,731,454 *Other Bonds..................:......................................... 11,127,053,004 Funds Held Under Reinsurance Treaties................. 224,693,828 Reserve for Dividends to Policyholders.................. 967,520 *Stocks..................................................................... 16,367,850,688 Additional Statutory Reserve....:............................. 52,491,027 Real Estate.............................................................. 272,895,626 Reserve for Commissions,Taxes and Agents'Balances or Uncollected Premiums........... 5,258,657,823 Other Liabilities................................................ 4,049,392,852 Accrued Interest and Rents..................................... 100,341,596 Total..................................................................$31,489,431,268 Other Admitted Assets.............................................. 11,192,287,530 Special Surplus Funds................. $176,230,822 Capital Stock............................... 10,000,000 Paid in Surplus............................ 9,484,316,385 Unassigned Surplus..................... 4,860,776,066 Total Admitted Assets.....................................P4fi,020,754,541 Surplus to Policyholders............................... 14,531,323,273 Total Liabilities and Surplus................................ fi.020.754.541 �,s�suR tuP 41RF'W3gl'''r r * Bonds are stated at amortized or investment value;Stocks at Association Market Values. t912 ° The foregoing financial information is taken from Liberty Mutual Insurance Company's financial CH ��b statement filed with the state of Massachusetts Department of Insurance. 1,TIM MIKOLAJEWSKI,Assistant Secretary of Liberty Mutual Insurance Company,do hereby certify that the foregoing is a true, and correct statement of the Assets and Liabilities of said Corporation,as of December 31,2017,to the best of my knowledge and belief. IN WITNESS WHEREOF,I have hereunto set my hand and affixed the seal of said Corporation at Seattle,Washington,this 16a'day of March,2018. Assistant Secretary S-1262LMIC/a 3118 DEPARTMENT' OF INSURANCE Certificate oAutborlty rota::ms Is'S'C)CFPTfT--Y, Th2t x.Pa tLX'tzi at,3 zhe IIx mrtT'$3:e Cf?Jd":of.he'lla`i CaNGmd'Mr J P orr,.4rs ..c�d ar der,a3;a nx e�i:e..e v' i�:3�",.'.'a- , �d'r�:xyY Pa�"U'r".�ds,YrtYtlf?9:ar- or&atz�-7 Su .art stale,a ut.0 g gS{ d r C' f 19ts78F id78i;'z." k ITIE�. Yd�ate.C, � 5 'i Sn' r ,, 7nrix#�}Pq 7 T ".x ?I'r k�'i{�y $a7fia�.q�z��y a va—,'r:4.;5�"`e, `r�*,,+}��i: ti.,, �` i.��kPURI.L. .A1J..Yr. „TTLIi�Y,. OJ.G.EER AN f M. p laws of the Slate #L fkhf uymi c lY�;sz�elr c:�z�.�aes xrrr a�r�.�c'or rx.vy Eder°f�r.��:�er be r'"d:€a•ae�� fxz.l�r. xtsre;Yar.�'t�x"� d � �'31r 5..sr'ii k ':C:n.'Y.';t CY']" 4.7,'X. 'L"{#'pSfDG7ii3 SfiI`JMf7'f'ft°t"a71etfi"Y br,+efJ"e§fY':4d.fi Si'ti€x hem if 4'c"Y,Td, 7t' y(.ah all,and no ttF .'Iv aifior, fly ,a_u of gFjj tplrExf£Icele!w2w and I:nv ul rrxst.er an"'burily of Ir., errw. of try;smte o �;,aih,arazJae f dPrg fit"St3C. la are.•x ts.?e sC' ag'Xjf l t�'bi,,iv,S„�a. wr�.7 a?d".�".+vrd Tz'glviTements tuniv are,-ar wnr „-`7- ,+;f.:"Y�zz°�'�.st3tt,g'd tiY eS7:T.t.1'Ij.,,u�= . Wk e In$ o day wg TYS'F:'>f171^Ii}rSirrl+'�P{{f��.��C..iYi"}}}}snd'nx offs.hr `2G'ot to he g h%,.,J 57F of...,._....X9,�.7.[dJifv.L..'. ........ ° v y Syed Wahidi From: Syed Wahidi Sent: Monday,July 30, 2018 7:31 AM To: 'Cameron Peach' Cc: Kevin MacNally; Bob Siudzinski; Doris Quai Hoi; Matthew Jue; David Mooso Subject: Creekside - Punch List Attachments: IMG_2021.JPG;IMG_2020.JPG;IMG_2022.JPG Hi Cameron, Here is the updated punch list. Two items still remaining. Fix b4ek-paveFs-as shown in attac4e"ic-S Remove nails fmm curb faee (pie taelie� Cover-plateess of both vaults (AT&T& PG&E) on S13 Gre ide Ave 1,sesuth of we loose and Fattling ar-=-' r.nr,rled to be fixed. Remove all catch basinpFetections Submit ar built plans Electrical Punch List: -Correct th louvers of traffic signals to match with the plans(emailed on June 20, '18) (Louver to be installed on SW traffic signal and NOT on NE signal as shown in attached plans) Add PPBs in theCOFFeet location (per plan) a eave the extra PPBs in place (that were installed 'RGOFFeEtly)to avoid � T'. L/aa leaving , -`-' -S and SE signals, mn rats,ther� Toic III Tk Cto+ Tnl.. on 1A/..r+side ef C-Feekside neaF paFI(ing exit: (1) Need -b--.d wire need Streetlight pull bexen S/W earneF need to be spliced GGFFeGtl Trees Punch list: { iting-#ar Fix damaged stakes and use screws for cross bar for the tree in north median(, b§s h4t;js still missing) Tum eni-+c�l'eC-t7t�-kiWe7 "'3-v�r-a444f + •d f G fees: e�„Ve: . OV•CA/y� Syed Wahidi Public Works Inspector U r+ City of Campbell Public Works Department 0 o 70 N. First Street Campbell,CA 95008 wwvr.cityofcarn}}bell.coi_n 408.866.2165 •�RCHAR� 1 Syed Wahidi From: Syed Wahidi Sent: Wednesday, June 27, 2018 8:31 AM To: Cameron Peach; Kevin MacNally Cc: Doris Quai Hoi; Matthew Jue; David Mooso; Bob Siudzinski Subject: Creekside - Punch List Hi Cam�ron, Here is the updated punch list. _F;', as shown On attached pics - b-face-(pie attached) ��ove plates of both vaults (AT&T& PG&E) on SB Creekside Ave ( south of intersection) are loose and rattling and neede to be fixed. Electrical Punch List: -Correct the louvers of traffic signals to match with the plans (emailed on June 20,'18) Vdd.,PPBs in the correct location (per plan) and leave the extra PPBs in place (that were installed incorrectly)to avoid leaving holes on the pole. (emailed on June 20,'18) -On SW and SE signals, theFe aFe holes On the plates wheFe Fnast affn jeins the pole (pics attached). They need to be a d e- s ,,/Streetlight pole on West side of Creekside near parking exit: (1) Need fuse holder for splicing(2)The ground wire need p•be bare instead of insulated '✓All new streetlight pull boxes (or the ones damaged during construction) need to be grouted -Streetlight pull box on S/W corner need to be spliced correctly -Streetlight pull box on N/E corner need to be spliced correctly Trees Punch list: (waiting fGF the final tFees punch list f.-erfl tFee .dept and will be fe.-..aF de d seen) 7 - Fix damaged stakes and use screws for cross bar for the tree in north median - Turn-on-the-bubblers=for-ail-trees-on-west side of-Ct ekside Ave. OV•CA,tj Syed Wahidi ;! Public Works Inspector U44' �r City of Campbell I Public Works Department oo 70 N.First Street I Campbell,CA 95008 www.eityofcampbell.corn 1 408.866.2165 "RCHA1RV 1 Y Syed Wahidi From: Syed Wahidi Sent: Wednesday,June 20, 2018 8:50 AM To: 'Jeff Elia' Cc: Cameron Peach;Tim Chang; Matthew Jue; Doris Quai Hoi; David Mooso Subject: RE: Creekside Signal As-Built Plans Thanks Jeff for bringing it up as City did not direct these changes. Cameron, After reviewing the changes mentioned by Jeff,we would like to have the following done prior to job acceptance: 1. Correct the louvers to comply with the plans 2. Add PPBs in the correct location (per plan) and leave the extra PPBs in place to avoid leaving holes on the pole. OF•CA4� Syed Wahidi �;t, Public Works Inspector V r City of Campbell I Public Works Department 0 o 70 N.Fast Street I Campbell,CA 95008 www.cityofcampbell.com l 408.866.2165 From: Jeff Elia [mailto:jelia0)hextrans.com1 Sent: Monday, June 18, 2018 2:15 PM To: Matthew Jue; Syed Wahidi Cc: Cameron Peach; Tim Chang Subject: Creekside Signal As-Built Plans Matthew and Syed: We have been asked by our client to prepare as-built plans for the new traffic signal on Creekside Drive.We conducted a quick field visit last week to see the signal and to document anything that appears to have been installed differently than what the approved construction plans called for. We noted a few things that we wanted to run by the City before preparing the as-built drawings. See the items clouded in magenta on the attached sketch. 1. The phase 2 nearside left signal head is not louvered per the plans. Instead,the far side right phase 2 signal is louvered.The purpose of the lovers in the nearside left signal is to prevent traffic in the NB LT lane from seeing that signal on the left side of the intersection and mistaking it for the left-turn signal that controls that lane. Can you confirm that the City directed to contractor to make the changes shown on the plan. 2. The Phase 4 and 6 pedestrian push buttons were switched on the SW corner of the intersection. Can you confirm that this is what the City wanted for that corner. The other changes shown on the plan are things we already were aware of or that are minor changes that don't require additional discussion. Please let me know the City's position on the two items above. If you want to discuss any of this, please let me know. 1 Thanks, Jeff Jeffrey A.Ella,P.E. Principal Associate Hexagon Transportation Consultants,Inc. San Jose I Gilroy I Phoenix I Pleasanton 8070 Santa Teresa Boulevard, Suite 230 1 Gilroy, California 95020 P: 408.846.7413 1 F: 408.846.7418 www.hextrans.com A Please consider the environment before printing this material. 2 Syed Wahidi From: Syed Wahidi Sent: Wednesday,June 06, 2018 8:12 AM To: 'Cameron Peach'; 'Kevin MacNally' Cc: Doris Quai Hoi; Matthew Jue; David Mooso; Bob Siudzinski Subject: Creekside - Punch List Attachments: IMG_1704.JPG;IMG_1707.JPG;IMG_1705.JPG;file-ljpeg;file2-1Jpeg ' G I,� Hi Cameron, G Here are the punch list items needed to be corrected: s - d) -Cover plate of the electrical vault on SB Creekside Ave (just south of intersection) is loose and rattling and needed to be fixed. �i i�yyrn S -Submit as-built plans Electrical Punch List: lates where m o kr need-to be adtlre'ssed. -Streetlight pole on West side of Creekside near parking exit: (1) Need fuse holder for splicing (2)The ground wire need to be bare instead of insulated -All new streetlight pull boxes (or the ones damaged during construction) need to be grouted -Streetlight pull box on.S/W corner need to be spliced correctly -Streetlight pull box on N/E corner need to be spliced correctly Trees Punch list: �V 44UV oV cA,11�e Syed Wahidi Public Works Inspector U C+ City of Campbell Public Works Department o 0 70 N. First Street Campbell,CA 95008 www.cityofcampbell.com 1408.866.2165 "RCHARO 1 Syed Wahidi From: Syed Wahidi Sent: Friday,April 20, 2018 12:43 PM To: 'Cameron Peach'; David Mooso; Bob Siudzinski; Matthew Jue Cc: Doris Quai Hoi; Kevin MacNally Subject: FW: Creekside -Work Remaining y�'��,�� t `^ �I j P y fl " Attachments: SKMBT_50118042012280.pdf ?�;V Dave and Bob, Please do your final punch list inspection for Electrical and Trees/irrigation respectively. Thanks. Matthew, Although I have checked thoroughly each item but can you also please check out signing/striping in general? Thanks. i� Cameron, Here is a list of the remaining work: -Complete Electrical work(Signals, Lighting) - &Et ,.centred) -City Electrical Dept to sign off on Street lighting and signals -City Arborist to sign off all trees and landscaping including plans inside bio-retention basins Submit as-built plans oV•C,A4� Syed Wahidi Public Works Inspector City of Campbell I Public Works Department o A. o 70 N. First Street I Campbell, CA 95008 www.cityofcampbeil.com 408.866.2165 _.._.... ...•�RGH.AR�..._.._. ...................................._............ _. ........_....._.......... ..........__ ._............ ......_.._... ..._......... ....... ....._.... ................_.._.._,_.... _. .....,...... _.........._..._.. ...... From: Syed Wahidi Sent: Thursday, February 08, 2018 8:45 AM To: Doris Quai Hoi; 'Cameron Peach'; 'Kevin MacNally' Cc: David Mooso Subject: RE: Creekside - Work Remaining Cameron, I rnet with our irrigation guy who showed that irrigation boxes at south median need to be repaired from inside. The wires were not connected and a pipe was cut that was never fixed.The repair need to be done fast as plants may die. Also,the City electrician informed that for OH wiring,the splice is done on the poles. City standard is to splice in the service boxes. This is the case in all three signal poles and it need to be corrected before the signal turn on. Also noted that the pull box near the signal pole at SW corner is not grouted from inside. In the end, all the pull boxes will be inspected for inside finishing. 1 l Syed Wahidi From: Matthew Jue Sent: Monday, April 23, 2018 4:28 PM To: Syed Wahidi Cc: Doris Quai Hoi Subject: RE: Creekside -Work Remaining Attachments: SKMBT_50118042315530.pdf Syed, Attached are scribble dotes. Here are our comments. 1. Creekside Way,west side a:-,' Agree that R26(S) and Custom "No Ped Crossing" signs are missing from streetlight pole between two closely-spaced driveways b. R13(CA) "No Right Turn (symbol)" sign on southwest corner of Hotel intersection is turned slightly away from southbound motorist. We understand that ped signal head is in the way. Could sign be relocated to be above the vehicular signal head? c.,-Agree that R13 (CA) "No Right Turn (symbol)" sign on northwest corner of Hotel intersection is facing the wrong way(facing westbound traffic; should face southbound traffic). da✓Agree that W4-2 "Lane Merge" sign is missing. e.✓Agree that W9-1 "Right Lane Ends" sign is missing. 2. Creekside Way, medians a:✓R4-7 "Keep Right(symbol)" sign has been installed on south leg of Creekside/Hotel intersection. b. R49 (CA) "No Ped Cross in , Use Crosswalk w/arrow" signs have been installed_o._n_no.rth_l.eg_of Creekside/Hotel intersection. ^ 3. Creekside,Way, east side a,k/Agree that R26(S) sign is missing between SR 17 Northbound Off-ramp and driveway for 900 East Hamilton Avenue. 4. Driveway for 900 East Hamilton Avenue aUPavement arrows (Type IV(Rt) and Type VII(Lt)) remain on upstream end of driveway; okay to keep arrows(good for warning motorists before they reach intersection). ov•cAy Matthew Jue, P.E.,T.E., P.T.O.E. �� Traffic Engineer V r City of Campbell I Public Works Department o o 70 N. First Street I Campbell,CA 95008 www.cityofcampbell.corn 1408.866.2150 •()RCHAIRV From: Syed Wahidi Sent: Friday, April 20, 2018 12:43 PM To: 'Cameron Peach'; David Mooso; Bob Siudzinski; Matthew Jue Cc: Doris Quai Hoi; Kevin MacNally Subject: FW: Creekside - Work Remaining Dave and Bob, Please do your final punch list inspection for Electrical and Trees/irrigation respectively. Thanks. .\ 1 i Matthew, Although I have checked thoroughly each item but can you also please check out signing/striping in general? Thanks. Cameron, Here is a list of the remaining work: -Complete Electrical work(Signals, Lighting) -Complete Signing per attached sheet. Several signs are missing. - Fix sidewalk that was removed for PG&E trench - Fix the irrigation inside the south median (irrigation stopped working after they fixed once. City arborist presence required) -City Electrical Dept to sign off on Street lighting and signals -City Arborist to sign off all trees and landscaping including plans inside bio-retention basins -Submit as-built plans ov•CA 1, Syed Wahidi �4' ��'� Public Works Inspector V �r City of Campbell I Public Works Department 0 o 70 N. First Street I Campbell,CA 95008 www.cit.oy fcampbell.com 1408.866.2165 •�RriH.AR� From: Syed Wahidi Sent: Thursday, February 08, 2018 8:45 AM To: Doris Quai Hoi; 'Cameron Peach'; 'Kevin MacNally' Cc: David Mooso Subject: RE: Creekside - Work Remaining Cameron, I met with our irrigation guy who showed that irrigation boxes at south median need to be repaired from inside. The wires were not connected and a pipe was cut that was never fixed.The repair need to be done fast as plants may die. Also,the City electrician informed that for OH wiring,the splice is done on the poles. City standard is to splice in the service boxes. This is the case in all three signal poles and it need to be corrected before the signal turn on. Also noted that the pull box near the signal pole at SW corner is not grouted from inside. In the end, all the pull boxes will be inspected for inside finishing. Regarding the existing pole removal next to signal pole at SW corner, once the existing pole base is removed,the sidewalk panel shall be replaced from score line to score line. Revised list of the remaining work: -Complete Electrical work(Signals, Lighting) -Complete signing I IpgFade all r+r.,o+ lights to LED en Greekside Ave FGFM the Off .amp to the bFkl,o --Complete the work inside the south median lights Change I. Aire heads to LED on 3 ..re r+inn r+r e+ Cnh+c - Replace the north median tree that was removed for signal installation with a new Lagerstroemia indicia 'Natchez' tree -Adjust PG&E vault to grade near SW corner 2 -City Electrical Dept to sign off on Street lighting and signals -City Arborist to sign off all trees and landscaping including plans inside bio-retention basins -Submit as-built plans ®g•Cl,�, Syed Wahidi Public Works Inspector U r City of Campbell Public Works Department 0 o 70 N. First Street Campbell,CA 95008 www.cit.oy fcampbell.com 1408.866.2165 ___..•�RC1iAR�.._-------._._._____......_ From: Cameron Peach [mailto:cpeachCabsbci.com] Sent: Monday, November 13, 2017 3:06 PM To: Syed Wahidi; Doris Quai Hoi Cc: Anthony Vera; Matthew Jue; 'Jeff Ella'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Bill Bruckart; Wayne Smith; Kevin MacNally; David Mooso Subject: RE: Creekside/17 Electrical Pole 29-5-100 Ok,thanks Syed. From: Syed Wahidi [mailto:SyedW(acityofcampbell.com] Sent: Monday, November 13, 2017 3:04 PM To: Cameron Peach; Doris Qua! Hoi Cc: Anthony Vera; Matthew Jue; 'Jeff Ella'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Bill Bruckart; Wayne Smith; Kevin MacNally; David Mooso Subject: RE: Creekside/17 Electrical Pole 29-5-100 Hi Cameron, I just checked with the City Engineer that City will not allow signal turn on without the presence of Traffic Engineer and City Electrician. So kindly inform your sub that the turn on must be completed by Dec 151n which means they should leave a day or two extra in case something goes wrong during installation. Ideally the turn on can be scheduled on Dec 11tn or 12m O'V Q4 Syed Wahidi 46 Public Works Inspector U City of Campbell Public Works Department o 70 N.First Street Campbell,CA 95008 11¢ www.cit, oy fcampbell.com 1408.866.2165 From: Cameron Peach [mailto:cpeach5sbci.com] Sent: Monday, November 13, 2017 2:36 PM To: Doris Quai Hoi Cc: Anthony Vera; Matthew Jue; 'Jeff Ella'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Thank you Doris. Great info. We will try to bring on line prior to that. 3 1 �� Cameron From: Doris Quai Hoi [ma i Ito:dorisgh cityofcampbel1.com] Sent: Monday, November 13, 2017 1:58 PM To: Cameron Peach Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe = Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Cameron, I got feedback from staff here regarding your tentative schedule, please note that City Hall is closed the last week of Dec (Dec 22 —to Jan 1). So there are no inspections, no work in the public right of way, no Public Works staffing. With that sad,the Traffic Engineer and the Signals/Lighting Supervisor will be on vacation starting the 18th of Dec. That would mean turn on can't happen if they are not here.Which also means you can't turn on that Friday before the 18th. So keep me posted on your schedule as things get closer for a turn-on date. Thanks, Doris From: Cameron Peach [mailto:cpeach@sbci.com] Sent: Monday, November 13, 2017 10:46 AM To: Doris Quai Hoi; Anthony Vera; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Ella'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Doris, Absolutely. We are going to be done with all repairs to the bioswails this week. We also got the new trash enclosure layout approved and we started making modifications to that last week and we are hoping to be done with that in the next 1-2 weeks also. Once we have those items complete we were going to call out Syed to come inspect and sign off to make sure they are done to your approval. We will also have K&W come out and sign off on the bioswails prior to calling you guys out to make sure they approve too. Other that those items I think that is all that is left. Thanks, Cameron From: Doris Quai Hoi [mailto:dorisgh(acityofcampbell.com] Sent: Monday, November 13, 2017 8:39 AM 4 To: Cameron Peach; Anthony Vera; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Morning Cameron, We can definitely work with you on the traffic signal poles and the startup of the traffic signal however, all items on the punch list needs to be corrected. There is a punch list for all biotreatments,Anthony and Syed will need to verify that all work has been corrected on the biotreatment. Syed, do you have an updated punch list for other Public Improvements either than the traffic signal that still needs to be addressed? Thanks, Doris From: Cameron Peach [mailto:cpeach(absbci.com] Sent: Saturday, November 11, 2017 3:57 PM To: Anthony Vera; Doris Quai Hoi; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Anthony, I had a conversation with Troy and he apparently was directed to keep the same pole and baseplate just a new arm to be compliant as long as we can achieve the 48" sidewalk clearance which we have. We are forming up the concrete this week and will call out public works for inspection to confirm compliance prior to pouring. We have maintained our order for the new pole and it is scheduled to be here sometime around Dec 15t and will hopefully all be installed by mid-December completed. Doris, We would like to see about getting a formal occupancy on our parking garage without this work done if possible. We should have all our other inspections in place within the next week or two that should be able to allow us to do this with the only outstanding item to be the traffic signal. If this is acceptable please let us know. The work is all done and the hotel would love to start parking people in there asap. If anything I have written is not true please feel free to chime in and correct me. I want to make sure we are all on the same page and doing everything correctly. Thanks, Cameron 5 From: Anthony Vera [mailto:avera(&kierwright.com] Sent: Wednesday, November 08, 2017 4:47 PM To: Doris Quai Hoi; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michael Ingram; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Cameron Peach Subject: RE: Creekside/17 Electrical Pole 29-5-100 Troy, To follow up on this traffic signal pole for the Creekside project do we have resolution on the pole and baseplate?Will the baseplate remain as is or will another plate be installed in its place for the new pole? Please advise as we are trying to coordinate if any changes to the walkway are necessary. Thank you. Anthony Vera, P.E. Kier&Wright Civil Engineers &Surveyors, Inc. 3350 Scott Blvd. #22 ! Santa Clara, CA 95054 t 408.727.6665 1 ff 408.727.5641 1 avera(@kierwright.com From: Doris Quai Hoi [mailto:dorisgh@citvofcampbell.com] Sent:Wednesday, October 25, 2017 11:07 AM To: 'troy@tennysonelec.com' <troy@tennysonelec.com> Cc: Matthew Jue<MatthewJ@citvofcampbell.com>; 'Jeff Elia'<ielia@hextrans.com>; Mark Knudsen <mknudsen@kierwright.com>; Anthony Vera <avera@kierwright.com>; Michael Ingram <mingram@sbci.com>; 'Michelle Crow' <mcrow@sbci.com>;Scott Trobbe-Offsite <strobbe@southbay.us>; Syed Wahidi <SvedW@citvofcampbell.com>; Bill Bruckart<BBruckart@citvofcampbell.com> Subject:Creekside/17 Electrical Pole 29-5-100 Good Morning Troy, Thank you for discussing with me the manufacturing defect on Pole E located at the northeast corner of the Creekside/17 development. My understanding is that your staff noticed that the angle of the mast arm connection was either too large or too small (or the connection at the pole is too high) and through communication with the manufacturer they are unable to determine whether the defect is the mast arm or the pole, therefore a new pole and mast arm will be replaced. I am confirming that you please proceed with installing the same pole that was approved via the submittal process (2010 Standard Plans Revised 7/15/2016). Please coordinate with the general contractor on the sequence of work as it relates to any changes to the sidewalk, if any. Please keep me posted on the status of this pole, keep in mind this plays a huge impact on the release of any future application for a TCO /CO. Sincerely, 6 • Doris BASE PLA:rt. F(7=f FOR U .GSEJ E6C�E5 { ttV1 Toils` ' g T�Ta ++S HEx N17 EACH EYE] S„1 CAP Has S-qr , , To, [, cw&EDGE. � cALx,�,[ziHc"ERA - - i FOIE Q Ham.C M Ty 'SECTION'A-A ELEVAT ION SIGNAL MAST ARM CONNECTF@tl T)ETAIL.,,A ' OV-C � Doris C. Quai Hoi 4' ;t'P Assistant Engineer City of Campbell I Public Works Department as o 70 N.First Street I Campbell, CA 45008 �. www.cityofcampbell.co IM 408.866.2157 7 Syed Wahidi From: Kevin MacNally <kmacnally@sbci.com> Sent: Monday,April 23, 2018 1:26 PM To: Syed Wahidi Cc: Doris Quai Hoi; Matt Tennyson; Cameron Peach; chris@geerex.com Subject: Re: PG & E Tie in work Attachments: image002.png We will do all of our tests then switch off. Sent from my iPhone On Apr 23, 2018,at 1:24 PM,Syed Wahidi<SvedW@citvofcampbell.com<mailto:SvedW@citvofcampbell.com>>wrote: Hi Kevin, Please avoid the signal turn-on on Friday since City avoids it on Fridays and/or before long weekends. Thanks. r <image002.png>Syed Wahidi Public Works Inspector City of Campbell Public Works Department 70 N. First Street Campbell, CA 95008 www.citvofcampbell.com<http://www.cityofcampbell.com/> 408.866.2165 From: Kevin MacNally [mailto:kmacnall sbci.com] Sent: Monday,April 23, 2018 11:51 AM To:Syed Wahidi; Doris Quai Hoi Cc: Matt Tennyson; Cameron Peach; chris@geerex.com<mailto:chris@geerex.com> Subject: PG & E Tie in work Good afternoon everyone Update on scheduled for PG&E signal electrical tie in 1. All preparation has been completed for the electrical tie in by PG&E 2. PG&E has clearance to turn power off and Tie in on Thursday morning ..The work will continue until they are powered back up the same day.. 3. PG&E will set the meter at the end of day Thursday or First thing Friday morning 1 Matt Tennyson 1. Please schedule your crew to be onsite Thursday 4-26-18 from 11:00 am to 2:30pm As well as Friday 4-27-18 for the whole day.. ***Friday morning run your tests and final adjustments before public works of Campbell gets there to adjust the cameras*** ***we want to be completed with all work at EOD Friday*** Syed & Doris 1. Can you schedule the camera Technician for 11am to 2:30Pm on Friday 4-27-18 Chris Geer 1. Since all prep has been completed and the only work left is inside the Vaults on Thursday please proceed with getting everything put back together.. Thank you and any question feel free to call me on my number below. Kevin C. Mac Nally South Bay Construction Superintendant 669-254-0959 2 Syed Wahidi From: Syed Wahidi Sent: Monday, February 12, 2018 8:30 AM To: 'Cameron Peach'; Doris Quai Hoi; Kevin MacNally Cc: Bob Siudzinski Subject: RE: Creekside -Work Remaining Attachments: IMG_1149.JPG Hi Cameron, Please see attached picture orey ree that is now missing. I vaguely remember that Mike Ingram once mentioned it was hit by some equipment and thad to cut it down. Picture is taken from Google maps that shows the tree was present during construction. Please check with Mike and if he remembers removing it, then I will include in the list. Thanks. (I checked with Ci fo ces and they did not remove it nor remember any vehicle hitting it or something) Og-CA,� Syed Wahidi �4'� Public Works Inspector City of Campbell Public Works Department U c' Y 1- I P' o 0 70 N. First Street I Campbell,C':1 95008 w`v_sv.c_itvofcarn Ti 1 408.866.21 65 From: Cameron Peach [mailto:cpeach@sbci.com] Sent: Thursday, February 08, 2018 11:33 AM To: Syed Wahidi; Doris Quai Hoi; Kevin MacNally Cc: David Mooso Subject: RE: Creekside - Work Remaining Syed, We will pass this info along to Tennyson and also get the landscaper to get this done asap. I will have'Kevin work with them to resolve these items asap. Thanks for communicating with us to get this done. Thanks, Cameron From: Syed Wahidi [mailto:SyedW cityofcampbell.com] Sent: Thursday, February 08, 2018 8:45 AM To: Doris Quai Hoi; Cameron Peach; Kevin MacNally Cc: David Mooso Subject: RE: Creekside - Work Remaining Cameron, i I met with our irrigation guy who showed that irrigation boxes at south median need to be repaired from inside. The wires were not connected and a pipe was cut that was never fixed.The repair need to be done fast as plants may die. Also, the City electrician informed that for OH wiring,the splice is done on the poles. City standard is to splice in the service boxes. This is the case in all three signal poles and it need to be corrected before the signal turn on. Also noted that the pull box near the signal pole at SW corner is not grouted from inside. In the end, all the pull boxes will be inspected for inside finishing. Regarding the existing pole removal next to signal pole at SW corner, once the existing pole base is removed,the V✓ sidewalk panel shall be replaced from score line to score line. Revised list of the remaining work: -Complete Electrical work(Signals, Lighting) -Complete signing I I Fad all St Feet lights to LED an GFee 'de Ave form the off ramp try the bFidRo -Complete the work inside the south median ge€euf(44-ex4s�ing--Areee 4g44t-S —Ghang&4e m4vaiFe4h as-te-LED-e4-4--3-m--ore-e-X4sti-ng-str-eet-4g4t-s vReplace the north median tree that was removed for signal installation with a new Lagerstroemia indicia 'Natchez' tree -VAdjust PG&E vault to grade near SW corner -City Electrical Dept to sign off on Street lighting and signals -City Arborist to sign off all trees and landscaping including plans inside bio-retention basins -Submit as-built plans oV CAI Syed Wahidi ��'� Public Works Inspector City of Campbell I PLlblic Works Department 0 o 70 N. First Street I Campbell,CA 95009 ti� GAF' wyw.cit o1�jL)eL.cgi ; 40S.866.2165 From: Cameron Peach [mailto:cpeach(&sbci.com] Sent: Monday, November 13, 2017 3:06 PM To: Syed Wahidi; Doris Qua! Hoi Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Bill Bruckart; Wayne Smith; Kevin MacNally; David Mooso Subject: RE: Creekside/17 Electrical Pole 29-5-100 Ok, thanks Syed. From: Syed Wahidi [ma I Ito:SyedW cityofcampbelLcom] Sent: Monday, November 13, 2017 3:04 PM To: Cameron Peach; Doris Quai Hoi Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Bill Bruckart; Wayne Smith; Kevin MacNally; David Mooso Subject: RE: Creekside/17 Electrical Pole 29-5-100 Hi Cameron, I just checked with the City Engineer that City will not allow signal turn on without the presence of Traffic Engineer and City Electrician. So kindly inform your sub that the turn on must be completed by Dec 151"which means they should 2 leave'a day or two extra in case something goes wrong during installation. Ideally the turn on can be scheduled on Dec 111h or 12th ,O,V�•Ce1,1h Syed Wahidi Public Works Inspector rj City of Campbell I PLIbllC Works Depat'I'IY'ICilt o ' tr 70 N. First Street I Campbell,CA 95008 -_ ; W\"W.Cltyotc2am)bell.001_TI 1408.866.2 1 6 ccIIAtie�' From: Cameron Peach [mailto:cpeach@sbci.com] Sent: Monday, November 13, 2017 2:36 PM To: Doris Quai Hoi Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Thank you Doris. Great info. We will try to bring on line prior to that. Cameron From: Doris Quai Hoi [ma I Ito:dorisgh cityofcampbel1.com] Sent: Monday, November 13, 2017 1:58 PM To: Cameron Peach Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Cameron, I got feedback from staff here regarding your tentative schedule, please note that City Hall is closed the last week of Dec (Dec 22 — to Jan 1). So there are no inspections, no work in the public right of way, no Public Works staffing. With that sad, the Traffic Engineer and the Signals/Lighting Supervisor will be on vacation starting the 18th of Dec. That would mean turn on can't happen if they are not here. Which also means you can't turn on that Friday before the 18th. So keep me posted on your schedule as things get closer for a turn-on date. Thanks, Doris From: Cameron Peach [mailto:cpeach@sbci.com] Sent: Monday, November 13, 2017 10:46 AM To: Doris Quai Hoi; Anthony Vera; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 3 Doris, Absolutely. We are going to be done with all repairs to the bioswails this week. We also got the new trash enclosure layout approved and we started making modifications to that last week and we are hoping to be done with that in the next 1-2 weeks also. Once we have those items complete we were going to call out Syed to come inspect and sign off to make sure they are done to your approval. We will also have K&W come out and sign off on the bioswails prior to calling you guys out to make sure they approve too. Other that those items I think that is all that is left. Thanks, Cameron From: Doris Quai Hoi [ma i Ito:dorisghh(a)cityofcampbel1.com] Sent: Monday, November 13, 2017 8:39 AM To: Cameron Peach; Anthony Vera; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Morning Cameron, We can definitely work with you on the traffic signal poles and the startup of the traffic signal however, all items on the punch list needs to be corrected. There is a punch list for all biotreatments,Anthony and Syed will need to verify that all work has been corrected on the biotreatment. Syed, do you have an updated punch list for other Public Improvements either than the traffic signal that still needs to be addressed? Thanks, Doris From: Cameron Peach [mailto:cpeach(a)sbci.com] Sent: Saturday, November 11, 2017 3:57 PM To: Anthony Vera; Doris Quai Hoi; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Anthony, I had a conversation with Troy and he apparently was directed to keep the same pole and baseplate just a new arm to be compliant as long as we can achieve the 48" sidewalk clearance which we have. We are forming up the concrete this week and will call out public works for inspection to confirm compliance prior to pouring. 4 We have maintained our order for the new pole and it is scheduled to be here sometime around Dec 15Y and will hopefully all be installed by mid-December completed. Doris, We would like to see about getting a formal occupancy on our parking garage without this work done if possible. We should have all our other inspections in place within the next week or two that should be able to allow us to do this with the only outstanding item to be the traffic signal. If this is acceptable please let us know. The work is all done and the hotel would love to start parking people in there asap. If anything I have written is not true please feel free to chirne in and correct me. I want to make sure we are all on the same page and doing everything correctly. Thanks, Cameron From: Anthony Vera rmailto:avera(a)kierwright.com] Sent: Wednesday, November 08, 2017 4:47 PM To: Doris Quai Hoi; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michael Ingram; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Cameron Peach Subject: RE: Creekside/17 Electrical Pole 29-5-100 Troy, To follow up on this traffic signal pole for the Creekside project do we have resolution on the pole and baseplate?Will the baseplate remain as is or will another plate be installed in its place for the new pole? Please advise as we are trying to coordinate if any changes to the walkway are necessary. Thank you. Anthony Vera, P.E. i Kier &Wright Civil Engineers &Surveyors, Inc. "✓ 3350 Scott Blvd. #22 1 Santa Clara, CA 95054 t 408.727.6665 { f 408.727.5641 avera(ftierwright.com From: Doris Quai Hoi [mailto:dorisghPcitvofcampbell.comI Sent:Wednesday, October 25, 2017 11:07 AM To: 'troy @tennysonelec.com' <troy(@tennysonelec.com> Cc: Matthew Jue<MatthewJ@cityofcampbell.com>; 'Jeff Elia' <ielia@hextrans.com>; Mark Knudsen <mknudsen@kierwright.com>; Anthony Vera <avera@kierwright.com>; Michael Ingram <mingram@sbci.com>; 'Michelle Crow' <mcrow@sbci.com>; Scott Trobbe-Offsite <strobbe@southbay.us>; Syed Wahidi <SvedW@citvofcampbell.com>; Bill Bruckart<BBrucl<art@cityofcampbell.com> Subject: Creekside/17 Electrical Pole 29-5-100 Good Morning Troy, 5 Thank you for discussing with me the manufacturing defect on Pole E located at the northeast corner of the Creekside/17 development. My understanding is that your staff noticed that the angle of the mast arm connection was either too large or too small (or the connection at the pole is too high) and through communication with the manufacturer they are unable to determine whether the defect is the mast arm or the pole, therefore a new pole and mast arm will be replaced. I am confirming that you please proceed with installing the same pole that was approved via the submittal process (2010 Standard Plans Revised 7/15/2016). Please coordinate with the general contractor on the sequence of work as it relates to any changes to the sidewalk, if any. Please keep me posted on the status of this pole, keep in mind this plays a huge impact on the release of any future application for a TCO /CO. Sincerely, Doris BASE PLATE Fc— DETAIL. n d Hi>LE. J zmr� CHf:SEJ EDGE r`l` FOR Eloct ' CCc�"•TSfNS �LL o i T1p H>Hex Ho- 'W � EACH M •T CAP SORE fir tint c. ' W L Tce, rip t\7l[,4 r ' ."mow Salt ArD SMEE' � r ro kv:• ,yam-.'��+ GALVaFIiCECKYr CPA ` FOIE �- t-^ HCdES.C 00TH TYVr�-�7` 'A �`Y:,'t .Ty7e• - SECTioN A-'A ELEV [Of SICsNAL MAST ARM -CTION DETAIL A Doris C. Quai Hoi +` Assistant Engineer G` a City of Campbell j Public Works Department o � � o 70 N.First Street Campbell,CA 95008 _v.citvofcam�beli,com I A 08.866.2 i-7 t��v ? � -i-- 6 Syed Wahidi From: Syed Wahidi Sent: Thursday, February 08, 2018 8:45 AM To: Doris Quai Hoi; 'Cameron Peach'; 'Kevin MacNally' Cc: David Mooso Subject: RE: Creekside -Work Remaining Cameron, I met with our irrigation guy who showed that irrigation boxes at south median need to be repaired from inside. The wires were not connected and a pipe was cut that was never fixed.The repair need to be done fast as plants may die. Also, the City electrician informed that for OH wiring,the splice is done on the poles. City standard is to splice in the service boxes. This is the case in all three signal poles and it need to be corrected before the signal turn on. Also noted that the pull box near the signal pole at SW corner is not grouted from inside. In the end, all the pull boxes will be inspected for inside finishing. Regarding the existing pole removal next to signal pole at SW corner, once the existing pole base is removed,the sidewalk panel shall be replaced from score line to score line. Revised list of the remaining work: -Complete Electrical work (Signals, Lighting) - Complete signing Upgrade all StFe ,+ lights+ LEI) an C I side Ave fOFM the Off p to+ham. hr dge -Complete the work inside the south median Remove 9- salvage UFIAI e�cisti gcheet-lights —ChaRge lumonaiFe heads to LED on 2 Fnere existing Street Iig4T - Replace the north median tree that was removed for signal installation with a new Lagerstroemia indicia 'Natchez' tree -Adjust PG&E vault to grade near SW corner -City Electrical Dept to sign off on Street lighting and signals -City Arborist to sign off all trees and landscaping including plans inside bio-retention basins -Submit as-built plans OV-CA,y� Syed Wahidi Public Works Inspector U r City of Campbell I Public Works Department 0 o 70 N. First Street I Campbell,CA 95008 www.cityofcam bell.com 1408.S66.2165 •�R„�H AR� .._ From: Cameron Peach [mailto:cpeachC�sbci.com] Sent: Monday, November 13, 2017 3:06 PM To: Syed Wahidi; Doris Quai Hoi Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Bill Bruckart; Wayne Smith; Kevin MacNally; David Mooso Subject: RE: Creekside/17 Electrical Pole 29-5-100 Ok, thanks Syed. 1 Syed Wahidi From: Syed Wahidi Sent: Wednesday, November 29, 2017 8:25 AM To: 'Cameron Peach' Cc: Doris Quai Hoi; Matthew Jue Subject: RE: Creekside -Work Remaining Cameron, Please also add the following in the list of remaining work: - Ciasswalk��crossa�4�te:l�d�ri.�cefw_ay��"as�icat�tr�acked�but�not�stripecl Detail 40 running through the Hotel driveway intersection in the southbound direction is installed per plan as 4" wide. Latest standard is 6" wide. Is it possible to change it to 6"? o�•cry Syed Wahidi J . �4' �d� Public Works Inspector 4 r City of Campbell I Public Works Department. �+'� � I/ 0 o 70 N.First Street I CampbeiI,CA 9500'8 �1 cti �tim GCE Wtivw.citvofcarnt*nbeil.corn1 408.866.216.5 •. CWAR �-_-._ l From: Syed Wahidi Sent: Tuesday, November 28, 2017 12:16 PM To: 'Cameron Peach' J Cc: Doris Quai Hoi �t Subject: Creekside -Work Remaining Revised list of the remaining work after a walk through with Kevin. C �( -Complete Electrical work(Signals, Lighting).. -Complete signing - U of - lete bio-ret in "1 forated i e -owe side o£the d.eten#iora plan#eGs� Sub ec ' a s r. 1no�n �Co:m fete=the wo.r=_k insire the=south�rrec�ian ` t'' ' - Remove &salvage four(4)existing street lights � '� ��k -Change It.rminaire heads to LED on 3 more existing street lights - smpterc all ate sadewafl�Cvork-irCcludurg€resettir�gfpavers��^a �„++;,,,,+„a,•,, ,+.,,a ,a�,•,,r ,+err,,.Y.,�,. - Replace the north median tree that was removed for signal installation (City to provide tree type) `� t -Adjust PG&E vault to grade near SW corner -Clean-the-existing-C-3 vault at thEFli-o'teJ-entrance.. -City Electrical Dept to sign off on Street lighting and signals .y -City Arborist to sign off all trees and landscaping including plans inside bio-retention basins -Submit as-built plans 1 Syed Wahidi From: Syed Wahidi Sent: Thursday,January 18, 2018 12:19 PM To: Doris Quai Hoi; Cameron Peach; 'Kevin MacNally' Subject: Creekside -Work Remaining Revised list of the remaining work: -Complete Electrical work(Signals, Lighting) -Complete signing - Upgrade all street lights to LED on Creekside Ave form the off-ramp to the bridge -Complete the work inside the south median - Remove &salvage four(4) existing street lights -Change luminaire heads to LED on 3 more existing street lights - Replace the north median tree that was removed for signal installation (City to provide tree type) -Adjust PG&E vault to grade near SW corner -City Electrical Dept to sign off on Street lighting and signals -City Arborist to sign off all trees and landscaping including plans inside bio-retention basins -Submit as-built plans OV•C� Syed Wahidi �d'� Public Works Inspector U �r City of Campbell I Public Works Department 0 o 70 N.First Street I Campbell, CA 95008 www.Cit oy fcaiirpbell.com 1 /108.866.2165 From: Cameron Peach [mailto:cpeach(&sbci.com] Sent: Monday, November 13, 2017 3:06 PM To: Syed Wahidi; Doris Quai Hoi Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Bill Bruckart; Wayne Smith; Kevin MacNally; David Mooso Subject: RE: Creekside/17 Electrical Pole 29-5-100 Ok,thanks Syed. From: Syed Wahidi [mailto:SyedW(aIcityofcampbell.com] Sent: Monday, November 13, 2017 3:04 PM To: Cameron Peach; Doris Quai Hoi Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Bill Bruckart; Wayne Smith; Kevin MacNally; David Mooso Subject: RE: Creekside/17 Electrical Pole 29-5-100 Hi Cameron, I just checked with the City Engineer that City will not allow signal turn on without the presence of Traffic Engineer and City Electrician. So kindly inform your sub that the turn on must be completed by Dec 151h which means they should 1 leave a day or two extra in case something goes wrong during installation. Ideally the turn on can be scheduled on Dec 11th or 12th t;Aiyh Syed Wahidi ' Public Works Inspector Ga ,�, e City of Campbell I Public Works Department 0 o 70 N.First Street I Campbell, CA 95008 c`` www.citvofcampbelLcoin 14.08.866.2165 -_................._... - -...- -. _.... . ._._.._.. .._._.__ ..... ...........................---..... From: Cameron Peach [mailto:cpeach sbci.com] Sent: Monday, November 13, 2017 2:36 PM To: Doris Quai Hoi Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Thank you Doris. Great info. We will try to bring on line prior to that. Cameron , From: Doris Quai Hoi [mai Ito:dorisgh cityofcampbell.com] Sent: Monday, November 13, 2017 1:58 PM To: Cameron Peach Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Cameron, I got feedback from staff here regarding your tentative schedule, please note that City Hall is closed the last week of Dec (Dec 22 -to Jan 1). So there are no inspections, no work in the public right of way, no Public Works staffing. With that sad, the Traffic Engineer and the Signals/Lighting Supervisor will be on vacation starting the 18th of Dec. That would mean turn on can't happen if they are not here.Which also means you can't turn on that Friday before the 18th. So keep me posted on your schedule as things get closer for a turn-on date. Thanks, Doris - ...._._.. _ . From: Cameron Peach [mailto:cpeach6d sbci.com] Sent: Monday, November 13, 2017 10:46 AM To: Doris Quai Hoi; Anthony Vera; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith. Kevin MacNally Subject:RE: Creekside/17 Electrical Pole 29-5-100 2 Doris, Absolutely. We are going to be done with all repairs to the bioswails this week. We also got the new trash enclosure layout approved and we started making modifications to that last week and we are hoping to be done with that in the next 1-2 weeks also. Once we have those items complete we were going to call out Syed to come inspect and sign off to make sure they are done to your approval. We will also have K&W come out and sign off on the bioswails prior to calling you.guys out to make sure they approve too. Other that those items I think that is all that is left. Thanks, Cameron From: Doris Quai Hoi [ma i Ito:dorisghC31cityofcampbel1.com] Sent: Monday, November 13, 2017 8:39 AM To: Cameron Peach; Anthony Vera; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Morning Cameron, We can definitely work with you on the traffic signal poles and the startup of the traffic signal however, all items on the punch list needs to be corrected. "there is a punch list for all biotreatments,Anthony and Syed will need to verify that all work has been corrected on the biotreatment. Syed, do you have an updated punch list for other Public Improvements either than the traffic signal that still needs to be addressed? Thanks, Doris From: Cameron Peach [mailto:cpeachCgbsbci.com] Sent: Saturday, November 11, 2017 3:57 PM To: Anthony Vera; Doris Quai Hoi; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Anthony, I had a conversation with Troy and he apparently was directed to keep the same pole and baseplate just a new arm to be compliant as long as we can achieve the 48" sidewalk clearance which we have. We are forming up the concrete this week and will call out public works for inspection to confirm compliance prior to pouring. 3 Syed Wahidi From: Kevin Mac Nally <kevinmacnally@icloud.com> Sent: Thursday, December 07, 2017 10:57 PM To: Syed Wahidi Cc: Cameron Peach; mcrow@sbci.com Subject: Re: 675 Creekside Hello Syed I had a few questions 1. We haven't received the spec on the tree replacement in the north medium yet. Can you provide us spec or give us contact info for who can provide spec? 2. We need to have the city arborist come out to the site, so I can show him the rout of the Pg&e power for our signal meter to vaults in street. This path will go right through a existing 15 ft tree near the sidewalk on the south east entrance of parking structure.We will need to remove this tree in order to achieve signal light scope of work. Can you provide me with the city arborist contact information to set up a walk through? As for what's completed 1.Trmncate dad e,mes 2. Co:ncrete=withE4$yinch clea,rat q-e&betwep- gnalbp€ale 3. j o.rbth;west come paver�s�on otel corner arezycompleted 4. @resswalkEstril ping 5. 6 inch center double yellow stripe on Creekside way 6..Center*ssauthimedrum-cleaniup/gra:di.ng 7. C iff rter Tseuth me.di,wm irr�ggtie9 8. Gasati-ear,comi.pleted 9. Sidewalk concrete repair for gas tie in is scheduled for December 1&-h,10.. Replacement of led light pole heads and recycle of old poles are this next_week_11:Install new signal light pole is tentatively scheduled to be installed immediately after led replacement When you get a chance tomorrow or first available, can you give me a call Thanks Sent from my iPhone >On Nov 20, 2017, at 7:50 AM, Kevin Mac Nally<kevinmacnally@icloud.com>wrote: > > Perfect see you then >Sent from my iPhone > >>On Nov 20, 2017, at 7:36 AM, Syed Wahidi <SyedW@citvofcampbell.com>wrote: >>Sure, how about this morning 9:30? Syed Wahidi From: Syed Wahidi Sent: Tuesday, November 28, 2017 12:16 PM To: 'Cameron Peach' Cc: Doris Quai Hoi Subject: Creekside -Work Remaining Revised list of the remaining work after a walk through with Kevin. -Complete Electrical work(Signals, Lighting) -Complete signing - Upgrade all street lights to LED on Creekside Ave form the off-ramp to the bridge -Complete bio-retentions(including installation of perforated pipe along one side of the detention planters) -Submit correction notice for all bio-retentions -Complete the work inside the south median - Remove &salvage four(4)existing street lights -Change luminaire heads to LED on 3 more existing street lights -Complete all the sidewalk work including resetting pavers an —++:—+�° - Replace the north median tree that was removed for signal installation (City to provide tree type) -Adjust PG&E vault to grade near SW corner -Clean the existing C.3 vault at the hotel entrance. -City Electrical Dept to sign off on Street lighting and signals -City Arborist to sign off all trees and landscaping including plans inside bio-retention basins -Submit as-built plans oV•CA4. Syed Wahidi Public Works Inspector Crr City of Campbell Public works Department 0 o 70 N.First Street Campbell, CA 95008 y� ,� www.cityofcampbell.com 1408.866.2165 From: Cameron Peach [mailto:cpeachCabsbci.com] Sent: Monday, November 13, 2017 3:06 PM To: Syed Wahidi; Doris Qua! Hoi Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Bill Bruckart; Wayne Smith; Kevin MacNally; David Mooso Subject: RE: Creekside/17 Electrical Pole 29-5-100 Ok, thanks Syed. From: Syed Wahidi [ma i Ito:SyedWC)cityofcampbel1.com] Sent: Monday, November 13, 2017 3:04 PM To: Cameron Peach; Doris Quai Hoi Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Bill Bruckart; Wayne Smith; Kevin MacNally; David Mooso Subject: RE: Creekside/17 Electrical Pole 29-5-100 1 Hi Cameron, I just checked with the City Engineer that City will not allow signal turn on without the presence of Traffic Engineer and City Electrician. So kindly inform your sub that the turn on must be completed by Dec 151h which means they should leave a day or two extra in case something goes wrong during installation. Ideally the turn on can be scheduled on Dec 11th or 121h. CAAtb Syed Wahidi �41 Public Works Inspector City of Campbell Public Works Department 0 o 70 N.First Street. Campbell, CA 95008 -- - www.cit3,o�pbell.com 1 408.866.2165 +� 6 19 hYiO• ---._..-.............. . .. .._ ... .. From: Cameron Peach [mailto:cpeachCalsbci.com] Sent: Monday, November 13, 2017 2:36 PM To: Doris Quai Hoi Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne,Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Thank you Doris. Great info. We will try to bring on line prior to that. Cameron From: Doris Quai Hoi [mailto:dorisgh(acityofcampbell.com] Sent: Monday, November 13, 2017 1:58 PM To: Cameron Peach Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Cameron, I got feedback from staff here regarding your tentative schedule, please note that City Hall is closed the last week of Dec (Dec 22 -to Jan 1). So there are no inspections, no work in the public right of way, no Public Works staffing. With that sad, the Traffic Engineer and the Signals/Lighting Supervisor will be on vacation starting the 18th of Dec. That would mean turn on can't happen if they are not here.Which also means you can't turn on that Friday before the 18th. So keep me posted on your schedule as things get closer for a turn-on date. Thanks, Doris From: Cameron Peach [mailto:cpeach(d)sbci.com] Sent: Monday, November 13, 2017 10:46 AM 2 To: Doris Quai Hoi; Anthony Vera; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Ella'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Doris, Absolutely. We are going to be done with all repairs to the bioswails this week. We also got the new trash enclosure layout approved and we started making modifications to that last week and we are hoping to be done with that in the next 1-2 weeks also. Once we have those items complete we were going to call out Syed to come inspect and sign off to make sure they are done to your approval. We will also have K&W come out and sign off on the bioswails prior to calling you guys out to make sure they approve too. Other that those items I think that is all that is left. Thanks, Cameron From: Doris Quai Hoi [ma i Ito:dorisgh0-bcityofcampbel1.com] Sent: Monday, November 13, 2017 8:39 AM To: Cameron Peach; Anthony Vera; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Morning Cameron, We can definitely work with you on the traffic signal poles and the startup of the traffic signal however, all items on the punch list needs to be corrected. There is a punch list for all biotreatments,Anthony and Syed will need to verify that all work has been corrected on the biotreatment. Syed, do you have an updated punch list for other Public Improvements either than the traffic signal that still needs to be addressed? Thanks, Doris From: Cameron Peach [mailto:cpeach(c sbci.com] Sent: Saturday, November 11, 2017 3:57 PM To: Anthony Vera; Doris Quai Hoi; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Anthony, 3 I had a conversation with Troy and he apparently was directed to keep the same pole and baseplate just a new arm to be compliant as long as we can achieve the 48" sidewalk clearance which we have. We are forming up the concrete this week and will call out public works for inspection to confirm compliance prior to pouring. We have maintained our order for the new pole and it is scheduled to be here sometime around Dec 15t and will hopefully all be installed by mid-December completed. Doris, We would like to see about getting a formal occupancy on our parking garage without this work done if possible. We should have all our other inspections in place within the next week or two that should be able to allow us to do this with the only outstanding item to be the traffic signal. If this is acceptable please let us know. The work is all done and the hotel would love to start parking people in there asap. If anything I have written is not true please feel free to chime in and correct me. I want to make sure we are all on the same page and doing everything correctly. Thanks, Cameron From: Anthony Vera [mailto:avera(�i)kierwright.com] Sent: Wednesday, November 08, 2017 4:47 PM To: Doris Quai Hoi; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michael Ingram; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Cameron Peach Subject: RE: Creekside/17 Electrical Pole 29-5-100 Troy, To follow up on this traffic signal pole for the Creekside project do we have resolution on the pole and baseplate?Will the baseplate remain as is or will another plate be installed in its place for the new pole? Please advise as we are trying to coordinate if any changes to the walkway are necessary. Thank you. Anthony Vera, P.E. s Kier&Wright Civil Engineers &Surveyors, Inc. 3350 Scott Blvd. #22 1 Santa Clara, CA 95054 t 408.727.6665 1 f 408.727.5641 1 avera@kierwright.com From: Doris Quai Hoi [mailto:dorisclh@cityofcampbell.com] Sent: Wednesday, October 25, 2017 11:07 AM To: 'troy@tennysonelec.com' <troy tennysonelec.com> Cc: Matthew Jue <MatthewJ@citvofcampbell.com>; 'Jeff Elia' <ielia@hextrans.com>; Mark Knudsen <mknudsen@kierwright.com>; Anthony Vera <avera@kierwright.com>; Michael Ingram <mingram@sbci.com>; 4 'Michelle Crow' <mcrow@sbci.com>; Scott Trobbe-Offsite <strobbe@southbay.us>; Syed Wahidi <SyedW@cityofcampbell.com>; Bill Bruckart<BBruckart@cityofcampbell.com> Subject: Creekside/17 Electrical Pole 29-5-100 Good Morning Troy, Thank you for discussing with me the manufacturing defect on Pole E located at the northeast corner of the Creekside/17 development. My understanding is that your staff noticed that the angle of the mast arm connection was either too large or too small (or the connection at the pole is too high) and through communication with the manufacturer they are unable to determine whether the defect is the mast arm or the pole,therefore a new pole and mast arm will be replaced. I am confirming that you please proceed with installing the same pole that was approved via the submittal process (2010 Standard Plans Revised 7/15/2016). Please coordinate with the general contractor on the sequence of work as it relates to any changes to the sidewalk, if any. Please keep me posted on the status of this pole, keep in mind this plays a huge impact on the release of any future application for a TCO /CO. Sincerely, Doris BASE PL:,TE Fc ' DETAIL R ,.,, ecr HtLE r� 51VA C SE4 EGGES FOR Elm=t cC9L'uCTCTiS ETyp �n c�a iCAC�.. EACH EWJ3 AM 5G7E5. 'vas Gxiaari[z[xa Goa Ty SEGTIOP7 A-A � ,ELE4AT[W C SIGNAL MAST ARM CONNEOTION DETAIL-A ,av•C44f Dons C. Quai Hoi Assistant Engineer y r City of Campbell I Public Works Department G o 70 N.First Street I Campbell,CA 95008 www.cit,�ot�pbeli.com If. 408.866.2157 •�:Ryll;e4L� 5 Syed Wahidi From: Syed Wahidi Sent: Tuesday, November 14, 2017 2:08 PM To: 'Cameron Peach' Cc: Doris Quai Hoi; David Mooso; Matthew Jue;John Burchfiel Subject: Creekside -Work Remaining Hi Cameron, Here is a list of the remaining work in this project. Engineer wants all items to be completed before giving the certificate of occupancy. .If you want I can walk through the site with you to go over the list. -Complete Electrical work(Signals, Lighting) -Complete signing - Upgrade all street lights to LED on Creekside Ave form the off-ramp to the bridge -Complete bio-retentions (including installation of perforated pipe along one side of the detention planters) -Submit correction notice for all bio-retentions -Complete the work'nside the south median - Remove &salvage existing street lights -Complete all the sidewalk work including resetting pavers and setting truncated domes at NE corner - Replace the north median tree that was removed for signal installation (City to provide tree type) ' L e,,5e�' -Adjust PG&E vault to grade near SW corner i r- ea, -Clean the existing'C.3,vault at the hotel entrance. -City Electrical Dept to sign off on Street lighting and signals -City Arborist to sign off all trees and landscaping including plans inside bio-retention basins -Submit as-built plans of•CA4 Syed Wahidi a�' Public Works Inspector v r• City of Campbell Public Works Department 0 o 70 N.First Street Campbell, CA 95008 www.cityofeampbell.com 1408.866.2165 From: Cameron Peach [mailto:cpeach@sbci.com] Sent: Monday, November 13, 2017 3:06 PM To: Syed Wahidi; Doris Qua! Hoi Cc: Anthony Vera; Matthew Jue; 'Jeff Ella'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Bill Bruckart; Wayne Smith; Kevin MacNally; David Mooso Subject: RE: Creekside/17 Electrical Pole 29-5-100 Ok, thanks Syed. From: Syed Wahidi [mailto:SyedWacityofcampbell.com] Sent: Monday, November 13, 2017 3:04 PM To: Cameron Peach; Doris Qua! Hoi 1 Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite Bill Bruckart; Wayne Smith; Kevin.MacNally;,David Mooso Subject: RE: Creekside/17 Electrical Pole 29-5-100 Hi Cameron; I just checked with the City Engineer that City will not allow signal turn on without the presence of Traffic Engineer and City Electrician. So kindly inform your sub that the turn on must be completed by Dec 15th which means they should leave a day or two extra in case something goes wrong during installation. Ideally the turn on can be scheduled on Dec 11th or 12th. .0 Syed Wahidi Public,Works Inspector +. City of Campbell I Public Works Department p o 70 N.First Street I Campbell,CA 95008 ' www.cityofcampbeli.com 1408.866.2165 04c111, 0 From: Cameron Peach [mailto:cpeach sbci.com] Sent: Monday, November 13, 2017 2:36 PM To: Doris Quai Hoi Cc: Anthony Vera; Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith;.Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Thank you Doris: Great info. We will try,to bring on line prior to that. Cameron From: Doris Quai Hoi [mailto:dorisgh cityofcampbell.com] Sent: Monday, November 13, 2017 1:58 PM To: Cameron Peach. Cc: Anthony Vera; Matthew Jue; 'Jeff Ella'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Cameron, I got feedback from staff here regarding your tentative schedule, please note that City Hall is closed the last week of Dec (Dec 22 -to Jan 1). So there are no inspections,no work in the public right of way, no Public Works staffing. With that sad,the Traffic-Engineer and the Signals/Lighting Supervisor will be on vacation starting the 18th of Dec. That would mean turn on can't happen if they are not here.Which also means you can't turn on that Friday before the 18th. So keep me posted on your schedule as things get closer for a turn-on date. . Thanks, Doris 2 t From: Cameron Peach [mailto:cpeach sbci.com] Sent:Monday, November 13, 2017 10:46 AM To: Doris Quai Hoi; Anthony Vera; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Doris, Absolutely. We are going to be done with all repairs to the bioswails this week. We also got the new trash enclosure layout approved and we started making modifications to that last week and we are hoping to be done with that in the next 1-2 weeks also. Once we have those items complete we were going to call out Syed to come inspect and sign off to make sure they are done to your approval. We will also have K&W come out and sign off on the bioswails prior to calling you guys out to make sure they approve too. Other that those items I think that is all that is left. Thanks, Cameron From: Doris Quai Hoi [mailto:dorisgh(dcityofcampbell.com] Sent: Monday, November 13, 2017 8:39 AM To: Cameron Peach; Anthony Vera; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Ella'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 Morning Cameron, We can definitely work with you on the traffic signal poles and the startup of the traffic signal however, all items on the punch list needs to be corrected. There is a punch list for all biotreatments,Anthony and Syed will need to verify that all work has been corrected on the biotreatment. Syed, do you have an updated punch list for other Public Improvements either than the traffic signal that still needs to be addressed? Thanks, Doris From: Cameron Peach [mailto:cpeachC�sbci.com] Sent: Saturday, November 11, 2017 3:57 PM To: Anthony Vera; Doris Quai Hoi; 'troy@tennysonelec.com' Cc: Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart; Wayne Smith; Kevin MacNally Subject: RE: Creekside/17 Electrical Pole 29-5-100 3 Anthony, I had a conversation with Troy and he apparently was directed to keep the same pole and baseplate just a new arm to be compliant as long as we can achieve the 48" sidewalk clearance which we have. We are forming up the concrete this week and will call out public works for inspection to confirm compliance prior to pouring. We have maintained our order for the new pole and it is scheduled to be here sometime around Dec 1st and will hopefully all be installed by mid-December completed. Doris, We would like to see about getting a formal occupancy on our parking garage without this work done if possible. We ; should have all our other inspections in place within the next week or two that should be able to allow us to do this with- the only.outstanding item to be the traffic signal. If this is acceptable please let us know. The work is all done-and the hotel would love to start parking people in there asap. If anything l have written is not true please feel free to chime in and correct me. I want to make sure we are all on the same page and,doing everything correctly. Thanks, Cameron From: Anthony Vera [ma I Ito:avera(5)kierwrig ht.com] Sent: Wednesday, November 08, 2017°4:47 PM To: Doris Qua! Hoi; 'troy@tennysonelec.com' Cc: .Matthew Jue; 'Jeff Elia'; Mark Knudsen; Michael Ingram; Michelle Crow; Scott Trobbe - Offsite; Syed Wahidi; Bill Bruckart;Wayne Smith; Cameron Peach Subject: RE: Creekside/17 Electrical Pole 29-5-100 Troy, To follow up on this traffic signal pole for the Creekside project do we have resolution on the pole and baseplate?Will the.baseplate remain as is or will another plate be installed in its place for the new pole? Please advise as we are trying to coordinate if any changes to the walkway are necessary. Thank you. Anthony Vera, P.E. Kier&Wright Civil Engineers&Surveyors, Inc. 3350 Scott Blvd. #22 i Santa Clara, CA 95054 t 408.727.6665 [ ff 408.727.5641 [ avera( kierwright.com From: Doris'Quai'Hoi [mailto:doriscih@citvofcampbell.com] Sent:Wednesday, October 25, 2017 11:07 AM To: 'troy@tennysonelec.com'<troy@tennysonelec.com> 4 Cc: Matthew Jue-<MatthewJ citvofcampbell;com>; 'Jeff Elia' <ielia@hextrans.com>; Mark Knudsen <mknudsen@kierwright.com>;Anthony Vera <avera@kierwright.com>; Michael Ingram <mineram@sbci.com>; 'Michelle Crow'<m crow @sbci.com>; Scott Trobbe-Offsite<strobbe@southbay.us>; Syed Wahidi <SyedW cityofcampbell.com>; Bill Bruckart<BBruckart@citvofcampbell.com> Subject;Creekside/17 Electrical Pole 29-5-100 Good Morning Troy, Thank you for discussing with me the manufacturing defect on Pole E located at the northeast corner of the Creekside/17 development. My understanding is that your staff noticed that the angle of the mast arm connection was either too . large or too small (or the connection at the pole is too high) and through communication with the manufacturer they are unable to determine whether the defect is the mast arm or the pole,therefore a new pole..and mast arm will be replaced. I am confirming that you please proceed with installing the same pole that was approved via the submittal process:(2010 Standard Plans Revised 7/15/20.16). Please coordinate with the general contractor on the sequence of work as it relates to any changes to the sidewalk, if,any. Please keep me posted on the status of this pole,keep in mind this plays a huge impact on the release of any future application for a TCO /CO. Sincerely, Doris �A it 0L47E; E7ETJ4IL I3 ' H� 71 t p1�5 S�E9: •.}'HAE Ha^C'ROM-I r ��SECTI WA-A' .. 6V*C44,4 Doris C. Qua! Hoi Assistant Engineer City.of Campbell I Public Works Department p 70 N.First Street I Campbell,CA 95008 www.cityofca11iVbell.com 121408.866.2157 5 Syed Wahidi From: Syed Wahidi Sent: Thursday, September 14, 2017 11:04 AM To: Michael Ingram; Doris Quai Hoi Cc: John Burchfiel Subject: 675 Creekside- Remaining Work Hi Mike, Here is a list of the remaining work in this project: - Complete Electrical work (�ig anan Is�L :hti_n 9 - Complete sig g/striping - Complete� retientip (including installation of perforated pipe along one side of the detention planters) - Complete the work inside the south median - Remove&salvage two existing street lights Complete all th sidewak work including resetting pavers and setting truncated domes at NE corner - Replace the north median tree that was removed for signal installation (City to provide tree type) - Adjust PG&E vault to grade near SW corner - City Electrical Dept to sign off on Street lighting and signals - City Arborist to sign off all trees and landscaping including plans inside bio-retention basins - Submit as-built plans Doris, please feel free to add to this list. OV•CA,yO Syed Wahidi Public Works Inspector Cr �r City of Campbell I Public Works Department — 0 o 70 N.First Street I Campbell,CA 95008 www.cityofcamr)bell.com 1408.866.2165 11RCHA m 1 Syed Wahidi From: Syed Wahidi Sent: Friday, November 03, 2017 8:31 AM To: 'Anthony Vera'; Michael Ingram;Wayne Smith Cc: Doris Quai Hoi Subject: RE: 675 Creekside Way- Biotreatment Letter In addition to changes listed by the engineer, here are some more observations: -TCM 04—Raise the drain 6" above the soil. -TCM 14-Raise the grade to the north side of catch basin to avoid spill over -Replace drain.caps with clean out caps at TCMs 1,2,3,5,6,11,12,13 -TCM 17-caps are missing for CO and drain Doris, Are we still requiring to install perforated pipe inside bio-retention planters? (TCMs 7,8,13,14) oV•CA Syed Wahidi Ar4' �E� Public Works Inspector U r City of Campbell I Public Works Department 0 o 70 N.Fast Street I Campbell,CA 95008 A GEC' www.cityofcampbell.com 1408.866.2165 From: Anthony Vera [mailto:averaCalkierwright.com] Sent: Friday, October 20, 2017 2:28 PM To: Michael Ingram; Wayne Smith Cc: Doris Quai Hoi; Syed Wahidi Subject: 675 Creekside Way - Biotreatment Letter Mike, As discussed with Wayne,see attached for the letter indicating the biotreatment areas that were not built according to. the civil plans or are in need of some modifications. We will need to verify that these items have been addressed prior to issuing out our official biotreatment letter that we will deliver to the City of Campbell. Please let'me know if you have any questions.Thank you. Anthony Vera, P.E. Kier&Wright Civil Engineers &Surveyors, Inc. k 3350 Scott Blvd. #22 1 Santa Clara, CA 95054 " t 408.727.6665 1 f 408.727.5641 avera@kierwri_hq t_com 1 /kA �rk KIER C WRIGHT Civil Engineers t Surveyors, Inc. October 16, 2017 ir i 1 Scott Trobbe South Bay Development Co. 1690 Dell Avenue i Campbell, CA 95008 RE: 675 & 705 Creekside Way Biotreatment Areas Letter I Dear Scott, After the site walk with the Doris from the City of Campbell on the biotreatment located j on the site, we discussed areas in need of some design adjustments. In order for Kier and Wright to complete the conformance letter,the following changes need to be made to the biotreatment areas: i f • TCM `2;_0_4., 1213;':15�& 1 —Please confirm that an o erfJ'U-w— drai, has been provided in this treatment area. From observation, it appears that two cleanouts have been provided instead. Please refer to detail 02 on sheet 14. • TCM 03 &Q5—From the exposed areas of the biotreament soil, it appears that.a MEOwas placed between the biotreatment soil mix(BSM) and drain rock. Please see detail 02 on Sheet 14. Liner shall be installed underneath the layer of j drain rock.TCM 03 &05 shall be installed per detail 02 on sheet 14. • T�CN 6—Please confirm that an ow.,f-emo ra,irn has been provided in this treatment area. In addition,where does the downspout in this location release the water?There is no evidence of a downspout, bubbler, etc. that would release the water into the biotreatment planter. See image on the following page and revise. Downspout should have been installed as per detail 02 on sheet 14. II {f I:\PROIECTS\A07183-9\DOCS\CIVIL\CONFORMANCE LETTERU171016-Biotreatment Letter.doc 3350 Scott Boulevard,Building 22 • Santa Clara,California 95054 9(408)727-6665 •FAX(408)727-5641 AW KIER WRIGHT Civil Engineers E Surveyors, Inc. L 1 4 M-IERE AGES THIS �) DOMPOUT DRAIN T0?'N0 EVIDENCE OF LOCATION i OF DOWNSPOUT LC t-+ al�:•,t.yrr` ,`�.,a 6 ✓."cr r war�! t "- � G 1 •� t ±fig T,r'. 'a}R'I'�. ...+� vvss A� ,15•�C,S�r��J� Sul��'�, �r> 9 { 1. 112 i • TCM 07—See biotreatment planter on Sheet 10 of the civil plans.The ! downspout discharge on the south side of the planter is discharging to the jadjacent planter instead. Please revise so that it discharges to the correct location. See images on the next page. i i I I i I:\PROJECTS\A07183-9\DOCS\CIVIL\CONFORMANCE LET rER\A17101 G-Biotreatment Letter.doc 3350 Scott Boulevard,Building 22 9 Santa Clara,California 95054 9(408)727-6665 9 FAX(408)727-5641 w KIER WRIGHT .Civil Engineers Survevors. Inc. r� 6" SSCO INV 178.12 IN _ INV 172.22 OUT DOWNSPOUT T. CONNECT TO SANITARY SEWER BIOTREATMENT PLANTER!AND BACKWATER VALVE . TYP : -'f;ti_-r'"✓y �`` SEE NOTE 7 NOT LANDS.CARE PLANTER- SUl --..... _._.. \ \, DISCHARGE LOCATION. SEE �-6" SSCO ^'1 PLUMBING PLANS SHEET P2.11B �`� NV 177.78 \ IM 180.6O a' I 73 55' `. ,' RIM 185.00 NV 16 S2 N "'1. : -,INV 178.50 NV 171.951L ''f \�',� /2- • ' CONNECT TO Eh), L'� •r�Y* I 51 Lf-6" SS , 46 '�ti � � .;ter `-15" SD STUB S=0.015 ��` ?�y �' '`.;.�,• _. � '"�� RIM 180.E p - '�•��•�- INV 175.E 6" SSCO — — 47 LF-8" SO \ -R •y INV 178.00 IN S=0.025 1„`' "� INV 17,8 95 INV 171.35 011T 1. I I:\PROJECT51A07183.91DOCSICIVIL\CONFORMANCE LETfEMA17101 G-Biotreatment Letter.doc 3350 Scott Boulevard,Building 22 9 Santa Clara,California 95054 (408)727-6665 •FAX(408)727-5641 l, ®A KIER WRIGHT Civil Engineers & Surveyors, Inc. o TCM 08—The biotreatment pond is not graded appropriately since the location of the BSM mix is not flat.The biotreatment pond shall be graded so that BSM mix is flat and 6 inches of ponding can occur. Please install biotreatment pond per detail 01 on sheet 14. Currently,the biotreatment pond is heavily sloped. } © TCM 09—From our sitewalk, it does not appear that TCM 09 has been i constructed. Please install per detail 01 on sheet 14. i • TCM 10—Biotreatment planter is not built according to plan.The top of the soil is at grade with the flowline of curb, meaning that ponding will occur at the gutter pan. Please revise per detail 04 on sheet 14. 15" shall be provided from the top of wall/top of curb to the top of the BSM mix.This will allow for 6" of ponding. Please ensure that the Rim elevation of the overflow is lower than the flowline of the curb. • TCM 11—By inspection, it appears that the overflow drain is too low.The overflow should be raised so that it is at least 0.1' lower than the outfall of the curb inlet and ensure that there is 6" between the Rim elevation and the top of soil. Please see detail 04 on sheet 14. TCM 14—Biotreatment pond should be graded appropriately so that 6" of ponding shall occur in the treatment pond per detail 01 on sheet 14. Currently, the water will run down toward the sidewalk before it ponds. Please revise. u a TCM 18—Perforated pipe and at least one cleanout shall be provided in the G treatment planter. See detail 02 on sheet 14 for cleanout and perforated pipe s installation. In addition, there are a few items we noticed on these treatment areas that should be considered: j • Cleanouts should not have open grates but should be solid covers. • It is recommended that flow spreaders be installed in long linear treatment i areas. i Please confirm that the roof drains in the southwest part of the office building I. are connected directly into the storm drain system and are free of trash/debris. These drains currently downspout into a rock section in the landscape area. Confirm that there is a drain underneath the rock section connecting to the storm drain system. See image on the next page. {f I I:\PROJECTS\AO7183-9\DOCS\CIVIL\CONFORMANCE LETTEMA171016-Biotreatment Lener.doc 3350 Scott Boulevard,Building 22 9 Santa Clara,California 95054 9(408)727-6665 9 FAX(408)727-5641 e KIER WRIGHT Civil Engineers Surveyors Inc.__ g � P 'Ff x sj h *� d. t' � t C I Please make the changes to the treatment areas above and we shall develop a conformance letter for the biotreament areas. If you have any questions, please give us i a call. Respectfully submitted, Mark A. Knudsen i RCE75828 E I:\PROJECTS W07183-9\DOCS\CWILICONFORMANCE LETTERU171016-Biotreatment Letter.doc 3350 Scott Boulevard,Building 22 a Santa Clara,California 95054 9(408)727-6665 •FAX(408)727-5641 Syed Wahidi From: Anthony Vera <avera@kierwright.com> Sent: Friday, October 20, 2017 2:28 PM To: Michael Ingram;Wayne Smith cc:. Doris Quai Hoi; Syed Wahidi Subject: 675 Creekside Way- Biotreatment Letter Attachments: A171016 - Biotreatment Letter.pdf Mike, As discussed with Wayne,see attached for the letter indicating the biotreatment areas that were not built according to the civil plans or are in need of some modifications.We will need to verify that these items have been addressed prior to . issuing out our official biotreatment letter that we will deliver to the City of Campbell. Please let me know if you have any questions.Thank you. Anthony Vera, P.E., Kier&Wright Civil Engineers &Surveyors, Inc. k 3350 Scott Blvd. #22 1 Santa Clara, CA 95054 w t 408.727.6665 f 408.727.5641 avera@kierwright.com 1 O'L-L r r-UtJ 1 KIHIV -JItiIVHC EXACT LOCATION OF THE--AUDIBLE--PEDESTRIAN SIGNAL SHALL BE DETERMINE NOT TO SCALE AND APPROVED IN THE FIELD BY THE ENGINEER PRIOR TO INSTALLATION. 3/4"X30" ANCHOR BOLTS WITH A 3"-90° BEND , 1/2" DRAIN CONDUIT IER FOUNDATION DETAIL NOTES 1. ALL DIMENSIONS ARE IN INCHES. 2. INSTALL 3/8. INCH DIA. REBAR IN FOUNDATION AS SHOWN. CONDUIT GROUND ROD HEIGHT AND LOCATIONS ARE 1/2f INCH. 3. A 1/2 INCH DIA. PVC CONDUIT SHALL BE PROVIDED AT CENTER FOR ET DRAINAGE, WHICH OUTPUTS TO SIDE OF FOUNDATION. 4. THE TOP OF THE CABINET PAD SHALL HAVE A SMOOTH FINISH AND SHALL BE SLOPED 1/2 INCH TOWARD DRAIN. 5. IN UNPAVED AREAS A CONCRETE PAD SHALL BE PLACED IN FRONT OF CABINET AT. DOOR SIDE. (PAD SHALL BE 50 INCHES X 36 INCHES X 4 3" (TYP. - I INCHES MIN). PAD SHALL SLOPE AWAY FROM CABINET FOR DRAINAGE AT 4 SIDES) 1/4 INCH PER TEN (10) FEET AND SHALL BE BROOM FINISHED. TIE PAD TO FOUNDATION WITH REBAR. 6. DUCT SEAL SHALL BE PLACED ON THE FOUNDATION PRIOR TO PLACING II CABINET WHICH. SEALS ALL OPENINGS BETWEEN BOTTOM OF CABINET AND II 7. CABINET TO BE CENTERED ON FOUNDATION BASE. II 8. SEE SAN JOSE STANDARD DETAILS (JULY 1992) DRAWINGS E-51 AND II GRADE REBAR LAYOUT E-52 FOR GROUNDING/BONDING REQUIREMENTS. )' GROUND. ROD TYPE P CABINET c FOUNDATION ' DETAIL K I n T T(1 '"C.(-I A'I C r� e_. Syed Wahidi From: Syed Wahidi Sent: Wednesday, May 16, 2018 7:36 AM To: 'Cameron Peach'; 'Justin Kendall'; Kevin MacNally Cc: Antonio Hernandez; Doris Quai Hoi; Matthew Jue; David Mooso Subject: RE: South center medium irrigation Cameron, Western Pacific'Signallf(_W125) needs to be present to set up the Gridsmart video detection for the traffic signal and to wo turn on signal cabinet. Also,' Signal °or�porat,of needs to be present to set up the Emtrac emergency vehicle detection system. In addition, Opresence is required raf�1c Eng,i° e�r&GPty'E ectriedns presence are required - Reminder that signal turn on shall not take place on Friday and on day before holiday -Actual turn on shall take place in mid morning like 1C1 am to avoid traffic rush City electrician has notified that both the video detection and pre-empt need to be wired up as the wires are hanging inside the cabinet. City Electrician will do the Ethernet connection for interconnect cable. �r Syed'Wahidi Public Works Inspector City of Campbell Public Works Department 70 N. First Street Campbell, CA 95008 \ www.cityofcampbell.com 1408.866.2165 -----Original Message----- From: Cameron Peach [mailto:cpeach@sbci.com] Sent:Tuesday, May 15, 2018 4:32 PM To: Syed Wahidi; 'Justin Kendall'; Kevin MacNally Cc:Antonio Hernandez; Doris Quai Hoi; Matthew Jue; David Mooso Subject: RE: South center medium irrigation Syed, Tennyson is telling me they are close and are trying to schedule an activation but"Western" is not available this week. Do we need them there to turn on the signals or can we do it without them? Cameron -----Original Message----- From, Syed Wahidi [mailto:Syed,W@cityofcampbell.com] Sent:Thursday, May 10, 2018 8:20 AM To: Cameron Peach; 'Justin Kendall'; Kevin MacNally 1 - Cc: Antonio Hernandez; Doris Quai Hoi; Matthew Jue; David Mooso Subject: RE:South center medium irrigation That's great. Thanks. Please let us know in advance for the signal turn on date so that City electrician and traffic engineer can also be present. Also,a reminder that PD presence is required for the signal turn on...and not on Friday. Syed Wahidi Public Works Inspector City of Campbell Public Works Department 70 N. First Street Campbell, CA 95008 www.cityofcampbell.com 1408.866.2165 -----Original Message----- From: Cameron Peach [mailto:cpeach@sbci.com] Sent:Thursday, May 10, 2018 8:08 AM To:Syed Wahidi; 'Justin Kendall'; Kevin MacNally Cc:Antonio Hernandez; Doris Quai Hoi Subject: RE:South center medium irrigation Syed, Thanks for the info. We will continue to figure out this landscaping issue and get it repaired. As far as the striping goes,we will schedule a crew to come out and get that painted asap. For the signal Tennyson confirmed the conduit is fixed and now they are just getting the wire repaired to confirm everything is working well. They are supposed to be out there today working on it. As soon as that is done, everything should be finished and ready to turn on. Thanks, Cameron -----Original Message----- From: Syed Wahidi [mailto:SyedW@cityofcampbell.com] Sent:Wednesday, May 09, 2018 11:00 AM To: 'Justin Kendall'; Kevin MacNally Cc: Antonio Hernandez; Cameron Peach; Doris Quai Hoi Subject: RE:South center medium irrigation Kevin/Cameron, The south median could not be fixed today by your sub who was unable to locate the wire cut that disconnected the south median irrigation from controller box. Manually it works but when put on automatic, it doesn't. Last September, it was working but then some work was done inside the median by you guys that may have cut the wire somewhere. So all we are looking for is to fix the wire for irrigation so that it can be controlled by the controller box. 2 Also,The attached picture shows that the merge arrow need to be re-painted after the PG&E work since it's all blackened out. The old arrow need to be removed too. Any schedule on interconnect repair and signal turn on? Syed Wahidi Public Works Inspector City of Campbell Public Works Department 70 N. First Street Campbell, CA 95008 www.cityofcampbell.com 408.866.2165 -----Original Message----- From:Justin Kendall [mailto:justin@dinsmorelandscape.com] Sent:Tuesday, May 08, 2018 4:12 PM To: Kevin MacNally Cc:Syed Wahidi;Antonio Hernandez; Cameron Peach Subject: Re:South center medium irrigation Thank you all for coordinating this. Antonio, Can you please plan for 830 tomorrow? Thank you Sent from my iPhone >On May 8, 2018, at 4:07 PM, Kevin MacNally<kmacnally@sbci.com>wrote: >Thank you Syed >Sent from my iPhone >>On May 8, 2018,at 3:59 PM,Syed Wahidi<SyedW@cityofcampbell.com>wrote: >>City irrigation guy will be there at 8:30 am tomorrow. » >>Syed Wahidi >> Public Works Inspector >>City of Campbell Public Works Department >>70 N. First Street Campbell, CA 95008 www.cityofcampbell.com >>408.866.2165 >>-----Original Message----- >> From:Justin Kendall [mailto:justin@dinsmorelandscape.com] >>Sent:Tuesday, May 08, 2018 12:39 PM 3 >>To: Kevin MacNally;Syed Wahidi; Antonio Hernandez »Cc: Cameron Peach >>Subject: RE: South center medium irrigation >>Antonio, >>Please see below. Once the city confirms tomorrow, please make sure we can help trouble shoot the irrigation. >>Thank you » >>-----Original Message----- >> From: Kevin MacNally<kmacnaliy@sbci.com> >>Sent:Tuesday, May 8, 2018 12:23 PM >>To:Syed Wahidi<syedw@cityofcampbell.com>;Justin Kendall >><justin@dinsmorelandscape.com> >>Cc: Cameron Peach<cpeach@sbci.com> >>Subject: South center medium irrigation >>Good afternoon Syed >>Our landscaper will be onsite tomorrow morning to trouble shoot the irrigation in the south center medium on 675 Creekside. >>Can you confirm your landscape maintenance foreman to meet out onsite and 8:30am to open up the timer box and valves? >>Thank you >>Sent from my Whone 4 ® DATE(MM/DDIYYYY) CERTIF kTE OF LIABILITY INSURA,,w%.E 3/1/2016 tHIS,CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND'CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain ^� policies aequire an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).�,F,, PRODUCER Asero Insurance Services -,w• CONTACT NAME: Asero Insurance Services 200 N.Almaden Blvd. 3'rtl�Fior ®16 ac°No Exf: 866-966-8928 FAX No: 408-271-1802 San Jose, CA 95110 E-MAIL ADDRESS: INSURER(S)ER(S)AFFORDING OVERAGE NAIC# www.aseroins.com License 39 [ISURERA: Allied World Assurance Co U.S. Inc. 19489 INS B C C I N C INSURER B: Travelers Property Casualty Co of Amer 25674 O DBA South Bay Construction iNSURERC: National Fire Insurance Co Of Hanford' 2041. 1711 Dell Avenue INSURER D Campbell CA 95008 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: 28803554 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLITYPE OF INSURANCE INSD SUER POLICY NUMBER MMIDDY EFF POLICY EXP LIMITS LTR WVD A �/ COMMERCIAL GENERAL LIABILITY 0309-4606 3/1/2016 3/1/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE � OCCUR PREMISES Ea Cur'...) urrence $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,OOD POLICY PRO-- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY DT-810-8G380993-TIL-16 3/1/2016 3/1/2017 Ee a"NEntSINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ ✓ HIRED AUTOS Iv AUTOS Per accident B ✓ UMBRELLA LIAB ✓ OCCUR ZUP-15S20818-16-NF 3/1/2016 3/1/2017 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED ✓ RETENTION$10,000 $ B WORKERS COMPENSATION DT-JUB-BG380993-3-16 3/1/2016 3/1/2017 �/ STATUTE ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Leased/Rented Equipment 6024085132 3/1/2016 3/1/2017 Limit: $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) SEC Job#2610-675&705 Creekside Way,Campbell,CA.95008 The City of Campbell,its agents,officers,attorneys,employees,officials and volunteers, Hamilton Campbell, LLC and South Bay Development are named as additional insureds Insurance is Primary where required by written contract.L-- Ct 0 CERTIFICATE HOLDER CANCELLATION #2610 TheCity of Campbell SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 7 i N Clerk p orth First Street ACCORDANCE WITH THE POLICY PROVISIONS. Campbell CA 95008 AUTHORIZED REPRESENTATIVE �� AGENCY CUSTOMER ID: LOC#: ADO ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Asero Insurance Services S B C C I N C DBA South Bay Construction POLICY NUMBER 1711 Dell Avenue Campbell CA 95008 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE:Certificate of Liability(01/14) HOLDER:The City of Campbell City Clerk ADDRESS:70 North First Street Campbell CA 95008 General Liability Additional Insured as required by written contract per form CG 20 10 07 04 and CG 20 37 07 04 ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ATTACHMENT 28803554 1 16/17 All Lines I Stephanie Scheller 1 3/1/2016 11:39:26 AM (PST) I Page 2 of 4 { !'OLICY NUMBER: 0309-4606 COMMERCIAL GENERAL LIABILITY INSURED:South Bay Construction CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Locations Of Covered Operations (Where required by written contract) Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the Schedule, but only sions apply: with respect to liability for "bodily injury', "property This insurance does not apply to "bodily injury" or damage or personal and advertising injury "property damage"occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or equip- 1. Your acts or omissions; or ment furnished in connection with such,work, 2. The acts or omissions of those acting on your on the project(other than`service, maintenance behalf; or repairs) to be performed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed; or nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 28803554 16/17 All Lines I Stephanie Scheller 3/l/2016 11:39:26 AM (PST) I Page 3 of 4 _POLICY NUMBER: 0309-4606 COMMERCIAL GENERAL LIABILITY INSURED:South Bay Construction CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization s Location And Description Of Completed Operations (Where required by written contract) Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for"bodily injury"or"property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 28803554 16/17 All Linea I Stephanie Scheller 3/1/2016 11:39:26 AM (PST) I Page 4 of 4 8/12/2016 Fees Associated With 9:13:44AM EL Case 9: ENC2015-00190 Fee Start, End' . Depf a Trans Revenue ' Created ,Type Date Date ` Description z, , Code Account Number By •Date, , Amount Due AF02 7/1/2015 6/30/2016 PrnntAppFee-Major-Eng E 101.730.4722 JT 9/14/2015 395.00 0.00 PCDP 7/1/2015 6/30/2016 Plan Check Deposit 101.2203 JT 9/14/2015 8,698.93 0.00 GRA4 7/1/2015 6/30/2016 Grdng&Drain Pin Rev>= 101.740.4722 JT 9/14/2015 1,655.00 0.00 VACA 7/1/2015 6/30/2016 Vacation of Sts. &Easemf 101.740.4722 JT 9/14/2015 2,480.00 0.00 ASE2 7/1/2015 6/30/2016 Assess Seg-Ea. Add'l Lo 101.740.4722 JT 1/4/2016 5,400.00 0.00 PC13 7/1/2015 6/30/2016 NonUtilPlnCk/Insp>=5 101.740.4722 JT 1/4/2016 -7,700.00 0.00 SDC 7/1/2015 6/30/2016 Storm Drain Fee-All Oth 209.715.4721 JT 1/4/2016 977.64 0.00 CASH 7/1/2015 6/30/2016 Construction Cash Deposi 101.2203 JT 8/11/2016 0,000.00 0.00 Total Due: $0.00 Page 1 of 1 CaseFees..rpt PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT#101.2203 JUNE 2016 FISCAL YEAR 15/16 Fran Lee Construction 03/17/06 185272 2006-00034 I 643.00 { 1,43.00!Plan Check.691 Crockett Furtado,Dan 07/28/15 I 259583 ENC2015-00167 500.00 15t1(L(1U)I j 256689 04/1&116 I - j Futurecom 01/11/02 I 145649 2001-00126 2 MO 00 Gasaway,Patrick 09104/I5 260222 ENC2015-00165� I,O00.00 (LOOO.UUI i 254707 12114'IS Geiser,Sue 04/21/II 234503 2011-00043 1,000.00 watt 00 ;Gerber,Leland 06/14,16 . 264411 PLN2015-002931 1.000.00! 1 I,OOO.n0 i t Graystone,Development 12/I9/07 202622 2004-00242 3,O00.00 I 3.000.00 1 Monument Rincon Townhome: Grey,Adrienne 03/19/14 ( 252645 ENC2014-00063 500.00 j 500.01) Habitec 06/03/16 I 264265 I PLN2016-00073 70.00 1 70.00 iOM to Cramp e I F2 ' 23.50 PL"2GI4-60>7, ' {1f.550,i1i1)� 1./E 9/16 - Hamilton Campbell1 Ut10 00; 'on,Campbeil Xe- 09/09/15 260283 ENC2015-00190 ^° 8 os 93 'Hamilton East Homes 11/11/14 256077 (ENC2014-00208 I500JO I j L00.00 I 'Heritage Realty Group 05/24/13 1 248358 2013-00102 S00.00 j SUILUI} I. Heritage Realty Group 01/21/09 213858 ( 2009-00007 500.00 IEO0.UU)1 JL-07ii6 - Highland Electrical 10/29/14 255899 ENC2014-00198 2,0 10.00 1 1 2,000.00 Hillhouse Construction 03/25/08 205513 I 500.00 100.U0 HPK Corporation j 10/13/15 260761 I ENC2015-00199 I 22,000.00 (17,380.00) 256492 04,•04,6 4,620.00 HPKCorporation -00199 880.00 890.00 Hurley Contractors 11/20/14 256212 2014-00325 10,000.00 10,000.O0 Hurley Contractors 02/09/15 257143 PLN2014-00323 1.500.00 (962.5ni 517.50 Hurley Contractors 02/09/15 257144 PLN2014-00323 i I(1,5UU-00 { 1U,500.00 j HurleyContractors 02/24/15 257381 PLN2014-00323 3,fi56.70 3,656.70 Imwalle Properties 10/28/11 238626 2011-00080 i 3.296.00 ( _ j 3,296.00 Imwalle Properties Inc 07/25/11 236599 ENC201 1-000801 500,(I() ( 500.00 iJ3 Construction I 04/28/11 234672 2011-00045 i 1,000,00 1,000.00 iJ3 Construction 04/28/11 234672 { 2011-00045 140.00 140.00 Jain,Shelly 01/24/14 251805 2014-00024 530.00 530.00 Jeffrey Mar 06/30/14 254187 2013-00102 i 1,81 L00 1,811.00' Jones,Zeden 08/13/03 160127 2003-00111 j 900.00 - I lit)0.00 Jorgensen,Hans 09/14/15 1 260331 j 2015-00273 1 2,500.00 (2500.00) 254323 11/1615 Kamimoto,Hideo 09/23/15 260491 2015-00197 2.000.00 (2.000.00) 254714 1211415 - Kawata,Koji 11/12/15 261234 500.00 5nn.nn i Khaziri,Hossain 09/03/14 255108 ENC2014-00108 1 6.390.00 1 6J90.00 1 i Kiehtreiber,Audrey 10/19/15 260841 ENC2015-00225! 500.00 ! 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(85,285.37) N I L50) 257866 07 04 IG 13,503.13 i ! i CFEP Pruneyard LLC 01/27/16 262230 PLN2015-00079 I 12,000.00 12,000,01) Chateaux Foret Home 08/31/15 260139 ENC2015.00183 i 1 2,000.00 (2.000.00)� 1 254497 1 130.15 - f Chen,Emily 04/12/02 147999 i 2001-00033 31000.00 j I 3,000.00 FPS 826 R.i--iaa II Chen,Emily 11/29/99 126023 PW98-03. 1.500.00 1 I 1,500.00 i f Chevron 03/13/08 1 205159 2007-00112 65MO.00 ! 1 65.000.00 Devolopmenr A recment i CHIT Partners 11/27/00 135537 1 PL00-58 51000.00 ! 1 1.000.00 " Copyce 08/07/03 159980 i 2003-00111 500.00 i 5nn.nn Core Communications 02/13/15 257246 2013-00132 2.400,00 i Creekside Office CE 05/12/06 186929 2005-00155 .3,658.84 3,653.84 � CRP Vasona LLC 06/07/16 264296 1 PLN2016-00140 18.000.00 I 18,0(10.00 ! CRP Vasona LLC 06/09/16 264357 ENC2016-00067 800.00 1 { 800.o0 CRP Vasona LLC 06/09/16 264357 1 ENC2016-00067 20.000.00 1 _ 20.UU0.00 Cusella,Stephen 11/22/02 153493 2002-00134 3.000.00 3.0(h1,001 11.1.v�,xe_ex i i D R Horton 11/07/14 256030 1 ENC2014-00096 3.360.00 8.360.00 I D R Horton 11/07/14 256030 j ENC2014-00096 13,500.00 I 13.SU{i.UU i D R Horton Bay Inc 09/10/13 249938 ENC2013-OOOI76 9.086.70 (9.086.70)� 253674 10./05?IS 1 D R Horton Inc 07/30/13 249315 2013-00147 10.000.00 j ' i 10,000.00 iCFI) D R Horton Inc 01/02/14 251459 ENC2013-000176 10,000.00 j (10,000.00) 253674 10/05/15 - CCD David Mordick 02/23/15 257345 ENC2015-00016 1.200.00 1.2np.nm 252681 0727/I5 I j DBI Construction 07/19/07 198633 2007-00076 3.000.UO (3,000.001 j '_543SS 1123/15 - .Monument 154 S Rrst DBI Construction 07/19/07 198632 2008-00078 I,140.38 � I 1.190.88 i Degan Homes 03/10/14 252504 ENC2014-00053 7,815.40 I 1 1 (400.00) j 11310 16� 7,315.40 1 Plan Check 45-S I Kennedy Degan Homes 03/10/14 252504 ENC2014-00053 7.000.00 J 1.000.00 Plan Check 1411 Westmont Degan Homes 04/24/14 253146 I 2014-00096 7.330.00 7.380.00 CCU Degan Homes 01/12/I5 256801 ENC2014-00053 69,160.01) I 69,16(I-tl0 Degan Homes 01/12/15 256801 ENC2014-00053 10.000.00 10,000,00 Degan Homes Inc 08/20/14 254918 2013-00043 5,000.00 ( M00.00 Diversified Loan 04/11/03 156903 2003-00048 500.01) 500.00(Plan Check Diversified Loan 04/30/03 157378 1 2003-00048 1.090.00 1J)80.00�Ca<h Dep Dresser Construction 07/09/14 254317 ENC2014-00047 2,i60.00 (2.760.00) 257481 06113'I6 Eagle Construction 02/26/16 262665 ENC2016-00031 1 1.000.00 (1.00(LUII) 26247 03:21:16 - EMQ Families 1 I/25/13 251027 2013-000226 500.00 500.00 EMQ Familites First 02/14/14 252138 1 2013-00175 L296.U(I I 2,296.00 Ericsson Inc 06/20/11 235812 PLN2010-00260 83500 835.00 Falahati,Darioush 11/19/12 245740 2012-00177 6.931.25 (6J931=5)j 253564 09:29/I5 - Ferran Corporation 11/04/11 238820 31)00.00 3.000.00 I � Financial Title Co(Janes Kennedy) 03/15/99 119425 98-238 1500.1)0 1,500.U(I Float Station LLC 07/10/15 259369 ENC2015-00157 500.00 500.00 i Float Station LLC 07/30/15 259640 ENC2015-00157 741.68 741.68 Float Station LLC 07/30/IS 259640 I ENC2015-00157 I 13.542.00 j • 1 I8.542.00 j PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT N101.2203 JUNE 2016 FISCAL YEAR 15116 _ -�BEGINNING PRIOR MOS, CURRENT PRIOR MOS. CURRENT Y-T-D Y T D NAME DATE RECEIPT j PERMIT i BALANCE AMOUNT MONTH I AMOUNT I MONTH OTHER 1 CHECK CHECK , NE ENDING ' NOTATIONIDESCRIPTION •PlaanioPJBoildioe PAID 0 0 07/01115 DEPOSITED DEPOSIT ; REFUNDED I REFUNDED ADJUSTMENTS W I DATE 0 BALANCE 00/16, 2145S Winchester -_---- -Blvd 08/0I/13 249367 2012.00164 I %.S_O.Opt ! IIIj i_..._.._........... _____ .52U.UU CCD __._. ..._ 725 Hacienda LLC 12/04/06 192242 2006-00177 534.05 I 534.05 (CD 725 Haciendn LLC 12/04/06 192243 2006-00177 6.000.00 I i 6,000.00 Nb,numcnt 725 Hacienda LLC 12/04/06 192241 2006-00177 { 534.05 534.05 Plan Check lA2 Land Investment 02/02/16 262311 ENC2015-00282 I 2.440.00 J 2.440.04) A2 Land Investment 02/02/16 262311 I ENC2015-00282 10,000.00 1 ' i 10,000.00 Abdollahi,Akbar 12/18/15 261739 ENC2015-00282 1.000.00 (LUOU.OUj 256744 04.1_5r16 - iAbdollohi,Akbar 11/24/15 261384 PLN2015-003291 1.603.62 Lf113,(2 j I Access Development 06/17/16 264489 ENC2016-00115 1,400.00 j 1,406.00 Access Development 10/14/15 260792 PLN2015-00308 10.800.00 j IU SUO.UU Adlparvar,Humid 08/14/06 189424 2006-00007 5,000,00 I ( 5,000.00 Monument 181<�FlacienU ( Advanced Radio Telecommunications" 11/13/00 135269 PLOO-93/131 1.;00.00 1.500A0 i Atka Montessori 12/03/13 251123 1 2013-00235 ( 500.UU SUl6(t0 i I I Alok Ventures LLC 07/15/14 254393 1 ENC2014-00109 1.079.50 I (1,07).501 255561 02.'15/16 I - PPS Alston,Anne 06/30/16 264698 ENC2016-00125 2,000.00 i I 2.000.00 !Anumandla,Ashok 12/22/15 261775 j ENC2015-00283 500.00 I ($UU.UU) 255344 ODO1116 i - Anumandla,Ashok 01/07/16 261952 PLN2013-00199� 2,500.00 � (2.SOOAO)� 255533 02/15/16 - Aron Developeres LLC 09/03/13 249119 1,166.00 1.166.00 i Aron Developers 11/OS/13 250745 2013-000175 2,928.00 j 2,928A0 Banaag,Esther 04/20/06 186290- 2006-00053 450.00 450.00 FPS 1 183%V Hamilton Banducci Assoc 06/28/10 227302 2010-00096 5()0.OU I- W.O. Barracuda Networks 12/08/15 261580 ENC2015-00203 j 1.I00.00 LIOO.00 Barracuda Networks 12/08/16 26I580 ENC2015-00203� I 27,500.00 ! 27,500.00 Barracuda Networks 09/22/IS 260469 ENC2015-00203 I 500.00 ! ' S00.00 i I I Bay Area Builders 03/28/16 263146 PLN2016-00113 I 2-900.00 i (2,SUO.UO) 257178 05123 16 I - Biag,Tony 11/29/04 172185 2004-00232 I 500.00 I 500,00 Plan Ck D:p 15;I Burrows BKF Engineers 08/01/14 254636 ENC2014-00139 I 500.00 i (500.001 1'H f l mon}> ! 253825 IO/ I5 - an Check Shar ,n1ms BKF Engineers 08/01/14 254636 ENC2014-00139 500.00 IS(900 254080 11/02/15 ! - CCD Black,Michael 10/01/07 200544 2007-00174 2.000.00 2010.00 Monument 1691 Bucknall Black,Thomas I 05/18/05 176993 500.00: 500.00 Blinn,David 01/06/16 261921 ENC2016-00008 I 500.00 5O0L00 Blomquist,Michael S " 02/28/01 137845 PLOT-185 400.00 500.00 Donation for exps.see PL Dpt.-No Int. I BPMP Family Partnership 12/17/12 246097 3,335.00 (3,335.00) 253448 1 09,121115 Burman Family LTD 08/17/15 259923 ENC2015-00171 i 500.00 I I 501600 Burr,Eric 12/05/06 192353 2006-00181 I 500.00 -00.00 flan Chock I OS Friar Bycel,Micah 01/05/16 261884 PLN2016-00005 5,000.00 i 5.000.00 Campbell 76 ! 12/101:5 261602 PLN2015-00375 8.000.00 (8,000.(IO) 256570 041041'16 - Campbe1176 01/26/16 262195 PLN2015-00375 1,895.00 (1.699.33) 19667 Campbell Apt Property 06/10/13 248596 2012-00197 9,440.00 (9,440.00)I 254090 I1/02115 - Campbell Ave LLC 09/1 I/07 199923 2007-00225 639.56 I 639.56 Campbell Development " 06/16/00 131553 PLOO-88 2.129.33 1.129.33 Carden Day School 10/30/I5 261045 PLN2015-00248� 20,000.00 (17,946.95)I 255341 03/14/16 2,053.05 Carden Day School 11/09/15 261159 20,000.00 I 20JWO.00 Carden Day School 03/01/16 262739 ENC2016-00038 1,500.00 ( 11400.00 Carden Day School 05/06/16 263839 ENC2016-00038 3,680.22 31680.22 Cathay,Sylvia D I 05/19/15 258619 ENC2015-00101 580.00 530.011 - CERTIFIED MAILT. RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) l 4t I L USE 0 Postage $ r, 7 Certified Fee 3 Retum Reclept Fee Postmark 3 (Endorsement Required) Here 7 Restricted Da'-r Fee I (Endorsement Required) � Tatal Po' Mr. Scott Trobbe _ Writ To South Bay Development - tweiap, 1690 Dell Ave. or PO Box city;Luz Campbell, CA 95008 jertified Mail Provides: ias,a�aaiaooaaunr'oosEwio�£ ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by,She Postal Service for two years 'mportant Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Ma ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVqRAGE IS,PROVIDED with Certified Mail. F valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof delivery.To obtain Return Receipt service,please complete and attach a Retu Receipt(PS Form 3811)to the article and add applicable postage to cover tl fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fi a duplicate return receipt,a USPS®postmark on your Certified Mail receipt required. ■ For an additional fee, delivery may be restricted to the addressee addressee's authorized agent.Advise the clerk or mark the mailpiece with tl endorsement"Restricted Delivery" ■ If a postmark on the Certified Mail receipt is desired,please present the ar cle at the post office for postmarking. If a postmark on the Certified M receipt is not needed,detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry Internet access to delivery information is not available on mail addressed to APOs and FPOs. II.S. Postal CERTIFIEDRECEIPT a 11 (Domestic MaY Only;No Insurance Coverage Provided) For delivery information visit ourhebsite at www.usps.come L .3 n Postage $ Certified Fee zi Return Reciept Fee Postmark C) � (Endorsement Required) Here p� =1 Restricted Delivery Fee Q (Endorsement Required) n Total Postage&F n SouthBay Development zi enrrozi 475 Alberto Way,#150 siraBr,'a'Pr'nio.; Los Gatos, CA 95032 or PO Box No. cry§iaie,'zf V" Attn: Scott Trobbe Certified Mail Provides: �as,a�aa� a A mailing receipt zoozau❑r'oosEwjoiS. ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ® Certified Mail may ONLY be combined with First-Class Maile or Priority Mail, v Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fc valuables,please consider Insured'or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof o delivery.To obtain Return Receipt service,please complete and attach a Retun Receipt(PS Form 3811)to the article and add applicable postage to cover thl fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fo a duplicate return receipt,a USPSe postmark on your Certified Mail receipt i; required. ■ For an additional fee, delivery may be restricted to the addressee c addressee's authorized agent.Advise the clerk or mark the mailpiece with th endorsement"Restricted Delivery'. ■ If a postmark on the Certified Mail receipt is desired,please present the arti cle at the post office for postmarking. If a postmark on the Certified Ma receipt is not needed,detach and affix label with postage and mail. Ls'PORKTANT: Save this receipt and present it when making an inquiry. access to delivery information is not available on mail ed to APOs and FPOs. • •N COM�LETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3. `` " ''� A. igna re ■ Print your name and address on the reverse X Ant ge so that we-can return the card to you. )iiressee ■ Attach this card to the back of the mailpiece, by(Printed Name) Date of Delivery or on the front if space permits, l 6 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: 9No Sou#hDay Development 475 Alberto Way;:#.150 Los Gatos, CA 95032 Attn. Scott'Trobbe —� 3. Service Type ❑Priority Mall Express® II I I III IIII II I III III I II�'I I I I I II Ifl ❑JI Adult Signature ❑Registered Mailr"q Adult Signature Restricted Delivery El Registered Mail Restricte, Certified Mail® Delivery 9590 9402 4354 8190 5485 80 Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery Signature ConfirmationTM —n.tt�ia nlumhec[Tcansfer from service label) ❑Signature Confirmation El Insured Mail 9 7003 3110 0001 3650 1214 �Insured Mail Restricted Delivery Restricted Delivery (over$500) PS Form 18811 t ULIV.ki 6 PW7530-02-d00-9d53 Domestic Return Receipt LISPS TRACPQNG# "c SE First-Class Mail Postage&Fees Paid USPS 1D N �.` Permit No.G-10 9590 9402;' 'O `-8190 5485 80 United States •Sender:Please print your name,address,and ZIP+4®in this box° Postal Service PUBLIC k;VIORKS C3'IY OF C,.,PJ4P3rELL r 70 aiorh First Street Campbell, CA 95008 iji„1 -'M ii i"II011Wi I,lNl,�il►i'ilili, �I.S. Postal CERTIFIED o RECEIPT r Domestic OFE � QLAL USE- For delivery information,visit 6ur Website-%-t ww-w-.usps.cdm1D. Certified Mail Fee n $ Extra Services&Fees(check box,add tee as appropriate) ❑Return Receipt(hardcopy) $ ❑Return Receipt(electronic) $ Postmark D ❑Certified Mail Restricted Delivery $ 3 Here :3 ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ :1 Postage -4 $ r Total, 7 $ Mr. Brett Kondric M Sent Stiee South Bay Development ------------- crry, 475 Alberto Way ---_---_-___- Los Gatos, CA 95032 "WRI aeruTIea Iviau bervlve prvvweb Lilo wnvwrrry UCrrCrrlb: r A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail r A unique identifier for your mailpiece. associate for assistance.To receive a duplicate r Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPSO-postmarked Certified Mail receipt to the r A record of delivery(Including the recipient's retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. hiportant Reminders: Adult signature service,which requires the You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service°, available at retaiq. or Priority Mail®service. Adult signature restricted delivery service,which Certified Mail service is notavailable for requires the signee to be at least 21 years of agf International mail. and provides delivery to the addressee specified Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail Item at a Post Office-for the following services: postmarking.If you don't need a postmark an this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records. ,S Form.3800,April 2015(Reverse)PSN 7530-02-000-9047 y. R: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■'Ci5mplete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X ❑Agent so that we car!return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiecei B. Received b fRdnted Name) C. bate of Deliver) or on the front if space permits. ( INe ECi 1. Article Addressed to: D. Is delivery address diff rent from item 1? ❑Yes --— -- -- --- If YES,enter delivery/address below: ❑No Mr. Brett Kondric` South Bay Development 475 Alberto Way Los Gatos, CA 95032 II I I I I IIII III I II II I II(hI I I III I I I II II II III 3. Service Type ❑Priority Mail Express® ❑Adult Signature O Registered Mailr"' Ydult Signature Restricted Delivery ❑Registered Mail Restricts Certified Mall® Delivery 9590 9402 2544 6306 4233 84 ❑Certified Mall Restrictedtelivery ❑Return Recelptfor ❑Collect on Delivery,. ., Merchandise O Collect Qn DeliVEry`!iestricted Delivery, ❑Signature Confirmation 2. Article Number(Transfet from-service%a6e1) p Insured Mail ❑Signature Confirmation — }--} i—.�- i—;_�. l I —1_1_.-�-.— 1 )i 1 ) Restricted Delive I I I i #'-� " " 0 Insured Mail Rest�ilted Delivery ry 7016 0910_ p�01 157`� 1g47 T I cc�er$5oo> PS Form 38 .JUIV 9171115 FIRM 75Rn-nq-nnn-9 .. Domestic Return Receipt us INV-V x; First-Class Mail Postage&Fees Paid USPS Permit No,G-10 9590 9402 2544 6306 4233 84 Unified States ®Sender;Please print your name,address,and ZIP+4®in.this box• Postal Service PUBLIC WORKS CITY OF CAMPBELL T® North First Street Campbell, CA 95008 Q/py, \ REMOVE EXISTING ARROWS "y (NOT SHOWN). 105' REPLACE E%. 38 O \\ 33-18. REMOVE"STOP"PAVEMENT INSTALL THERMOPLASTIC"KEEP CLEAR" / LEGEND BY GRINDING FOLLOWED MARKING IN NORTHBOUND LANE.INSTALL 12" REPLACE \\ INSTALL TYP IV(R)ARROW BY SLURRY SEAL TO COVER WHITE STRIPES AS SHOWN. R26(S)(CA) i •� 9 J . 2 IS LANE). THE SCARS. REPLACE RESTRIPE Q EMO OP"SIGN II ADJUST MARKINGS TO R26(5)(CA) EX.CUSTOM G" —� j / 0 AND POST u LOOP SAWCUTS. // / \ •� AVOID ADVANCE DETECTOR PED CROSSING" / 22 \ ) INSTALL TYPE MI(L) m. Z SIGN TO REMAIN. ARROW(TYP.,2 THIS LANE) E%.CUSTOM"NO �� •" P J 15' I ROW PIED CROSSING" / \ � SIGN TO REMAIN. �f INSTALL R26(S)(CA) \\ 75 /// ;, —� / ON STEEL POST / .1 REMOVE"ONE WAY"SIGN REMOVE EXISTING —I / �� n V� RESTRIPE / hI \ jARROWS AND STRIPING — I—I / REPLACE ® 8' -TO AC OJJATE GAP. — l BARROWS / j 9/R26(S)(CA) RESTRIPE \^` _ \ h INSTALL TYPE-. 6y 2j� o � � RESTRIPE ry(L)ARROwd,1 QP O � � -/� �✓ � / O INSTALL 12" / h \ ITE STRIPE '• — �-•��~ \REPA T TYPE ��4.- 55, / q. I ARROW \ MOVE EXISTING ARROW ••• I, �_ 32 RESTRIPE d 38 INSTALL 12' --- E%TEND 40'GAP ___- / 8 WHITE STRIPE ;�� DETAIL 38 -� rA/A� / / RESTRIPE ` N `�/M REPAINT TYPE �8. \\ ` IV ARROW __________ _____ •� KS /_ \ ESTR E REPLACE BOTH R49(CA) EXTEND 8"WHITE TO ^ SIGNS WITH ARROWS NEW LIMIT LINE REMOVE EXISTING ARROWS `CONFORM 0 �\ C C 9 POINTING SOUTH. y • \ \ \\ ( IOt 22 40 EXISTING TRI ING ` 0 \ I \ O _ NEW ROW ( \ Y / _l IT: \ T _� -' /-� V •,RIGHT LANE EN \ \ / \ REM ARROW - 100•Iq h PLACE 2'S5 4 f / / /1 \ ` I C ON STEEL POS.�� \/ \ 0 \\ PAINT ISLAND - R4-7 REPAINT TYPE / / ' \ I C /\ 1 �\ \� --- NOSE YELLOW. �� VI ARROW RESTRIPE(� C i+ INSTALL 12" w J ' I 1 1 ` a WH ITE STRIPE 12 / InI EX.R26(S)(GA) EXTEND DETAIL 9 /, ) e 1` 1 ) C (n TO REMAIN TO LIMIT LINE I / j N CESSARY. — F INSTALL 1 EX.CUSTOM'NO x C - p / REPAINT TVP": R26(S)(CA)\ ( PED CROSSING" @ O 12' "J" ��• M ARROW 1 SIGN TO REMAIN. _ `� _ y•. r •RELOCATE CUSTOM"NO PED INSTALL W4-2 LANE MERGE • 1�� -CROSSING"SIGN TO SIGN ON STEEL POST. 4 / _ — _ — C� '•. PROPOSED ELECTROLIER. EX.ROW REMOVE EXISTING SIGN POST. _ — — _ INSTALL R26(5)(CA) 1 '•.••�� // T LL CROSSWALKS TO / ON STEEL POST NEW ROW / INSTALL R13(CA) 4' WHEELCHAIR ON NEW SIGNALAL PO MA'UVERINGING ZONE(TYP.) --7 INSTALL R13(CA) • ON NEW SIGNAL POLE EXISTING 10' / �1 EASEMENT PROPOSED 10' •REMOVE ALL EXISTING EASEMENT STRIPING WTHIN \ INTERSECTION. ! ® i 50'EASEMENT J�,/ L0 C:) C:) 0) L6 a- C5 Z • p o0 F_ WQ W zv a y GRAPHIC SCALE O Rt Lu LEGEND i 20 0 1a 20 40 80 Z W = CALTRANS STRIPING DETAIL NUMBER (SEE W 0 U PROJECT NOTES: CALTRANS STANDARD PLANS A20A THRU A20D) 1 INCH = 20 FEET W Y a0 Caltrans 2015 Detail 40 is now 6' thick stripe;cont,actor installed 4"per the original requirement >W 0� 1. EXISTING SIGNS TO REMAIN ARE NOT FULLY DOCUMENTED ON THIS PLAN. IF AN A: 1-800-227-2600 Q W (•) EXISTING SIGN TO REMAIN IS REMOVED OR DAMAGED DURING CONSTRUCTION, CALTRANS TYPE IV ARROW (SEE CALTRANS d fORE CONTRACTOR SHALL BE RESPONSIBLE FOR REPLACING THE SIGN. STANDARD PLAN RSP A24A) O� yQG V W 2. EXISTING PAVEMENT STRIPING, MARKINGS, AND MARKERS THAT ARE NOT TO BE UP O' C) REMOVED ALONG THE FRONTAGE SHALL REFRESHED BY THE CONTRACTOR AS SHOWN. CALTRANS TYPE VII ARROW (SEE CALTRANS ANY STRIPING, MARKINGS, OR MARKERS THAT ARE DAMAGED BY THE CONTRACTOR'S STANDARD PLAN RSP A24A) OPERATIONS SHALL BE RESTORED BY THE CONTRACTOR TO THE ORIGINAL CONDITION AT THE CONTRACTOR'S SOLE EXPENSE. d SIGN WITH POST `gyp 3. ALL THERMOPLASTIC SHALL BE EXTRUDED. SPRAYABLE THERMOPLASTIC IS NOT ROUND SEkT`G�� ALLOWED. CA: 1-800-227-2600 C,NL N9RKING 4. ANY WORK ON PRIVATE PROPERTY CANNOT BE PURSUED UNTIL APPROVAL HAS BEEN 0AY5 BEFORE Yo0 01c g GRANTED BY THE PROPERTY OWNER. PROVIDE A COPY OF SAID CONSENT/PERMISSION o TO THE CITY OF CAMPBELL PRIOR TO CONSTRUCTION. 5. ALL NEW SIGNS SHALL MEET CURRENT CALIFORNIA MANUAL ON UNIFORM TRAFFIC � Z CONTROL DEVICES REQUIREMENTS. ALL NEW SIGNS SHALL BE 0.080"THICK AND MEET CURRENT RETROREFLECTIVITY STANDARDS. ALL NEW SIGN DIMENSIONS AND MESSAGES/LEGENDS SHALL BE APPROVED BY THE CITY ENGINEER PRIOR TO ORDERING 2j ANY MATERIAL. THE CONTRACTOR SHALL PROVIDE A MATERIAL SUBMITTAL FOR ALL SIGNS TO THE CITY FOR REVIEW AND APPROVAL PRIOR TO ORDERING ANY MATERIAL 1 fb SCALE: 1_29 C.66Z10 Q?• 7 SHEET: THIS PLAN ACCURATE FOR PAVEMENT DELINEATION WORK ONLY. ,. 09 OF 11 ' a •^— x X-"" : t K n' fr• r S 1 �. `1 Y ra - .,. a �`=r � „� 'bt `fit,`�a-•#+,,MM _ �,.�'": ,i ,,,� P,'� ! 1 1 - .i1 vw � z 'W x , 71, MOM r ( MVU O(�� ,r wpvtYM,Wr�Gpv15r�® rdr _ - - � iV Urt +fi,?g'M1•' i "L/. rP �` � �s ✓e/V"U1N ��p+ '• N , U. 0w n m F b r O �s h f O (. D : LEGEND DESCRIPTION r rik b U, _ s3 g , �b---�— Traffic Cones + ' ® Work Area s�' � .. .. 4 Type 3 Barricade -91 W20-1 Traffic Sign Traffic Control Notes J Direction of Traffic SIGNAGE NOTES W 1. A G20-2"END ROAD WORK"SIGN,AS APPROPRIATE, 1. Working hours as directed on the permit. m SHALL BE PLACED AT THE END OF THE LANE 2.Field modifications may be necessary to ensure public safety.Contractor shall coordinate a oo Arrow Board CLOSURE UNLESS THE END OF THE WORK AREA IS changes with city inspector. ~ OBVIOUS,OR ENDS WITHIN A LARGER PROJECT Table GC-1. Recommended Advance Warning Sign fAinimum Spacing g ty P Q LIMITS. 3.Construction signs shall be black on orange(not black on yellow or black on pink). W U ® 2. THE MAXIMUM SPACING BETWEEN CONES IN A goad T 4.Temporary traffic control signs shall not block fare hydrants and/or driveways.Di�aice Behr Sees'• P �Y � Y Y • � W20-5 (R) Traffic Sign fps, A D C 5.All traffic control devices(signs,channelizers,etc.)shall be retroreflective and/or illuminated TAPER SHALL BE SHOWN IN TABLE 1 AND 50 FOOT during nighttime traffic control. Y lkb=(hw Fp-dl• '.00A=1 103ki aCG's=': MAXIMUM SPACING ON TANGENT. _ 6.All existing roadway signs conflicting with traffic control plan shall be covered for duration of W t.4b=(Nah ep" 35+)Lw 350 h•G 35) ® 3. ADDITIONAL ADVANCE FLAGGERS SHALL BE - work and uncovered when roadwayas reopened. W W20-5 (L) Traffic Sign a,r� eru�c o03 ka srd2� P REQUIRED WHEN TRAFFIC QUEUES DEVELOP.PLACE 7.Contractor shall post temporary"No Parking,""No Stopping,"and/or"Tow Away"signs along LU C30"LANE CLOSED"SIGN AT 500'-1000'INTERVALS FxPr=—Y `� t•ce� s:W r�" 2.e wr�-c roadway frontage,where applicable,per city requirements.Signs shall state days and hours THROUGHOUT EXTENDED WORK AREAS. when restrictions apply. V �uW4-2 (R) Traffic Sign spMa� r��^d ndtr;,edma- 'rz;3sho• u 4. ALL REQUIRED SIGNS THAT ARE TO BE LEFT IN "'n+=e��A Qr:�corccx��-rno.nn�.rr ca:-a ehrw2,e+d-es.,�,•_•a 8.Contractor shall display on its barricades company name and 24-hour emergency telephone dir—� i.��as+�c��,-ram mpwrcat��ro„md,oErvic;,,,�26rae:s number in case ofemer emergency callolltS. JOB NUMBER: PLACE OVER WEEKEND OR HOLIDAY SHALL BE ctFr_dcarca6rn lh:kaand° =cicisn ihcCdtrr_+'cimint&&- .�. Lac' g y MOM POST MOUNTED. �""d �� ( �=�a�'i= ""aetro3" cacet�a�wc�a rc 9.Contractor shall furnish,erect,and maintain barricades,lights,signs,flagmen,fencing,and other 372 n� W4-2 (L) Traffic Sign 5. CONSTRUCTION AREA TRAFFIC CONTROL DEVICES Gd�oya dorr mxa safety measures to give adequate protection to the public at all times.Contractor shall provide 0 SHALL MEET THE PROVISIONS OF SECTION 12 OF access to all areas in the vicinity of the encroachment and shall provide necessary temporary SCALE: sidewalk and wanting signs. NTS THE MOST RECENT EDITION OF THE CALTRANS R3-1 Traffic Sign STANDARD SPECIFICATIONS. sREEr' 1 OF 1 . I e ,I ; EGENn TRAFFIC CONTROL GENERAL NOTES WORKZONE I G N CHART 1.ALL TRAFFIC CONTROL DEVICES SHALAONFORM TO THE LATEST EDITION OF THE CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES(MUTCD)AND THE STANDARD SPECIFICATIONS FOR PUBLIC WORKS. FLAGSTAND WITH SIGN 2.HIGH LEVEL WARNING DEVICES FLAGTREES HALL CONSIST OF A MINIMUM OF TWO FLAGS. THE DISTANCE FROM THE ROAD�AYTOTHE OTTOM OF THE FLAGTREE SHALL BE NO LESS ROAR GAT L� u; TYPE 11 BARRICADE THAN 8 FEET.THE FLAG SHALL BE MINIMUM 16 INCHES SQUARE AND BE ORANGE OR WORK e� I CLOSED No FLUORESCENT RED-ORANGE IN COLOW DIRECTION OF TRAVEL 3.ALL WORKERS SHALL BE EQUIPPED WITH AN REFLECTIVE VEST AND HARD HAT.ALL FLAGGERS �OAII WORK SHALLALSO BE EQUIPPED WITH A C-28(STOPISLOW)PADDLE AND BE TRAINED IN THE PROPER O SIGNALIZED INTERSECTION FUNDEMENTALSOF FLAGGING TRAFFIC. W20-1 W20-5 W4-2(RT) C30(CA) G20-2 4.NO PARKING SIGNS SHALL BE PLACED 72,HOURS PRIOR TO SET-UP SIGNS SHALL BE POSTED EVERY 20 LINEAR FEET OF OCCUPIED SPACE WITH AT LEAST ONE SIGN AT EACH END OF ' CHANNELIZINO DEVICE / �/ OCCUPIED SPACE. I. SOUTH BAY 5ANY CONFLICTING SIGNS WILL BE COV$RED FOR THE DURATION OF THE JOB. ff• FLASHING ARROW SIGN i/' 6ACCESS TO RESIDENCES AND BUSINES$ES SHALL BE MAINTAINED ATALL TIMES.ACCESS TO BE CONSTRUCTION DETERMINED IN FIELD BY EXISTING CO<JbTIONS. suamtrreoav:Tenntrsme"ect&.1ae MUST MAKE PRIOR ARRANGEMENT WITI(i'HE PROPERTY OWNER BEFORE CLOSING DOWN ANYDRIVEWAYS. >.' D'or:12/01/16 TMAINTAIN A SAFE PEDESTRIAN ROUTEOINTAIN 12FT LANE UNLESS OTHERWISE NOTED, Ioae z610-dee{atde-oRiaeelas 8ALLTRENCHES MUST BE BACK FILLED OR PLATED DURING NON-WORKING HOURS, suammua: 16sa cie Add W20-1 Sign facing Wcstbound u° // (A W8-24(STEEL PLATE AHEAD)SIGN MUST�EPOSTED 250 FEET IN ADVANCE OF ANY PLATE Lett-Turn Traffic THAT IS IN THE ROADWAY. REVIEWW BY.Mcbeuecmw b / / RTHE CONTRACTOR SHALL TAKE ALL NE 8,SARY PRECAUTIONS TO ALLOW EMERGENCY VEHICLES �a m 6, / / TO PASS THROUGH THE CONSTRUCIONSIG ONES WITHOUTANY DELAYS. 10.PLACEW20.1(ROADWORKAHEAD ;;ONANYSIDESTREETORHIGHVOLUMEDRIVEWAYTHATevdea►tntfhwokeoe(owtoeher.qutremeeRsdthaeartry ' ✓ / / IS WITHIN TRAFFIC CONTROL ZONE. ll.TCP(TRAFFIC CONTROL PROS)ASSUM6S.NO LIABILITY WHEN CONTRACTOR DOES THEIR OWN I' SET-UP OR MAKES CHANGES TO THE OR�IIG�INAL TRAFFIC CONTROL PLAN. / 12.CITY OF CAMPBELL ENGINEER OR HIS REPRESENTATIVE HAS THE AUTHORITY TO INITIATE FIELD �Sr`b 1 �' �' i i CHANGES TO ASSURE PUBLIC SAFETY I W20-1 'A / / -w o ma enaaa�eat Qat�r d!b .EG b @6m mt4t ' � db F'd my6��.�et�pasb @a mlMdmm�Aa,mm•nM-r6ebnbes npdia �� . W20-5 C �. - s...rc r�c*r�.,s►a.uso.�e O AddWll-l/W16-1PSigns VJ I r� naeel1Z/17 _ 4-2(RT) '- / aR W®�+. esatrnS F^'c2a iT-14o Q .. - - --- -'- - - /d/' t tsmr,os awaeo way wo—A 0 W20-1 , 6 5;9 5 2 G20-2 i i i \`•� 50' W4-2(RT 2Sp� • ° C30(CA) 180'TAPER 2 W20-5pNl W20-1 ;/ W20-1 TqP C30( A) 'f CA 17 OFFRAMP Add W11-1/W16-IP Signs MAXIMUM CHANNELIZING DEVICES SPACING (MPH) TAPER TANGENT CONFLICT Al.'s W20-1 25 25 50 12 30 30 60 15 TRAFFIC CONTROL PROS I T P JOB# COMPANY CONTACT r 't° 125 MASON CIRCLE SUITE G 16-0 `� TENNYSON ELECTRIC INC. REBECCA SHELTON g CONCORD,CA.94520 K C/TY 'OF CA MPAREL.L 7275 NATIONAL DRIVES SUITE A-2 PH.925-606-1038 j (925)270-4580 office c LIVERMORE CA.94550 EMAIL TRAFFIC tG44*ROL PROS Estimating@TCPros.net DATE DRAWN PROJECT CREEKSIDE.VIAY STREET IMPROVEMENTS PH.92"06-1038 rebecca*ennysonelec.com 11-3-2016 NOT TO SCALE 6; EXISTING CONDUIT AND UN RA NOTES: $ STANDARD NOTES io ucliipRNDER BTI""". 1. UNLESS OTHERWISE NOTED,ALL WORK ON THIS SHEET SHALL CONFORM TO THE CITY OF CAMPBELL STANDARD SPECIFICATIONS AND DETAILS FOR PUBLIC WORKS CONSTRUCTION(DATED JULY 1994),THE 2006 STATE OF RED CALIFORNIA STANDARD PLANS,THE 2006 STATE OF CALIFORNIA STANDARD SPECIFICATIONS, AND THE .. AB ABANDON.IF APPLIED TO CONDUIT,REMOVE CONDUCTORS O / CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES(CAMUTCD-DATED 2014). BC INSTALL PULL BOX IN EXISTING CONDUIT RUN O 2. LOCATIONS OF ALL UNDERGROUND UTILITIES ARE APPROXIMATE.THE CONTRACTOR SHALL DETERMINE THE EXACT YELLOW EX.1.5%2MB LOCATIONS AND VERIFY ALL CONDITIONS ON THE JOB SITE AND PROTECT UTILITIES TO REMAIN.HAND DIG TO C9 INSTALL CONDUIT INTO EXISTING PULL BOX SL CONDUCTORS 1 ® DETERMINE EXACT UTILITY LOCATIONS AS REQUIRED FOR FOUNDATIONS UNTIL CLEAR OF OBSTRUCTIONS.CALL O UNDERGROUND SERVICE ALERT AT(800)227-2600 PRIOR TO ANY EXCAVATION. p CC CONNECT NEW AND EXISTING CONDUIT,REMOVE EXISTING GREEN os/ 9' 3. ALL EQUIPMENT IS SHOWN IN APPROXIMATE LOCATIONS ONLY.OBTAIN CITY ENGINEER APPROVAL FOR EXACT CONDUCTORS AND INSTALL CONDUCTORS AS INDICATED SC EQUIPMENT LOCATIONS PRIOR TO FOUNDATION PLACEMENT.COORDINATE WITH ENGINEER ON EXACT PLACEMENT on NEW DETECTOR HANDHOLE 3 /� / OF POLES AND SIGNAL STANDARDS.PLACEMENT SHALL OCCUR AFTER CONTRACTOR HAS DETERMINED EXACT EX 1 5" 2Me® / LOCATION OF ALL UTILITIES.THE CONTRACTOR SHALL GIVE 48 HOURS*NOTICE TO THE ENGINEER FOR FA ABANDON FOUNDATION GREEN SL.CO. c,NDU i _ - VERIFICATION OF EQUIPMENT LOCATIONS. CTORS -� 4. AlL PULL BOXES SHALL BE No.5,UNLESS OTHERWISE NOTED ON THE PLANS.PULL BOXES SHALL NOT BE RC EQUIPMENT OR MATERIAL TO BE REMOVED AND BECOME Q -�_ LOCATED IN CURB RAMPS OR SIDEWALKS.PULL BOXES SHALL BE MARKED PER CITY STANDARD SPECS AND THE PROPERTY OF THE CONTRACTOR. a ,�_ - _ I� © i \ DETAILS(JULY 1994).WHERE FEASIBLE,PULL BOXES SHALL BE INSTALLED BEHIND THE SIDEWALK AS DIRECTED ❑RL RELOCATE EQUIPMENT DETAIL 1 _ _ �- (( /�. BY THE CITY. TRIM LANDSCAPING AS NECESSARY FOR PULL BOX ACCESS. - 5. ALL NEW VEHICLE INDICATIONS SHALL BE LIGHT EMITTING DIODE(LED).SIGNAL MODULES SHALL BE 12"WITH RS REMOVE AND SALVAGE EQUIPMENT AND DELIVER TO CITY 4-SECTION SIGNAL HEAD D �-- EX.1.5' 2M8 „ �/� SIC CONDUIT AND \ METAL HOUSINGS AND BACKPLATES.ALL LED VEHICLE MODULES SHALL BE'431 SERIES'AS MANUFACTURED BY OF CAMPBELL PUBLIC WORKS SERVICE CENTER. WITH LEFT ARROW -H ` SL CONDUCTORS .( mz / CABLE CONTINUES DIALIGHT CORPORATION,GELCORE,OR APPROVED EQUAL AND SHALL BE INSTALLED PER THE MANUFACTURER'S C7 a'`" © SPECIFICATIONS.ALL NEW VEHICLE INDICATIONS SHALL HAVE A 15-YEAR MANUFACTURER'S WARRANTY. Sc SPLICE NEW TO EXISTING CONDUCTORS = '; ' f /TO CAMPISI WAV. 6. ALL NEW PEDESTRIAN INDICATIONS SHALL BE LED COMBINATION WALKING PERSON/PORTLAND ORANGE UPRAISED Z HAND COUNTDOWN TYPE.PEDESTRIAN SIGNALS SHALL HAVE METAL HOUSINGS. ALL LED PEDESTRIAN MODULES SHALL BE MANUFACTURED BY DIALIGHT CORPORATION,GELCORE,OR APPROVED EQUAL AND SHALL BE TTI I \ 1 Tit ,// / INSTALLED PER THE MANUFACTURER'S SPECIFICATIONS. Tn l EX.1.50c,2#8 7. ALL WIRING AND EQUIPMENT SHALL BE MARKED(TAGGED)IN ALL PULL BOXES AND WITHIN THE CONTROLLER m SL CONDUCTORS ice_ CABINET FOR PHASE IDENTIFICATION. m m �!i i 8. ALL WORK INVOLVING PG&E FACILITIES SHALL BE DONE BY PG&E APPROVED CONTRACTORS AND SHALL CONFORM TO ALL PG&E STANDARDS. co 1 ; r� CB ° 9. CONTRACTOR SHALL COORDINATE WITH VIDEO DETECTION MANUFACTURER TO HAVE THE MANUFACTURER'S \\ \ EXIST T r G SIGNAL EQUIPMEN ° ; �:t.� i REPRESENTATIVE PROGRAM THE VIDEO DETECTION ZONES FOR ALL INTERSECTION APPROACHES. \ NOT DOCUMENTED AT THIS O I AB s � 10.ALL PEDESTRIAN PUSH BUTTONS(PPB's)SHALL CONFORM WITH THE REQUIREMENTS OF THE AMERICANS WITH INTERSECTION 1 14 DISABILITIES ACT(ADA).PPB's SHALL BE INSTALLED SUCH THAT THE CENTER OF THE PPB IS 36 INCHES ABOVE y� THE SURFACE WHERE A PERSON WOULD BE LOCATED TO ACTUATE THE SIGNAL.ALL PPB DEVICES SHALL BE APPROVED BY THE CITY PRIOR TO PURCHASE AND INSTALLATION. 11. A LIST OF MATERIALS PROPOSED BY THE CONTRACTOR TO BE USED ON THIS WORK FOR STREET LIGHTING 5Q Y� AND/OR TRAFFIC SIGNALS INCLUDING,BUT NOT LIMITED TO,THE CONTROLLER ASSEMBLY AND SIGNAL EQUIPMENT SHALL BE SUBMITTED TO THE CITY ENGINEER FOR APPROVAL TWO WEEKS PRIOR TO THE START OF WORK.THE W EX.1.5%2N5 NEW 1.5-C,2M8 ` ,PI LIST SHALL INCLUDE MANUFACTURER'S SPECIFICATIONS FOR ALL APPLICABLE PRODUCTS. 4 \\ SL CONDUCTORS ` SL CONDUCTOR51 12.CONTRACTOR SHALL PROVIDE TRAFFIC CONTROL PLANS FOR CITY APPROVAL TWO WEEKS PRIOR TO CONSTRUCTION. ., 13.ALL SPLICES SHALL UTILIZE A CRIMPED,COPPER"C"TAP AND SHALL BE SOLDERED. Tmv 14.SPLICE INSULATION METHOD SHALL BE HEAT-SHRINK TUBING METHOD. 15.REFER TO CALTRANS STANDARD PLAN RSP ES-IA,RSP ES-18,RSP ES-IC,AND THIS SHEET FOR SIGNAL, LIGHTING,AND ELECTRICAL SYMBOLS AND ABBREVIATIONS. 16.UNLESS SPECIFICALLY DESIGNATED AS CITY-FURNISHED,ALL MATERIALS SHALL BE FURNISHED.BY THE 02PP8 1�)I If I e - CONTRACTOR. - C I f / 1 EX.1.5'c 2MB 17.EXISTING PAVEMENT STRIPING,MARKINGS,AND MARKERS THAT ARE NOT TO BE REMOVED SHALL BE PROTECTED C SL CONDUCTORS '� INSTALL TYPE E BY THE CONTRACTOR.ANY STRIPING,MARKINGS,OR MARKERS THAT ARE DAMAGED BY THE CONTRACTOR'S DETECTOR LOOP OPERATIONS SHALL BE RESTORED BY THE CONTRACTOR TO THE ORIGINAL CONDITION AT THE CONTRACTOR'S 0 11 l�T "t/ ROW 1 P ) /�, (TYP.,3 TOTAL). }I \ FA RS 7` m RS LOUVER;O SIGNAL HEAD AIMING SOLE EXPENSE. N S�Q \� ®1 18.THE SPACE BETWEEN THE PROPOSED SERVICE EQUIPMENT ENCLOSURE AND THE PROPOSED CONTROLLER CABINET N I INSTALL R73-4(CA) FA POINTI-•125'FROM LIMIT LINE SHALL BE BETWEEN 6 FEET MINIMUM AND 12 FEET MAXIMUM.THE EXACT LOCATION OF THE PROPOSED SERVICE t C \ �`-� NO U NRN" (EN OF LEFT TURN LANE). DH 0 EQUIPMENT ENCLOSURE AND CONTROLLER CABINET SHALL BE DETERMINED BY THE CITY ENGINEER. C (Q E%.1.5"c,2MB P• &• /`` 19.THE VIDEO DETECTION SYSTEM SHALL BE ALDIS GRIDSMART VIDEO DETECTION SYSTEM,OR APPROVED EQUAL. O 9 ^-^ &• 20.EMERGENCY VEHICLE PREEMPTION SYSTEM SHALL BE EMTRAC AND INCLUDE THE FOLLOWING EQUIPMENT: C,? 06 \ M �-8_- EVD SL CONDUCTORS 5 _ ' f- I O ST-9367-INTKIT(INTERSECTION KIT),ST-9377(STAND-ALONE CABINET GPS/RF KIT),ST-9730 (n / O 20' \ -�- �- - 11 Jam-- - _ (1-DIRECTION/1-CHANNEL SENSOR,ONE PER APPROACH),ST-9734-100(DETECTOR CABLE).THE SIGNAL SHALL N W 7p• or _ / 02 OPERATE WITH THE OPTICAL SYSTEM BUT SHALL BE GPS-READY WITH APPROPRIATE CPS ANTENNA AND CABLES. C ss T INSTALL TERSE b0 NOT _ F_ X C 0 (/ 02 M 2 -' �•��--�-�� / LOCATE AND INSTALL THE CPS ANTENNA PER THE MANUFACTURER'S RECOMMENDATIONS. 0 M/T ,BLOCK INTERSECTION'ON ji_ _ys Z INSTALL -` _ - _� 21.CONTRACTOR SHALL DELIVER THE NEW CONTROLLER CABINET AND ALL AUXILIARY EQUIPMENT TO THE CAMPBELL " V �� 'MAST ARM 14'FROM POLE o '1 _.�� - 1 m u '\� \ R73-2(CA) 02+05 Tp PUBLIC WORKS SERVICE CENTER AT 290 DILLON AVENUE IN CAMPBELL FOR TESTING BY CITY FORCES.UPON "?? 18 5 I 04 LI. LINE m 22.EXISTING LIGHTING LEVELS COMPLETION OF TESTING,CONTRACTOR AT INTERSECTIONLL PICK UP CA SHALL BE MAININET TAINEDN DURING IARY EQUIPMENT. CONSTRUCTION UNTIL SIGNAL TURN Os EVA ,�� V 04 02 DET.ZONE / LIMIT w a L41 �� m ON. 04 --_ .,1•.�� SEE GENERAL I D 23.CIN ENGINEER OR REPRESENTATIVE SHALL BE PRESENT DURING SIGNAL TURN-ON.TURN-ON SHALL NOT BE \ ZO 05 ET.ZONE/ / / �S.EET.26 O 24.ARBOR 5T SHALLDONE ON A AY. E CONSULTED FOR ANY CONSTRUCTION WORK THAT WILL AFFECT CITY TREES. NOTETHIS-Qe _ _ � ss ; s II C 25.CONTRACTOR SHALL MAINTAIN STREETLIGHT CIRCUIT CONTINUITY WHERE STREETLIGHT FACILITIES ARE MODIFIED. `NS0 FA AS 1 m 26.ANY STRIPING WORK ON PRIVATE PROPERTY CANNOT BE PURSUED UNTIL APPROVAL HAS BEEN GRANTED BY THE EX.1.5'<,2MB \\� \� © ` ( `"� .3 zI ss s f�- Ot �E Ex.1.5"c,2MB r PROPERTY OWNER.PROVIDE A COPY OF SAID CONSENT/PERMISSION TO THE CITY OF CAMPBELL PRIOR TO SL CONDUCTORS \\ �� °°'• �� pN 1 -- Nc��•/ss�0 SL CONDUCTORS y� CONSTRUCTION. CB 27.EXISTING TRAFFIC SIGNAL FACILITIES SHOWN ON THESE TRAFFIC SIGNAL MODIFICATION PLANS ARE BASED ON SIC CONTINUES TO AS 1 HAMILTON AVENUE. (06 03 t s Y�Oj 1GR' I� SC AS-BUILT CONSTRUCTION PLANS AND CURSORY FIELD INSPECTIONS BY HEXAGON STAFF.WHILE EFFORTS WERE _ W.�O ENO MADE TO INSURE ACCURACY,THE SIZE AND ROUTING OF EXISTING CONDUITS,AND THE NUMBERS,AWG SIZES, /R60 A44 AND TYPES OF EXISTING CONDUCTORS/CABLES SHOULD BE CONSIDERED APPROXIMATE ONLY. BEFORE STARTING pp ` - AB_CC - WORK,THE CONTRACTOR SHALL CONFIRM EXISTING CONDITIONS.ANY MAJOR DISCREPANCIES BETWEEN ACTUAL 00 O / I ,Z� `\` D _ 1._ Dom-' FIELD CONDITIONS AND THE DETAILS SHOWN ON THESE PLANS SHALL BE BROUGHT TO THE ATTENTION OF THE 8 �d �� @ ��- �- "� % PROJECT INSPECTOR. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO DELVER COMPLETE AND FULLY % f / EX.1.5'e,2M8 ° ' \-�_ ' FUNCTIONAL ELECTRICAL SYSTEMS. 0) / SL CONDUCTORS\s O �_ -- - - 7 21 NEW 1.5"C,2MB 28.CONDUIT LOCATIONS ARE SHOWN SCHEMATICALLY.ALL CONDUITS SHALL BE PLACED WITHIN THE PUBLIC L 0} 4 GPS 1 3 - Rp f( SL CONDUCTORS RIGHT-OF-WAY OR PUBLIC SERVICE EASEMENT. Z �l O ANTENNA ��_ 29.THE NEW FOUNDATION FOR THE NEW TYPE 15 STANDARD TO BE RELOCATED SHALL CONFORM TO 2010 O N _ 6 V - - ABANDON CALIFORNIA STANDARD PLANS AND SHALL HAVE A 12"BOLT CIRCLE. 41. O �\ oUNDATION. 30.ALL STREET LIGHT AND SAFETY LIGHT FIXTURES SHALL HAVE 7-PIN PEC SOCKETS FOR FUTURE USE. INSTALL EIECTROLIER IRS Y _ / EX.ROW N / SHORTING CAP IN PEC SOCKETS. g - 6 1 ry�� 1 4 / Z rA 7 - f-- - E A•V I R 31.ALL SIGNAL HEADS SHALL HAVE QUICK CHANGE CLIPS FOR HOLDING LED MODULES IN PLACE(FROM GET GO INC J m J COMPLETELY 0�PP8 !V�/ Tw S 4h 1 (� N�EWR�OW OR APPROVED EQUAL. a ~ 11;r REMOVE FOUNDATION ll ll- I / 06PPB 04PPB PROJECT NOTES: (n 11 1 EXISTING 10' 1 Z U W o I J RS r1'L® q EASEMENT ❑FURNISH AND INSTALL NAZTEC MODEL 980 TS-2 TYPE 2 CONTROLLER ASSEMBLY IN TYPE P CABINET. a / I PROPOSED 10' CONTROLLER SHALL HAVE AB3418 PLUS PROTOCOL CAMPABILITY AND CONTROLLER SOFTWARE SHALL BE FLASH J } j I e I FA j INSTALL EMPTY 3"S.^,ri,80 PVC EASEMENT ROM UPGRADABLE. INSTALL FOUNDATION FOR CONTROLLER CABINET PER DETAIL ON SHEET E-2.CABINET SHALL Q 0 CONDUIT WITH PULL!!UPE PER BE PLACED AT THE BACK OF WALK NEAR THE COMMUNICATION PULL BOX.REMOVE EX.LANDSCAPING AS Z a Z PG&E REOUIREMENTB;TRAFFIC NECESSARY TO ACCOMMODATE CABINET. (r Lu SIGNAL SERVICE CONDUIT TO BE -- OWNED AND MAINTAINED UY PG&E. ❑2 FURNISH AND INSTALL TYPE III-AF SERVICE ENCLOSURE PER SECTION 86-2.11,SERVICE,OF THE CAMPBELL co W 50'EASEMENT STANDARD SPECIFICATIONS.REMOVE EX. LANDSCAPING TO ACCOMMODATE CABINET. V 0 V O CONTINUES 70 SERV+:POINT ❑3 FURNISH AND INSTALL VIDEO CAMERA ON RISER PER MANUFACTURER'S RECOMMENDATION.SEE GENERAL NOTES 9 E- co Q y } - (LOCATION TO BE DETERMINED) AND 19. W W§ ®FURNISH AND INSTALL VIDEO CAMERA ON LUMINAIRE MAST ARM.SEE GENERAL NOTES 9 AND 19. W U // / 5❑REMOVE TREES TO ACCOMMODATE SIGNAL MAST ARM.SEE GENERAL NOTE 24. ~ U W 02P ©USE SLACK IN EXISTING SIC CABLE(IN THIS PULL BOX)TO CONNECT TO NEW CONTROLLER.IF THE SLACK IS O f'----� LEGEND +' INSUFFICIENT,CONTRACTOR SHALL CONNECT THE EXISTING SIC TO THE NEW CONTROLLER FROM CAMPISI WAY AND r 02 4 - _ h INSTALL A NEW SIC FROM THIS INTERSECTION TO THE SIGNAL CONTROLLER FOR HAMILTON AVE/CREEKSIDE WAY. mz OEr,ZONE CA 1-800-227-2600 7 4-SECTION SIGNAL HEAD.SEE DETAIL 1 (THIS SHEET). 01 _____ VIDEO DETECTION ZONE (PHASE AS INDICATED) ORE yo ❑ 02P 04 05 f ~ r 9 GO ®REMOVE TREE(S)TO ACCOMMODATE MAST ARM.SEE GENERAL NOTE 24. OR 02 ►06 ° O TYPE E DETECTOR LOOP. SEE CALTRANS Ue C ❑g TRIM TREE ROOTS OR REMOVE TREE TO ACCOMMODATE NEW CURB RAMP.SEE GENERAL NOTE 24. g STANDARD PLf,NS ES-5A AND RSP ES-5B. z �01 06P 1❑AT POLE (Al 03 LOCATION , THE CONTRACTOR SHALL FURNISH AND INSTALL A 02 SIGNAL HEAD WITH FULL CIRCLE VISORS INCORPORATING VERTICALLY ORIENTED LOUVERS AS REQUIRED TO LIMIT THE VISIBILITY OF SIGNAL o {85 INDICATIONS AS SHOWN ON THE PLAN. a V LL -►06 f�ROUNDSEIIAC� 11 MODIFY EXISTING STREET LIGHT CONDUIT AND CONDUCTORS AS NECESSARY TO MAINTAIN STREET LIGHT CIRCUIT 8 f----� CA:1-800-227-2600 CONTINUITY AFTER REMOVAL OF EXISTING STREETLIGHT POLE. o e w 06P EMERGENCY VEHICLE PREENAPT DAnBITME YOU DIG 1©RELOCATE OR REMOVE EXISTING STREETLIGHT PULL BOX,IF NECESSARY, TO ACCOMMODATE NEW SIGNAL POLE 1 FOUNDATION OR CIVIL IMPROVEMENTS.MODIFY EXISTING STREET LIGHT CONDUIT AND CONDUCTORS AS NECESSARY CHANNEL A = 02 + 05 TO .r MAINTAIN STREET UGHT CIRCUIT CONTINUITY. PROPOSED PHASE DIAGRAM CHANNEL B = 01 -(- 06 .!1 GRAPHIC SCALE 1 SEE SHEETS 10 AND 11 FOR CHANGES TO EXISTING STREET LIGHTING FACILITIES. f9(b SCALE: CHANNEL C = 04 e CHANNEL D = 03 20 ° to zo 40 eo 1®EXISTING FOUND C 68719 ATIONS TO BE ABANDONED SHALL BE ABANDONED TO A DEPTH" swF � 1'=20' OF SIX INCHES BELOW THE SIDEWALK. - v I =THIS PLAN IS ACCURATE FOR ELECTRICAL WORK ONLY. Q INSTALL POLE 2.5'FROM CURB OR AS DIRECTED BY THE CITY INSPECTOR TO 4 OP•w/ajn ° A SHEET: SEE SHEET TS-2 FOR SCHEDULES AND DETAILS. 1 INCH = 20 FEET MAXIMIZE ADA SIDEWALK CLEARANCE AND AVOID FOUNDATION CONFLICT WITH ? Cry1L �� I ^SEE SHEET SS-1 FOR SIGNING AND STRIPING IMPROVEMENTS. - EXISTING STORM DRAIN INLET. ��OF 07 OF 11 i EXISTING CONDUIT AND GENERAL NOTES: U .. STANDARD NOTES CONDUCTORS CONTINUES 1. UNLESS OTHERWISE NOTED,ALL WORK ON THIS SHEET SHALL CONFORM TO THE CITY OF CAMPBELL STANDARD O 70 LIGHT UNDER BRIDGE. SPECIFICATIONS AND DETAILS FOR PUBLIC WORKS CONSTRUCTION(DATED JULY 1994),THE 2006 STATE OF _. RED / j CALIFORNIA STANDARD PLANS,THE 2006 STATE OF CALIFORNIA STANDARD SPECIFICATIONS,AND THE AB ABANDON.IF APPLIED TO CONDUIT,REMOVE CONDUCTORS BC CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES(CAMUTCD- DATED 2014). INSTALL PULL BOX IN EXISTING CONDUIT RUN ! 2. LOCATIONS OF ALL UNDERGROUND UTILITIES ARE APPROXIMATE.THE CONTRACTOR SHALL DETERMINE THE EXACT O YEuow E%.1.5%2y8 LOCATIONS AND VERIFY ALL CONDITIONS ON THE JOB SITE AND PROTECT UTILITIES TO REMAIN.HAND DIG TO [CSINSTALL CONDUIT INTO EXISTING PULL BOX SL CONDUCTORS 1 © DETERMINE EXACT UTILITY LOCATIONS AS REQUIRED FOR FOUNDATIONS UNTIL CLEAR OF OBSTRUCTIONS.CALL m O GREEN / SC UNDERGROUND SERVICE ALERT AT(800)227-2600 PRIOR TO ANY EXCAVATION. om CC os/ a 3. ALL EQUIPMENT IS SHOWN IN APPROXIMATE LOCATIONS ONLY.OBTAIN CITY ENGINEER APPROVAL FOR EXACT CONNECT NEW AND EXISTING CONDUIT,REMOVE EXISTING CONDUCTORS AND INSTALL CONDUCTORS AS INDICATED / / EQUIPMENT LOCATIONS PRIOR TO FOUNDATION,PLACEMENT.COORDINATE WITH ENGINEER ON EXACT PLACEMENT DH NEW DETECTOR HANDHOLE OF POLES AND SIGNAL STANDARDS.PLACEMENT SHALL OCCUR AFTER CONTRACTOR HAS DETERMINED EXACT ® CRE£N EX.1.5"c,2y8 �- �� /� LOCATION OF ALL UTILITIES.THE CONTRACTOR SHALL GIVE 48 HOURS NOTICE TO THE ENGINEER FOR FA ABANDON FOUNDATION SL CONDUCTORS _ �_i- VERIFICATION OF EQUIPMENT LOCATIONS. 4. ALL PULL BOXES SHALL BE No.5,UNLESS OTHERWISE NOTED ON THE PLANS. PULL BOXES SHALL NOT BE Rc EQUIPMENT OR MATERIAL TO BE REMOVED AND BECOME �I� LOCATED IN CURB RAMPS OR SIDEWALKS.PULL BOXES SHALL BE MARKED PER CITY STANDARD SPECS AND THE PROPERTY OF THE CONTRACTOR. �_� ® / \ DETAILS(JULY 1994).WHERE FEASIBLE,PULL BOXES SHALL BE INSTALLED BEHIND THE SIDEWALK AS DIRECTED R DETAIL 1 3 \ BY THE CITY. TRIM LANDSCAPING AS NECESSARY FOR PULL BOX ACCESS. ❑ RELOCATE EQUIPMENT /!" �(_� 5. ALL NEW VEHICLE INDICATIONS SHALL BE LIGHT EMITTING DIODE(LED).SIGNAL MODULES SHALL BE 12"WITH REMOVE AND SALVAGE EQUIPMENT AND DELIVER TO CITY a-sEcnoN SIGNAL HEAD Ex.t.5"c,lye //" x \ METAL HOUSINGS AND BACKPLATES.ALL LED VEHICLE MODULES SHALL BE"431 SERIES"AS MANUFACTURED BY RS D "� SIC CONDUIT AND OF CAMPBELL PUBLIC WORKS SERVICE CENTER. WITH LEFT ARROW SL CONDUCTORS ps / CABLE CONTINUES DIALIGHT CORPORATION,GELCORE,OR APPROVED EQUAL AND SHALL BE INSTALLED PER THE MANUFACTURER'S s n 1 •r © , TO CAMPISI WAY. SPECIFICATIONS.ALL NEW VEHICLE INDICATIONS SHALL HAVE A 15-YEAR MANUFACTURER'S WARRANTY. SC SPLICE NEW 70 EXISTING CONDUCTORS = •; / / 6. ALL NEW PEDESTRIAN INDICATIONS SHALL BE LED COMBINATION WALKING PERSON/PORTLAND ORANGE UPRAISED Z HAND COUNTDOWN TYPE.PEDESTRIAN SIGNALS SHALL HAVE METAL HOUSINGS.ALL LED PEDESTRIAN MODULES SHALL BE MANUFACTURED BY DIALIGHT CORPORATION,'GELCORE.OR APPROVED EQUAL AND SHALL BE in I \ �� 1 "// i i INSTALLED PER THE MANUFACTURER'S SPECIFICATIONS. C4) Ex.1.5"m,2y8 7. ALL WIRING AND EQUIPMENT SHALL BE MARKED(TAGGED)IN ALL PULL BOXES AND WITHIN THE CONTROLLER i m SL CONDUCTORS �i' CABINET FOR PHASE IDENTIFICATION. m 8. ALL WORK INVOLVING PG&E FACILITIES SHALL BE DONE BY PG&E APPROVED CONTRACTORS AND SHALL CONFORM TO ALL PG&E STANDARDS. DO I ,1 CIS ° / i 9. CONTRACTOR SHALL COORDINATE WITH VIDEO DETECTION MANUFACTURER TO HAVE THE MANUFACTURER'S \ \ EXISTING SIGNAL EQUIPMENT ; REP r RESENTATIVE PROGRAM THE VIDEO DETECTION ZONES FOR ALL INTERSECTION APPROACHES. \ NOT DOCUMENTED AT THIS O I ° AB % 10.ALL PEDESTRIAN PUSH BUTTONS(PPS's)SHALL CONFORM WITH THE REQUIREMENTS OF THE AMERICANS PATH INTERSECTION 1 DISABILITIES ACT(ADA).PPS's SHALL BE INSTALLED SUCH THAT THE CENTER OF THE PPB IS 36 INCHES ABOVE THE SURFACE WHERE A PERSON WOULD BE LOCATED TO ACTUATE THE SIGNAL,ALL PPB DEVICES SHALL BE APPROVED BY THE CITY PRIOR TO PURCHASE AND INSTALLATION. Q 11. A LIST OF MATERIALS PROPOSED BY THE CONTRACTOR TO BE USED ON THIS WORK FOR STREET LIGHTING m SC 1i� NEW ROW I AND/OR TRAFFIC SIGNALS INCLUDING,BUT NOT LIMITED TO, THE CONTROLLER ASSEMBLY AND SIGNAL EQUIPMENT of \\ I SHALL BE SUBMITTED TO THE CITY ENGINEER FOR APPROVAL TWO WEEKS PRIOR TO THE START OF WORK.THE \ EX.1.5"c,2y8 NEW 1.5"C,2B8 LIST SHALL INCLUDE MANUFACTURER'S SPECIFICATIONS FOR ALL APPLICABLE PRODUCTS. SL CONDUCTORS SL CONOUCTORSI 12,CONTRACTOR SHALL PROVIDE TRAFFIC CONTROL PLANS FOR CITY APPROVAL TWO WEEKS PRIOR TO \ 1 1 111tl1 CONSTRUCTION. ., 13.ALL SPLICES SHALL UTILIZE A CRIMPED,COPPER'C"TAP AND SHALL BE SOLDERED. m 14.SPLICE INSULATION METHOD SHALL BE HEAT-SHRINK TUBING METHOD. / 1 15.REFER TO CAL TRANS STANDARD PLAN RSP ES-IA,RSP ES-1B,RSP ES-IC,AND THIS SHEET FOR SIGNAL, LIGHTING.AND ELECTRICAL SYMBOLS AND ABBREVIATIONS. I I NI 16.UNLESS SPECIFICALLY DESIGNATED AS CITY-FURNISHED,ALL MATERIALS SHALL BE FURNISHED.BY THE \ M\\\ 02PPB 1 CONTRACTOR. c,I EX.1.5" 2g8 , 17.EXISTING PAVEMENT STRIPING, MARKINGS,AND MARKERS THAT ARE NOT TO BE REMOVED SHALL BE PROTECTED C SL CONDUCTORS _ INSTALL TYPE E BY THE CONTRACTOR.ANY STRIPING,MARKINGS,OR MARKERS THAT ARE DAMAGED BY THE CONTRACTOR'S C / DETECTOR LOOP OPERATIONS SHALL BE RESTORED BY THE CONTRACTOR TO THE ORIGINAL CONDITION AT THE CONTRACTOR'S O ROW 1t /�, (TYP.,3 TOTAL). r 0) S,Q\ FA T ®( RS LOUVERED SIGNAL HEAD AIMING SOLE EXPENSE. +, 18.THE SPACE BETWEEN THE PROPOSED SERVICE EQUIPMENT ENCLOSURE AND THE PROPOSED CONTROLLER CABINET ro INSTALL R7}-q(CA) FA POINT:•-125'FROM LIMIT LINE i \ _ )-� SHALL BE BETWEEN 6 FEET MINIMUM AND 12 FEET MAXIMUM.THE EXACT LOCATION IT THE PROPOSED SERVICE "NO U TURN" (EN OF LEFT TURN LANE). DH EQUIPMENT ENCLOSURE AND CONTROLLER CABINET SHALL BE DETERMINED BY THE CITY ENGINEER. C EX.1.5"c,2y8 �J \ /� 19.THE VIDEO DETECTION SYSTEM SHALL BE ALDIS GRIDSMART VIDEO DETECTION SYSTEM,OR APPROVED EQUAL. O _� Y Q" •�-�� _ SL CONDU 20.EMERGENC VEHICLE PREEMPTION SYSTEM SHALL BE EMTRAC AND INCLUDE THE FOLLOWING EQUIPMENT: CTORS �f® I I ST-9367-INTKIT(INTERSECTION KIT),ST-9377(STAND-ALONE CABINET GPS/RF KIT),ST-9730 U) J�-� _ (1-DIRECTION/1-CHANNEL SENSOR,ONE PER APPROACH),ST-9734-100(DETECTOR CABLE).THE SIGNAL SHALL N N ss TZO T INSTALL R10-7"DO NOT 2 _' ' / 02 r OPERATE WITH THE OPTICAL SYSTEM BUT SHALL BE GPS-READY WITH APPROPRIATE GPS ANTENNA AND CABLES. C 0 o UM/T 02 BLOCK INTERSECTION'ON - 2 .�� -�"� - / I Z LOCATE AND INSTALL THE GPS ANTENNA PER THE MANUFACTURER'S RECOMMENDATIONS. a O 1 pry uy INSTALL \ :MAST ARM R FROM POLE -- - +��- 1 m 21.CONTRACTOR SHALL DELIVER THE NEW CONTROLLER CABINET AND ALL AUXILIARY EQUIPMENT TO THE CAMPBELL \ 1 \ f R7}-2(CA) 18 V 02+05 I > 0 - -�-_- M 140'TO PUBLIC WORKS SERVICE CENTER AT 290 DILLON AVENUE IN CAMPBELL FOR TESTING BY CITY FORCES.UPON V Q) COMPLETION OF TESTING,CONTRACTOR SHALL PICK UP CABINET AND AUXIUARY EQUIPMENT. Ds 3 EVA 5 �l V 04 02 DET.ZONE / L1M1T LINE I m 22.EXISTING LIGHTING LEVELS AT INTERSECTION SHALL BE MAINTAINED DURING CONSTRUCTION UNTIL SIGNAL TURN D 23.CITY ENGINEER OR REPRESENTATIVE SHALL BE PRESENT DURING SIGNAL TURN-ON.TURN-ON SHALL NOT BE NERAL E \ 1 DONE ON A FRIDAY. 05 �ET.ZONE i � / NOTEG 29 THIS O 24.ARBORIST SHALL BE CONSULTED FOR ANY CONSTRUCTION WORK THAT WILL AFFECT CITY TREES. SHEET. < 25.CONTRACTOR SHALL MAINTAIN STREETLIGHT CIRCUIT CONTINUITY WHERE STREETLIGHT FACILITIES ARE MODIFIED. • \ \�\\` �\ _ - -- ��5�0�`Y ss FA a m 26.ANY STRIPING WORK ON PRIVATE PROPERTY CANNOT BE PURSUED UNTIL APPROVAL HAS BEEN GRANTED BY THE EX.1.5%2ye \ \\� \� © ` C �� 3 s 1 ss ss l OS /�, EX.1.5"c,lye AB PROPERTY OWNER.PROVIDE A COPY OF SAID CONSENT/PERMISSION TO THE CITY OF CAMPBELL PRIOR TO 05' 0 SL CONDUCTORS SL CONDUCTORS \\ ONE �5 /,7\`� CONSTRUCTION. / // � \T ° - TO 5 CB 27.EXISTING TRAFFIC SIGNAL FACILITIES SHOWN ON THESE TRAFFIC SIGNAL MODIFICATION PLANS ARE BASED ON SIC CONTINUES TO \ \\ \- \ 1 e CP/d AB 1 / \ 03 a s 1 s Y�O� O SC AS BUILT CONSTRUCTION PLANS AND CURSORY FIELD INSPECTIONS BY HEXAGON STAFF.WHILE EFFORTS WERE AMILTON AVENUE. �� / \ �m6 `'�� m _ O �- MADE TO INSURE ACCURACY,THE SIZE AND ROUTING OF EXISTING CONDUITS,AND THE NUMBERS,AWG SIZES, J a O - EVB F,O 6� �\�\!" fT. AND TYPESOF EXISTING CONDUCTORS/CABLES SHOULD BE CONSIDERED APPROXIMATE ONLY. BEFORE STARTING00 WORK,,THE CONTRACTOR SHALL CONFIRM EXISTING CONDITIONS.ANY MAJOR DISCREPANCIES BETWEEN ACTUAL O O // FIELD CONDITIONS AND THE DETAILS SHOWN ON THESE PLANS SHALL BE BROUGHT TO THE ATTENTION OF THE O O _ PROJECT INSPECTOR. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO DELVER COMPLETE AND FULLY O /i EX.1.5"c.2 B "� _ ___ -_ p ��' �� , N \,�'�__ _ -_ -_0 - 2 FUNCTIONAL ELECTRICAL SYSTEMS. I CT) / SL CON DUCTORS\s �` _ _ -- - "3-1 �� NEW 1.5"C.2y8 28.CONDUIT LOCATIONS ARE SHOWN SCHEMATICALLY.ALL CONDUITS SHALL BE PLACED WITHIN THE PUBLIC O (` SL CONDUCTORS RIGHT-OF-WAY OR PUBLIC SERVICE EASEMENT. Z Q ANTENNA -- 29.THE NEW FOUNDATION FOR THE NEW TYPE 15 STANDARD TO BE RELOCATED SHALL CONFORM TO 2010 O V N 6 V - CALIFORNIA STANDARD PLANS AND SHALL HAVE A 12"BOLT CIRCLE. _ _ 6-_ _ ABANDON J UNDATION. 30.ALL STREET LIGHT AND SAFETY LIGHT FIXTURES SHALL HAVE 7-PIN PEC SOCKETS FOR FUTURE USE.INSTALL Q J 0 ELECTROLIER RS L-Y _ - - 7 - _ EX.ROW / SHORTING CAP IN PEC SOCKETS. ] w Z E 1 2 1 ® 31.ALL SIGNAL HEADS SHALL HAVE QUICK CHANGE CLIPS FOR HOLDING LED MODULES IN PLACE(FROM GET GO INC J m COMPLETELY 06PPB C \ ,�� 5 4b 1 NEW ROW OR APPROVED EQUAL. 11 REMOVE FOUNDATION I 06PPB 04PPB b iv 4 • PROJECT NOTES: I r m4 'r t1 EXISTING 10' Z Q LLJ 11 o I RS ri"(® m ;, EASEMENT 1❑FURNISH AND INSTALL NAZTEC MODEL 980 TS-2 TYPE 2 CONTROLLER ASSEMBLY IN TYPE P CABINET. U PROPOSED 10' CONTROLLER SHALL HAVE AB3418 PLUS PROTOCOL CAMPABIUTY AND CONTROLLER SOFTWARE SHALL BE FLASH J FA INSTALL EMPTY 3"SCHJ 80 PVC EASEMENT ROM UPGRADABLE. INSTALL FOUNDATION FOR CONTROLLER CABINET PER DETAIL ON SHEET E-2.CABINET SHALL KI Q } CONDUIT NTH PULL ROPE PER BE PLACED AT THE BACK OF WALK NEAR THE COMMUNICATION PULL BOX.REMOVE EX.LANDSCAPING AS Z Q Z PG&E REQUIREMENTS.;TRAFFIC NECESSARY TO ACCOMMODATE CABINET.i I s.s SIGNAL SERVICE CONDUIT TO BE Ut �: W -- I OWNED AND MAINTAINED BY PG&E. FURNISH AND INSTALL TYPE III-AF SERVICE ENCLOSURE PER SECTION 86-2.11,SERVICE,OF THE CAMPBELL � w _ 50'EASEMENT STANDARD SPECIFICATIONS.REMOVE EX.LANDSCAPING TO ACCOMMODATE CABINET. V Q V 0 CONTINUES TO SERVICE POINT ❑3 FURNISH AND INSTALL VIDEO CAMERA ON RISER PER MANUFACTURER'S RECOMMENDATION.SEE GENERAL NOTES 9 EL co Y Q (LOCATION TO BE DETERMINED) AND 19. LL LJ W FURNISH AND INSTALL VIDEO CAMERA ON LUMINAIRE MAST ARM.SEE GENERAL NOTES 9 AND 19. � z ❑5 REMOVE TREES TO ACCOMMODATE SIGNAL MAST ARM.SEE GENERAL NOTE 24. V W 02P ©USE SLACK IN EXISTING SIC CABLE(IN THIS PULL BOX)TO CONNECT TO NEW CONTROLLER.IF THE SLACK IS O �'----� LEGEND INSUFFICIENT,CONTRACTOR SHALL CONNECT THE EXISTING SIC TO THE NEW CONTROLLER FROM CAMPISI WAY AND r 02 .4 INSTALL A NEW SIC FROM THIS INTERSECTION TO THE SIGNAL CONTROLLER FOR HAMILTON AVE/CREEKSIDE WAY. CA: 1-800-227-2600 �� d2P 04 l02 DET-ZONE ) VIDEO DETECTION ZONE (PHASE AS INDICATED) FORE yo Q 4-SECTION SIGNAL HEAD.SEE DETAIL 1 (THIS SHEET). 05 �2 LL 0 GO ©REMOVE TREE(S)TO ACCOMMODATE MAST ARM.SEE GENERAL NOTE 24. OR -�06 a Q TYPE E DETECTOR LOOP. SEE CALTRANS UP C ❑g TRIM TREE ROOTS OR REMOVE TREE TO ACCOMMODATE NEW CURB RAMP.SEE GENERAL NOTE 24. STANDARD PLANS ES AND RSP ES-SB. s �� 06P 03 + 1�AT POLE LOCATION(Al,THE CONTRACTOR SHALL FURNISH AND INSTALL A 02 SIGNAL HEAD WITH FULL CIRCLE VISORS INCORPORATING VERTICALLY ORIENTED LOUVERS AS REQUIRED TO LIMIT THE VISIBILITY OF SIGNAL o 05 �y� INDICATIONS AS SHOWN ON THE PLAN. c y, 06 'F00ND SER7`G� 11 MODIFY EXISTING STREET LIGHT CONDUIT AND CONDUCTORS AS NECESSARY TO MAINTAIN STREET LIGHT CIRCUIT L ------� CA: 1-800-227-2600 CONTINUITY AFTER REMOVAL OF EXISTING STREETLIGHT POLE. EMERGENCY VEHICLE PREEMPT DALL,WOWdiXIND ' 06P DAYS 860RE YOU OIO 1©RELOCATE OR REMOVE EXISTING STREETLIGHT PULL SOX,IF NECESSARY,TO ACCOMMODATE NEW SIGNAL POLE FOUNDATION OR CIVIL IMPROVEMENTS.MODIFY EXISTING STREET LIGHT CONDUIT AND CONDUCTORS AS NECESSARY 5 CHANNEL A = 02 + 05 TO MAINTAIN STREET LIGHT CIRCUIT CONTINUITY. CHANNEL B = 01 + 06 PROPOSED PHASE DIAGRAM GRAPHIC SCALE 1©SEE SHEETS 10 AND 11 FOR CHANGES TO EXISTING STREET LIGHTING FACILITIES. IV I6 SCALE: CHANNEL C = 04 E CHANNEL D = 03 I 20 0 10 20 40 BD 1®EXISTING FOUNDATIONS TO BE ABANDONED SHALL BE ABANDONED TO A DEPTH OF SIX INCHES BELOW THE SIDEWALK. T+ C 68719 1©INSTALL POLE 2.5'FROM CURB OR AS DIRECTED BY THE CITY INSPECTOR TO C OR WN/IT ° SHEET: THIS PLAN IS ACCURATE FOR ELECTRICAL WORK ONLY. 1 INCH = 20 FEET MAXIMIZE ADA SIDEWALK CLEARANCE AND AVOID FOUNDATION CONFLICT WITH '� m TS 1 SEE SHEET TS-2 FOR SCHEDULES AND DETAILS. SEE SHEET SS-1 FOR SIGNING AND STRIPING IMPROVEMENTS. EXISTING STORM DRAIN INLET. ?pF O]OF'I'I 1 I II I I EGEN TRAFFIC CONTROL GENERAL NOTES SIGN CHART WORI¢oNE 1.ALL TRAFFIC CONTROL DEVICES SHALL'•GONFORM TO THE LATEST EDITION OF THE CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES(MUTCD)AND THE STANDARD SPECIFICATIONS FOR PUBLIC WORKS. ,: FLAGSTAND WITH SIGN 2.HIGH LEVEL WARNING DEVICESVGTREES HALL CONSIST OF A MINIMUM OF TWO FLAGS. ROAD �H THE DISTANCE FROM THE ROADWAY TO THE OTTOM OF THE FLAGTREE SHALL BE NO LESS TYPE 11 BARRICADE THAN 8 FEET.THE FLAG SHALL BE A MINIMUM 16 INCHES SQUARE AND BE ORANGE OR WALK CLISM I CLOSED FLUORESCENT RED-ORANGE IN COLOR: AKEM ARM END DIRECTION OF TRAVEL. &ALL WORKERS SHALL BE EQUIPPED WITH AN REFLECTIVE VESTAND HARD HAT.ALL FLAGGERS ROAD WORK MLALSO BE EQUIPPED WITH A C-28($TOPISLOW)PADDLE AND BE TRAINED IN THE PROPER W20-1 W20-5 W4-2 RT C30 CA O SIGNALIZED INTERSECTION FUNDEMENTALS OF FLAGGING TRAFFIC`; ( ) ( ) G20-2 4.NO PARKING SIGNS SHALL BE PLACED 79 HOURS PRIOR TO SET-UP SIGNS SHALL BE POSTED EVERY 20 LINEAR FEET OF OCCUPIED SPACE WITH AT LEAST ONE SIGN AT EACH END OF - - ' CHANNELIZING DEVICE / OCCUPIED SPACE. I SOUTH BAY 5.ANY CONFLICTING SIGNS WILL BE COVF RED FOR THE DURATION OF THE JOB. CONSTRUCTION FLASHING ARROW SIGN &ACCESS TO RESIDENCES AND BUSINESSES SHALL BE MAINTAINED AT ALL TIMES.ACCESS TO BE DETERMINED IN FIELD BY EXISTING CONDITIONS. SUMMED BY:Tennyson OeCtriq r c MUST MAKE PRIOR ARRANGEMENT WITH THE PROPERTY OWNER BEFORE CLOSING DOWN oaYE:sz/o><�s6 ANY DRIVEWAYS. TMAINTAIN A SAFE PEDESTRIAN ROUTE MAINTAIN 12FT LANE UNLESS OTHERWISE NOTED, JOB 9:2610-Creeldde-Off4oe®tda BALL TRENCHES MUST BE BACK FILLED OR PLATED DURING NON_WORKING HOURS, SUBMIrIALM 1654-01e Add W20-1 Sign facing Westbound ;. , / 'A r / W8-24(STEEL PLATEAHEAD)SIGN MUST BE POSTED 250 FEET IN ADVANCE OF ANY PLATE Left-Turn Traffic THAT IS IN THE ROADWAY. 11'' ' REVIEWED BY:mmbese crow 9.THECONTRACTORSHALLTAKEALLNECESSARYPRECAUTIONSTOALLOWEMERGENCYVEHICLES Rew�ewere.c n�wnL��v ea r r / TO PASS THROUGH THE CONSTRUCION ZONES WITHOUTANY DELAYS. ,w„.,Iewa—Mm%. tM=M we of ft,Pon,Ibs- /; N md�k ,k�Emm �.�a,hem&- /.ia`✓ / / 10.PLACE W20-1(ROAD WORK AHEAD SIG 'ONANY SIDE STREET OR HIGH VOLUME DRIVEWAY THAT IS WITHIN TRAFFIC CONTROLZONNE. /A r / 11.TCP(TRAFFIC CONTROL PROS)ASSUMES NO LIABILITY WHEN CONTRACTOR DOES THEIR OWN SET-UP OR MAKES CHANGES TO THE ONGINAL TRAFFIC CONTROL PLAN. S 12 CHANGES MPTO 3U ENGINEER PUB C S H�REPRESENTATIVE HAS THE AUTHORITY TO INITIATE FIELD 1Q¢ r i i I W20-1 G20-2 �+m b�b 6 nm m c m✓�®s EnW�i � ,�.�..�.,...,bm..�. W20-5 b IDa-b¢v m!Liu O , S r � �.a�b�Ab1a4�.�Y9.Ba9�m.Awd n` I Add WI1-1/Wl6-IP Signs mac/ �' i\ �\ om�®e e..�....�.•m m.mot. ut `.� •� r-w-"*A Pdc4c it-Lao 4-2(RT) aor wmm�# / r Z W20-1 i A4A can-I J 25 G20-2 25 ' W4-2(RT 2g0, 0 ,,\, C30(CA) i80+IZ TAPER ' W20-5 —------ FO-- 1gp,�q '. — G pR ' W20-1 w20-1 s11-I/wlc-rP C30.( A) CA 17 OFFRAMP Add W11-1/W16-1P Signs MAXIMUM CHANNELIZING DEVICES SPACING SPEED (MPH) TAPER TANGENT CONFLICT W20-1 25 25 50 12 30 30 60 15 TRAFFIC CONTROL PROS TCP JO a COMPANY CONTACT s: 125 MASON CIRCLE SUITE G 16-0 ® / �/ ��` 7275 NATTIOTENNYSON NAL DRIVE SUITE A-2 PH.92LECTRIC IN 5-606 1 3BTON t+ ;.Tram CONCORD,CA.ffic6 LIVERMORE CA.94550 MAIL - � (925)270-4580 office 016-42 � 5 CT PRo�E PH.925-606-1038 'TRAff=F'i--CONTROL PROS Estimating@TCPros.net DATE DRAWN Ci2EE:KSIDE.lf A1,STREET IMPROVEMENTS rebecca@tennysonelec.com 11-3-2016 NOT TO SCALE 9WZ-LZ-L0 4e . 011 0 .. 0 V . *. 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T 0'., �; -0 - rf. 3 . .0 CL CL = @ 0 = O - m @ 0 0 0-0. -.- W @ m N (-% r,#. =. - 3 :3 :3 O (D W -1 . X ET "D _. '... -0 0 r.* W W I < =; 5 6 o a 0�. O " =; -, CD c: % �' 0 = 5* * X " ;::p :� = = 0 X 0 =r 0 ci) = (11) 0) 0 M - 0 ::b M 0 V a) ::r � � 0 6 ;6 (5 W 0) - m O M _ 3 CL 3 2 'mo 4 " 0) ?7 - = @ 9;1 a -0 C z W � `0 = @ r.t. a 0 @ Ed := Z 6 CL CL 3 '�6 3 X O W 0-i 2) 3 2) 0-1. CL " 0 a) M W ,Y) 0) -i O - I,< * -, !� 6 0 0 CL 6 9 � 2) < Oto Z '.-� 0 � >- 3 5Z c CA 0) (1) CL 0 0) =1 - CD " 5- C ;::� z " (a "a < 2) W " 5' f-9. . = @ . ::r * :;- * 0 - :::p m 8 @ --A -i m (j) @ 2) W O 0 1:2 g m ':� 0 n -0 M * 0 812) '-" -.#< 2) O"o CL :3 . . :3 "O @ 0) 2) = 6 :3 a I C " CA - :i. M :3 . 0 < cr 06 0 CL 0 @ = 0 0 5 2) =. - , CL :3 ::! *.� *-,I- _3 * F4 m 6 0 �. :3 0 = rL :3 V5, 0 c =r r-1. %8 0 m m Q) 0 ch 0). @ 0 00 0 :,% r.f. . O (a . =) _. :3 :3 1z -A m CA 0 :3 ::r (/) (/) � m c: c CL 3 m 0) :3 0 O r-1. " I c (/) (a (1) r-4- (n ;:� -n tV 0 M -n *q 0 0 0 0 0 0 0 4 r-4. 0 04 (/) X 0 55- "O 3 c D 6 U C"D -T' > (/) :3 0 X CL m * 0.0 0 m T c. a 0 0 * I X m -0 M 0 < X X - O Z --i z 3 O 0 F. 0 V-2. . > c: @ m W " - " " :3 " -i CA a O 0 0) C.0 0 0 M X _* 0 M =r 0 1W =r 0 ^ W W -1 X O �;* 0 ch 9 = < = 0 . < 60) m X mml ::r W , - 0 " . 0- -U ;U O ;:L Z6 -0 0 I,< -0 @ 0 5- 3'5� 0 o = M �0 5: W 5 0 (A 0 " M O 0 0 f-+. = . M C -- O . 3: = m � 3: " cj) W @ 0 0 0 * a- O 0-i 0 cr :3 @ =3 ::r . . r-1. W ..j = cr O r- O (D V-4. W 5: �" : E 0 - M 25 0 0 0 M - ) " 0 l< 0) M M �0_ M c _q* � 0 c :3 CL -0 -2. m O' a m 0 5 :3 W a " z � ';2 ":� 0 M 2) -300 cp 2 8'< M r.t. r"' 0 g CD =r % r--I- a 0 X X -_- ft =; = or 0 i3 -0 PO r-f. " X =; cr to =r = ch 5; m G) * CD 8 W O -0 c: _. 0 0 q 0 --m 05, I,< m 00- W r"I. 3 (D -0 =) @ =4 0 - a m Oca �0_ - to __ 0 0-4. M z a -n = M U o " co M 0 0 CA ,*. - 0 W CA 0- M L -1 m -"*""o :71 -1 = = W o = =; =r *< W c = :3 O c: 00 � W a _0 m . W V-4. 0,00 M 0 ,*. a C = " " a 0 r.-t. -0 a S:O 0c/)--% CL(nm WOO K 0) 0. -0 (0 -0 0 00 (Q W 5- M W M C;P aa > G) 0 . In @ W _0 =r 0 " % 0 0 C: CD 0 "' 0 "O 2. 0 --j 0 O jj) " 0 - " 0 > c 3 se. 0) 0) o 0 :3 Fr ,,, :zh = f-4. 0 .D 0 " 0 -1, c W V c O " = = 0 0 _ I a 0) :3 c: 0 -- 0 C7 to M 0 ;U m � m 3 = A "a 0 = -0 " * O - . (� =r 2) _zz. * 0 = CD - 2) - :3 0 O O 5p C 0) r- 0) 0 M 0) 0 a '0'. 17� (a --h C CT 3 5 " " - < 0 0 = 0 Q -A 0.(Q c: =r (O -.1 -d 0 6.9 0.4 3 5 @ (D - X = �� 5; = 4-6 = , M. =r CD 3 :3 __% _ 5* m @ :r m ldop� ra w m 3 r- 6 to a < r-1- O - - 0) -1 0) r-0. X % @ 0 0) 0 'a (� m :E " O (A 0 CL '.' -* o 0 9) ZY 0 @ c M. a W = == - 0 d9mm 0 -,h c =. &-I- " n = * Z E: < to " = (D z = p O_ , :::4-0 R W 0 " 0 0 0 :3 -1 = q 0 ,.,. * X z . ' 'r -4 W c: CA or (D (a w B 0 m " 0 rN 3: :3 5' 0 m -3 0- r-1- 0 .0 = f-1. " O SE 0 ,-+ r-l� 5 W 5 CL O -- ,a) (1) 0 g W > �;_ cL c -n 0 @ to 0 ;6 6 c CL Z o Ep 0 r-#� 0 0 (1) M 0) 6 a O U =37 a P-q' 3 0 O - 0 Cf) O =) - 0 c: z 0 0 M 0 . ct W ch co m " (D 0) M (a =r CA = 0 0 � 0 a- ar. F. = _ o 0 - " 3 .., m @ z �7 ) " W W �_q = 0 0- _ =:b 0 0 W n 0 IL -A = 0 0 1 3 0 cl) 0 ::I p 0 C = < CK crm a A. = CD '� * G) 0j> 0) 0 = '4. 0 6 =r 9 *0 3 0 = c f 0 0 =; __j -1 r'*' W W 0 > a :3 = -- O - �=' CD' 0 � 0 CA ;U q 0 O M 07 * O CL CA W @ Q) -n 0 -, 6 _1q'< c M = (1) CL 0. CL - c 0- cl) 0!k W a - = 2) 0 -j 0 = CL ""S -3 :3 0 Z to W M r-1- r-10. 0) 0 0 0 0) > __W 11.41 -0 (a = < :3 M 0 X 0 r-f. O W 0 :3 0 m z :;:�o z O M ., M " < 0 0 r-t. a 3 3 m aw X M @ -0,< < 6 _* .1;4 0- q M Cr 0 �1 -, - z a) 3 0 W M a- " U W ID m '7 (a 01 O 0 21. O m ;a z (A 0 a M M Cr CD CD "o G) Imummma -0 0_!_E�* 0 F cr -3 (a --a 0) 0 5-< m K =:4 5 sn� CL 5-0 _< 3 Z = W = a - �� 3 3 c 0 = c M - 0 0 = 0 0 W =; 0 @ '< -A - c " m r- �;- :� 0 :3 @ :3 cr W ca c = 0 3 :3 0 O a 0 (D Cl) 0) - 0 0 W . to CL W > � g4j) B O � M a =b "< 3 0- =; 5. ;= 0 --O---3 -' * CL r- � CD - * 9: 0� C�" -n O to "< r-1. x. 0 0 3`00 -,, CD - -0 - 2) = 06 - = 6 9: > O O = =r 0 c A=. �-- CD , = - --To 0- o ---o = 3 cc CD W " --i -- ;3 3 m :T O B 0 W ?) ..% Q. M < " j -, r-0- --i C) CL --% = (1) 'D z M O M W 0 0 0 = :1 0 ,-I. O to ,.. 5- * cn Ir O 2) F) 57 W = -a r- F "go CL --I (n 3 = . "a CA) 2) 3 > 0 =) 0 W 0 5' m 0 r.1. f-OL = cy z " = (J) O - * __-I > c CL A91111111L ou __ C' 0 -- CD --i =. W - c =r (D :3 O =r U m ;U G) . z 0 I (D c O'z CL - " 9�" ,!A M M M M r-L 0) z 'mm� m :3 = - O'5 a -n a r-t- 3 0 _< m e.g. h a O (D cf) X 0 a 6 5' cf) __4 z 4 t-'4 0 F_ 0 0 %Vbk- m :;z W z � r- 0.� 8� L_ --- A K m 0 0 0 0 0 0 0 � 0 0 0 0 0 0 > > __q 0 0 r- z � X 0 X t__ I I -0 cf) m W (/) CA -% - -m ca 0 3: 0 " Cf) G) r- > tv __-I . " O 2) -N f-1. to -1 0 = = pt CD CT. WZ -04' c CD 0 M M 2) 2) (1) r,,n 9 -3 " -0 * z > I g 3 < 0 ZT O M M Q. 0 M Cr O CD (D a: � 5 W 0 -2- =r CD a - 0 z o- , U) < 3 = w-' " = Q n f (j) m 0 = ,,, c O M -.3 CL a . . 0 Cc B O cD 0 0- F-9. -t.% " ""S " 3. M to K �0' X 101. 0 :7 W M '< 0 50, Z 5' =) 0 " (/) 1 " W or RL :E L_ -A --h M 0 0- ch = &� G. 7, O CL ,a m llkv� O "�' r-4. O cj) (W CA (1) -m W m CD G. o 0 5 M 2) 0) 2� 6 @ r.4. --% r., 70 -§* =. r-t* (a @ -0 Z IV 0-W =No = 5 0,70 6 - 0 =3 0 (1) a * 0 " (.0 0 o to 0 W X O Zq *mO 0) 0 =- � (a a @ 0 2) :3. M :3 -0 � @ ca = M . 6- @ @ =r _* fj) :3 X 0-2. M -V �4 CL 0 0 G) * < � O* " � ,,-;) ':� 0- (a O -0 PD @ @ O 14- _. O = (0 3 "0-. 0 0 0 c 0 0 0 0 0 0 0 M f 0 * 0 6 0 0 0 m 5 1 V5. M CL ;:� 0 = M 3 W 0 r--#- o F J> L " @ _ - =r t a Z > 0) 0 W " =r * (a 0 0 W 0) O �F \49 X __ ___ ____ 0 :3 0 __ =T (D � "'a � �) M __j __q ro"" 0 = W. = C M M W W W 6 0 M. 0) @ W 0 �) z ;5 (A m 0 W 3 m =; 0 P-1- O 07 UT ;:� , 0 0 ;0 r-f. z . CD to - W ---U M 0 * W M 0 0 0 X _. = r-+. i � cr C 0 3 0 = Rh :T > G) `0 cr X E 0 0 37 CT < 5 = 0000 CL-10 (O 0 (n T. lw"" 8 X = * =r CL :3 c F CL M W ;= W 0 m �:-3 < 0 --s M cr 0 @ 0 0 O 3; * M ,.0 = 0 0 313 O 0 =:9 M 0 - M =; < < O CA 0 0 C O --% =r < � -0 _ o- M CD = W 5 5 -'h 0 0 = * 2. n 0 X'< M. := M W CL 2: m W 0-4- . r- > < = = =; 3 <. 5- 0 T :; :;�' 0) m Ep O 8 - W W 7 � r- a O (a a- " :z m S o ..:R -,- M (D 0 m in. - = 0 0 =s ,.< M 0 0 X O O�* O CD CD 0 U) 0-0 =; -- " -O M CL Z po Id - = 0 . m m f " -- M 0 0 0 X (1) -.% "D 0) _* z t- " " (D 0 W =T r-tl W p* o cr -4 - a) ,#. O X --h CL 0 57 CD q j3 (a = O =) =r :� 3 0 0 @ 0 9 W -- m 'a 0 r-t- . 0 5 U, " to 3 _" O c = r-q- 0 c: _`� W ch W --% 3 W cf) --h -3 1 - M = Mt. 0) O -60 j6- O - -.0 C "D - 0 _____ - --- f-4. '_< a - . m O = 3 - * w Z 5D W O C 0 = O 0 m 0 fD I G) - < O a) 2- =3 O X R. _< 0 0 5 * 0 -n M CD ::3 co 0 = 3 '< 0 0 Q�. (D u 0 < (D O C ch W 0 0 (D (D 0 ,., 0 o_Q W " = a ;pz- 2L 0-1 to M O 3 53 = " a ` M -, m t 0 I,< :;h --% `0 C O r.f. 0 r"', W ,:� O 0 r-% -, - C: 0 O cn W 0 -0 = z 0 �4 ;5 M r..,. = ,-.i :* = , E� z . I = _N 7* CL - * co -0 -1 = r-t. M %i..-- X :; = CL -_7 = = R* to = _ _" 0 0 _ cn 0_ CL -(a 0 c Gi =r 0 "." 0 ' M cn 9: I ;0 . C, ;:* = ::r W = 1w 6 =r O - '< W.'o 5 -0 a * 0 r-f- 3 � 3 = m ** m X a -' O O I-% W ch C:"� -- M 5-"D * ' =; 0 M m ;::� 3 (Q m 0 0 �; 'D W 'r+L 0 'a O 3 cc . _* m 0 W = P-1. L) ==7 0 M = - c O ,7 = c (D @ 0 < m 3 3 @ * Z .001 .'1__________�_ " --j �� " (1) ._� O 0 W M (1) 0 0 ch �3 O @ � 2) = ' C0 -1 --ft 0 Cl �=' 3 M 9 0 9k) 0) :3 "O ch O - 3: ^ 0 O @ -0 r-1- ,_Q' f..#. - 6-0 * W _j -40! z Immmimm CL c I 0 O --% "a cl) .-,) :3 '0. - c #) Z'z �� m W.1 = 0- W I'D - r-OL =r __ (D �; M r-4. P M - 3 CL = = 2) G. a) 0 . . 3 0 . 0 r-o- = 0 W W -a . O 0 0 -0 C) % I 5, 0 = O 0 \0 ;:;: ,7- -c O * O - V-0. Z; o 3 -u @ -0 T 0 - =F := m se. 3 I"% :3 6mmd =0:4 ::r W 0 :3 0 r--*- - . = 0 � 6 W -Ir 0 11< :� 0 --% 0 6 da W P W 3 e0% cr -0 CD - Z . � r.o. O 2) r-+. :3 " " 23) ZD- �� 5- j3) rj) z 0 = " :3 Z O W z O 0-1. �; ;;Iz- � 0 '�) . too 0 M @ "a a,< = X* 0- - p %-j � -1 5 6 W 3 m g 5.0 #-f- 0 = 0 C m 5' � M W C.. 6 Z c 5* (a ,a __4 QQ 4 � Z L - m = 0 = O - 4 = 1 t� "S M ch 3 (1) " 0) 0) a cc _% ---------- CL 1) = = . 2) W '< -0 0) 0) - _____ 0 0 & * _0 r O _ ca � :3 CL = 0 �� 0 m W =3 W I 0 = W !o _ (/) --A 0 IV 0 :3 =; M a. -- m m 0-G. U> O . " = 0 of 0 0- - W (a 6 (/) (/) tv - 2) q V5- 0 0 = cp 0 �_. C/) U) W q 0 0 C) * 0 " Iddilmak, C _ (D Cr (D 0 -1 '< 0 P-1. :r X 0 M !7 C) W 3 (/) U) :3 :3 ,rql = = 11 �-v @ =0 0 = 0 (F O CL c �� 0) 0 W 2) -a 62 m = o X * U 0) :3 B_ 0_,< o m t < -n 0 0 �' 0 ' --h '-C'U M. = CD - Er (/) -, p zr = O r-1. cp M 0 - " " to, ;U - 00--%630 0 M 0 --, 4 c: M M I'm * T - m W a c p ch cr (D r-1. 2) -- W 0 M ;5 a =,.< 0- =; rq� M = O Cr 0 ,.Z (D cn �. ,..+ = 'a =- = =- 3 W z C -r �4 X r-1- -n . 0 0 O O =; C)- O !a M 0 0- m W m m o 0 ::E -, X (n > 3 �: 4 cmn 0'.(Q #_+ --i M 0 __j 10 ::� 2 q W m 0 =r L__ -_ -_ A _ =r ,t�' 0) -' = = X E 0 -0 =r I 0 0 a 0 & 0 0 m . Atft� ,&,Mo. " = 2) r.q. 0 W '+ (D 5* N & 0 0 0 0 M = =r c - CL,z > " 0 a- 0 _0 �4 ) k ) = W =T =r =Y* 0 --a -0 " :r 0 --s ca :3 W CD (d :7 to a W ':� 5; 0 m4mr- CD = (D -0 O " Oca z �4 W _. - = r-4. O < _r r r'- F = O -0 _-:3 (a 0 0) a m ___ C O -0 -0 ;p 0 SD 2) " W W-0 U 0 ��. C r-4- a 0 g: o Z 0 cr 2) ct) - = K: -0 (0 > a- > m - " ,0 cl) 0 0 0 0 M Z m `0 (O O M. - . a CD *10 2) O'D C/) *q O j3) '-§-'Z (/) 0 W 'V " 0 "I 0 1 :3 :3 = -4� > --, > m W 0 W 3 c 0 3 -0 "a 20) z O T. a)- 7 0) 0 " - __ X M 2)(8 0 --- I 0 - CD c -0 M = 0) ;:;: O =r < F O C: 0) Z = C: 0 a) -- C , " < r- c < cr -a O :3 2) (j) - 0) 0 3 -6 < a r_f� a =r '.' 0 CL :3 O -1 -3 < ;:t -3 0-0 = r-4. O " O 57 -0-"-*� m ____" '< 60 - M O 2. -1 o 0 -"-a = a- '.'. * a B :3 C/) = < CL -1 _. 0 6 ri) 11) cr _< :E 0 Q. 8 m 0 to m 5* 0 0) _ X 0 m % 0) __ W :3 W 0 A. 0 16< CL -.I- I, (5. Cr rj) > o 0) O :3- .0 :3 O =. < 0 8 M M CL ___ X 0 M " M -0 Ep = ,P�. M B - 0 (D O M 0 =r 0 0) = = 0 =r -0 :7 cr W O -3 11< m 1_4 X = O M -0 ( (0 = ::r W 6- 1 1(0 :z 0 0 co I"% @ O .=A r-f- CY X 0 m O a a M M. _ 0 = 0 00V :3 0 P rD :3 O (J) 2) W (D ,-to 6- " 0 - W c to W ?) 0 " = .0 --ft 0 <"0 2) = c: = - M CL M 11% W *0 a " O eoft% X� M (a � (D .-,- " O " 3: � - � = " :3 _% r-1. O_' q Q�. (p3 W W 0 CD 0 -0 --8.3 0 c m 3 - CL W W " %.j != M E CL (D W " 3 W M - 3 0 * :3 M O -' __% _. < cr 0 @ :3 c 2 '"o --h $ M (0 @ 0 0 � M =- -0 M 0 0 = M = 0 z > z W "� " (D 0 -n M W " M = 0 3,,:5 =; !4 �� W " _* < 0 m 0 ':� ' " 6 O 0) CD = O 0 c: �� W 3 r-.1- C c/> a U X m 3 0 f-1. � r-*- 0) = f. @ m W z ""I to r-2. cl = W * to 'a 0 1L.1 0 M -- W O rm"m m * 9 r.,,. - �0 -m " cp z =4 O < 2) 0 _0 W 0 W = W 0 W 60 @ W z (D W C @ 0 O 0 < < :3 C7 3 M cl) = CL W (A . CL = W ala =r * - W ;::p - r-t- M r.f. M 0 O M 2) X r-1. . r-I., f-1. I,< 0 ;="< W M * p 'a _V = -0 = W,z @ 0 M - 3_0 - -0 r- mmmj W (n =r _. __4 n O _a ,o-% 0 0- 0 . 0 3(0 � . f-f- W 0 --h o 0 8 to =r (a < a 3 W M O W =!' 0 = - 0 " fm U = 0-20 R 3 ( 5 0 % a c � ;a 0-0 3 M r-f- :z t_,j X 0 O m r-#�"c m 0-0 0 6� O -0 = Xt, a.- 0 @ 0 * . m M _.T. ch 0 O 0 W O o - - -.,< �p @ M 0 = a =- c 3 m :E 3 X < " ;z - :3 to 0 c - C ':Z M 0 W - " -- n r- W c = ; 5 � = P m 3 W 3 = z C " M W 0- O z - 0- Rf. M 0 5: ;:; X 110 U 5; CD CD 0 CD - 0) M t-� = 3 --I O 3, O 'A o - -, 0 to 0 O 0 0 0 -0 1z > �_ m a 3 m = = -0 0 _0 ---i < 0 - " r-4. --i 0) 0-0) " . " -, 0% CD F " C C* W 0- CA 0 0 M M " F 2) " 0.0 L.L 2) 0 -4 = C _ 1:R R 7--r ch m =:"2. Fr W 1 ... `0 O 0 F-1. 5 m W O z m. 0 . 4f-§. . o'-0 e-% `0 --v O r-1- = cn 0 W = c-11- M 0 --j - m 2) !�- W 0 0 ;U 3 0 m 0 0 Z Cc W = = 2) m < "a @ &vw'% 5.0 M ,,a O E W = - . @ :; 0 2- O " - " 0 � -0 (j) . � W 0 (a * * < c: < 0 to . :3 = '--� a 0 =) (D C --i, . = 0 0 h A. _0 CD W'z- * C CD r- --I w = " 3 =r 0 L) m m cj) M r-0- 0 - I =: m = 0 = 0- m 0�. 0�. 0 r-+ O _ F = 0 0 W m a 0 ::; '0" I --s 0 @ m 5� c go =r 3 ;0,;�- 3 o c K *< - -'h M 5 W m 0 CD f-.§- < z O 0-3 ::E *I 0 -1. . c " 0 0 za (A O a " . C M 1--o' o :::P, 3 g'fF_ " W 1 " z O'Z ja c M M r-f. r-1. r-f. X (1) , O -' '"s r-4. I't, =S -n 0 0. = 0 = 0 X m a 13) 0) :3 r-f- =r CA * :3. " 0 CA 9 CL M =r _ 'o @ 621 B _j (a =) r-t- ::, r- 6 :E 2 2.0 cr W ooft% M X 0- 5� __% c (j) O :3- M r-f- =3 0) < " 6 CL CL cr * = ffi* W :_ c 0 " W M .� cl) � 0 F) 8-0. 0 2) O = 0 M M " cl) " - f_+ _% > (1) 0 0 0 0 0 0 r- I 5, ,:z =; r- 'V - 0 to"% c :7 0 0 m O' 0 * " 3 %.j 0) @. =r 2: * M- :3 0) _ W Z --i > K o " Q) CD r.q. 6 '* j C) 0 n _to O -+. VT = 0 0 z " = =r �Q = c 5. 3 �� :54 m I-< O 0 U:1 0 =' 0 -0 0 '< 57 o '.00 = 0 -0 0 c 0 ;a f-9. z 0 c Q> - 0 X f-I.- 0 __' 0 -.-o 11 8 3 0 M fft 0 W ' 0- = 3 -0- -1 W 57 (D c: 0 0 = 0 2) -1 --i � M _ , :3 ;::� :3 K p 2) =; 0 '_0* -3 0 g 3 'a = N 0) :3 =) O Wo = _4 = '+ a = :3 = r-" ,,,. X -0 0-0 -a o-1. O_ ,-* > 0 =r M W co 0 0 = _ 0. * 0 RO 0 0 c: _ M O 0 =; 0 5' -a 3 72- CD 0 c: M C 0 = O < " ,-I- W = W r.#, e-t- @ r-1. 0 -- .10 = :E 3 0 _ = 0 a- m :..T -'a > I 1;0 ch O 0--p = :3 0 0 K = (0 m 3 O = to = O CD M R (:D3 "O T n K � 0 -0- ' "_0 3 m -5 (1) c') c: A. (a (A rA) P M 0 * m 0- @ W r_#' -0 " . Q) - * C 0 0 = 0 2) . 0 cr X 0 =r 0 P) 2) 0) ch --+t j"n' 0 5; M - 0 * ca 0 O - - CD W CO 0) -2. - - O * 0 -0 :3 6 :3. "a :3 5.0 0) Z X m r'o'oo _0 0) W =3 z z (A M cl) " = 0 -n c 0) != G) X AddlObL. (=Dr r_ L a * Z 6, " M (a 0 A. 0 -0 a 0 CD C a) = -a (/) G) -0 r-f. " I< W = ro -+-O = Q. --- 7� > (a , ;= :1% a -0 0 CA .a- ;�. = 0 c 0 0 0 0 0 * 0 3 -m W - -3 0-12) W =r m 5-0- G) 0 --i 0 "I (T " (D =r 0 @ @ I-% "< " < -3 "< = a- ,-I. W 5' _U 0 W W O C a O W M > --i m (n :� 0 M C O 9: 0 r- f� �� CL " X CL :3 -- ,+. =;; (a CO . 0- f-+- 0 0 - 0 2) 0 m o S' " 0 --. < =; X =' ;z CL Z W 5; r-L 0 0 =r -a Z O :3 0 0 (f) " (/) ;r, o E; 3 ca -0 O m -0 ?� 3: 5* 0) --q 0) 0 > X 69 0) -- r- * 0-0 -- = =r :E W @ --h M ;U 0 =:;� _5 X 3 3 . O C: M = - 60 > #vm% Q (D = - X ;7 = L) C: 2) r-0. U =$ (a M W a. 7:) W _" -, aD - 0 :E M" = -1 O 0 2) O 0_'-0.* r- W W 0 W c 0) O W .=r 5* S' = M W 0 a) W m 2. 2� S; U - 0 W z U * W -0(0 X M c 0 < < < CD i 40 W m r.t. ---.h 0) 0 C O CD CD M CD 0�. W. z :3 0 k..j @ a m O 3 = cl) __q ch Q * CD -3 2 fq- :3 = W W 0 m 0 r-f. M ,, M W 0 -3 < W > ilw = !� r-9. , m W O -1 = 0 70 mmm� #--i- - :3 0 0 C_ C 0 O 0.00 M -0 A. = O O M o 6 " :3 ;6 = -0 = o' M 0 X Ur "< a "IS c in- W &Om% 0 _* a -_ M (A W W 0, M z m 0 :3 3 " 0 =. 0 0 = 0 O M - 0 '-OL Z r.p. G) L:�--j I 0 r_f� :�z - 0 M M m O " ,*- C 0 cp 0 :3 _< C: 0 M -' CD (A - _ ch a. O 0 X "' < A c: -0 " U ) A 0 0 0 ca , q) 0 CD 0) = . F 0 ch < W W CD CL a a) =r M cn CD :3 3 c: fj> 0) :3 f_.f. = 0 , . , " - 1, -- -,h 0) 0�- "D M = M @--o 3 :3 0 O 3 2) m �-- - -4- " �4 :zi . (J) 0-0 - z = --s r-l' CD 5: ':;� = m =3 CL - 0 5 I 'O --co �p = 0 = r-1. 0 m - - > - * 3: 0 = CD O O = _-'T 0 " rp a:- W 0 0 W. =70 c 0, X , M (0 0 m 0 > 1z * @ ,, CD =-O " O 6- #_f- W . Q� W - = 2 02 , T. m 00;'W 0 00 Z -n CL (D - CL W f-0. 0 a ::� = c :;ft @ m 0 0 , m - a. 3 a:) = CD = W O U 0.0 * m CD M 3 w ffi- . f-f- 0 Z M W 0 Tommm"p, " (a * 3 __-I E� 6 M ,.*. (A CD 6 " -0 M :3 c 0 =r a- 0 0 -- _. W @ T @ 0 -- (D - < - M. " 0 0 = ;0 - __% z o m c C 3 3 o W W 0 M " U W 0 =; 3 CL - _0 5 @ -3 " 3: O = O 0) L_ I __j 0 0 m --i 3: = 3 x = 3 P = = 0 -_ 0 a (D (A M - __1 CL = - = = 3' m z 0 W c = 6 M c: 0 0 jq' CD 0 , " m _= ;:� g-� 0 c- = -3- W = 0 W z W 0 a 0 (A M � i�: c: W '. 0- " M 0 C * c �� 3 �n M -0 O W (a q m M (a (D 'Zf_tL M M f-1. ch 0 M 0 -0 3 m D- & Cc m -N) a. CD > K W 0 cr =cj) c W -1 < O :D z o M CL = W -0 W CD c _0 to, z CL =r W 2 C 0 0 0 Q�. ". @ ::� 0 r.o. 0 ,+. r-t. �- CL 3 W -0 _' @ := 0 " -0 = :3 O_.- = a @ ::t " m-0 :0 c: cn z �; -0 !Z O 0 0 = 0- - W -0 _. c/) @ 3 @ m r-9. > O r-47 a 0 " . m -0 4� M r-f- W 73 W = X M 0 -'h 0 0) O �2: ^ � n 0 0 z 2. 0 W = a- %_.O 'O ':� :.1 ch j3) 0 M - X, 0 -0 :3 M ::� --h =3 %w - = 6 r-q- =3 �p W c c 1� 2) 0'a Cj) M 3 im' C) :;:;:. ,- =4 = " w f-t. 0 --% 0 C m z 0 In (n a * z < "'z 2) a W 0 - 0 W .�a UT =) = (D W =r F '. 0 m o !,�. 0 " =rtc o W 3 '-� 0 M CD (0 = 0 ,-.I- = 0 W CD se. 0 66 3 =r 4 �4 ) = M = W = W 70 , O _n C: W O (D I =r cr W _% X'c a 3 0 a " a) 0- m o 9) cn O 5:2) M C 0 M -, = CL " * = = O a) 52.,-< c 0 0 -U g :3 M :3 " 0) C r.f. :3 CL 0) 0) 5. CD O @. 5D 'C'/)) 3 5: S* Ej, T. 0 CA 0 0 . C O c = =r CL a) - @ ':�! 5 (j) =) =i M W.4 RENEW= > X `0 = c- W D_ c r 9 0 rcD,4 * 1W . -A U @ C =; a CL'� r-4. cl 3 F) 0 a) I _0 I m -0 (D -, 0 - to 3 =r --h rf. ':� @ M Z = L_ __ I =r m * @ O . ::;- fj> a T 5. < 0 (j) '4. * 2) = -n �O r.t. * O r_.?� '18 0 2) 0- :) =r 5' :3 Cc z to m 0 c: 5L M '-0- 0 0 5P 2. cD m - 0 (!� G) ;W cn M . ;:;: ." = = . '"I = 2 X n 0 2) . a UT I 4 *� ,door, 3: ** d&� IWVF 0 0 6 0 0 0 :z U) 03 m (:) m . . > ---i (n �4 smommm I r-t. 0 E- 0 M @ -0 U CD 9: 0 z m 0 X G) W < --i 0 CL " 0 8 !4 a * 3z m 0 c) (J) =r - 0 O d-�-o --% r'.11. "" -0 O !a) .0 0) _a CD C: ct 0 (D --i -0 M 0 M ;:Z O " W cl) " 0 O O (D cr '� O__ =r 0 *70 9: 0) M " CD W 0 --i ��_ 1< 0) =!. :3 @ = a CD Er 118 c . o, =-:k 7 C. Ei- C i':: 87 (D Z W m r- '.' c =3 I" c -5 -.0 -0 r-t. -' (D W (A _' M j5 (D (1) Z5' > 0 0 o ?) 3 " " " -0 A. (a - " c: f-1. 0 0 0 _4 W r-.0- ED ::I " =; 0 U z O"o z 0 1 . z > go Z 0 ,.+. A =1 = (D 5 0 -0 = 33 = .-o C 0 '�D Cr RL -.0 "00 = O SD cp . =. O P (D X W c O ::; 3 o- 3 ET W o > z " 0 =r p W 0 . 6 c 00 Zy O S2. CD rl� tD W K tv -a "O O C:. o M W > r-0- --i 9: W :E 0 0 0 G. = C O :3 M CC 0- 0 Z <;6W -0 O 0-- 0 = cr 3 = M = - O = 9 z z *-< o U 0 2% ;a -. *. C '< 3 3 70 > CD CD =r O -- 0 0 " A. r.q. W f-.1. - r-t- 0 CD -1 0 0.73 0 W 0 i�A O -0 -0 CD -0 CD A- 0 W . - -0 = 0 0 Z m 5 _ CL m W F" -0 0 M -h 0 0 " W m = C 0 0 _q O_ O_ :� :3 , 0 r-t- W m m CL (D ch 0) a) =; 0 M "a CA 0 m 0-14 R Ei c = W 0 ::r O 5- * < - B- < .1.1 Z O o :1 cn z c W z "O CD 2.0 m 0 . ,-I- O 0 0-- 0 M G) 5; to = -1 W O " (D W 6-.6- CD c . - W :3 W 4< 0 = M ,i- O n = FD' @ K - -1% ,t- CD _0 W . @ 0-0 ?) CD r M (D =. R. 0 *3 "a $ @ W 'tL 0 _. (A to =r -- " -0 " A. �O O " m 6 M 0. - � Aommm -0 _ m 0 * " = _j 0 0 W O X O 0 @ c M "�! -, " - 0 < 0 0) N M B O -*, - O T). 6 = =r 3 > CD O - 2: -a __7 0) ca " 3 CD - z " a- (D I,< 6 " 0) M C: CD CD 0- W - =r -0 5� 0 O ::r 0- ="U O m j, � 0 3 39 -4 ;6 -1 9- W 00 se. a M M 0) N 0 < 0 m --O M CL F M > m - = m z 07 :3 3 0) m 0 = 0 " 0 . co = 0 ,.,# -0 o - ..:;. 0 O = = ZIN CL g 0 %< 1< 6 -10 '< '0'. a * W Z , W -0 M W --% O = -- = --h r- V) Lmm 3 r-f- = ,a 0 = (a r--I- W :3 ;::,- --I @ 3 :; �'� a z -0 M m " =. --s :1 0 O (a 0 �� 0 �� 'a * 0 (D 0 0 (D *' C 0 a 0) m 0 M 4< O - _ % CD 0) -% W " W 67 6 0 W . W AVINd 0 r-t- 0 _; 6 ::;p 2) z CD W -0 :3 -0 M O - 0) W 6 M c C = 0 cr 0- m �L :3 =r m 0 - O 7:; --h 0 = 4 > 0 " 0) 0 -0 2) =r --% r-4. 0 - Q- � �_� 5).. " 0 m 2) -11L 94 L =3 :3 0 < M :3 #-4- -0 f-f. a) - C M ,< W 0 O M "' a a B -0 --% 5. * = < ;� > 3 '- 0, :� O =b CL CD U @ c 2) c- (D CD 2) ;U 0 c < 0 V5 0-0 5* !=r -, 0 0 r- ,< O M :' M M M �10 6 "a = `0 W. c X � to (1) m -0 = != _ W' -1 C/) W 2::3 c ". CL I--)- U r-9. m =K O `0 " �* C 0 0) W - 5) -0 0 r- 11 :3 eD_ Z -'W 3 > - 0 . 5 cl) W 0 (a '.9.0 __q 0 0 2) U U 0 0 0 --r (O 0 cf) cr =r 0 * x rj) m p M 3: .5 =. - O M =r m M 0 3 - c " " * 5 r-9. F m %< . 0 = O a (0 A.'< (7 c = 3,---% a c - (D Q. " * ch f-1. ,.* =) =r M 04 7n O O "a 0 0 - R-4. W < - W 0- . . - - cr 3 CD 0 0 ;* '7 E 3 < --i CD a) cl) ---h M ::r - M CL -4 �O m @ --i 00 x - 2) 3 (D - ci . * - o.c " O 1_< '� M - ,Y) :;h 0 '< :E :3 (D 0 = 0 X 2) e-g- = 3 mr-f. . - :3. O %< :3 q =r 2) :3 Q) W 60 0 n F_� < W 4% z @ 1%, 4 0 m -% :E 0 :3 :; 0 Q 4 :3 :3 -4 3 i :z cr =; - W %-. 5 -< 0 (D 0- :3 a 0 0 0 :3 0 < 5D 0 c CD 0 m = =b CD -1-70 :3 - M O . - z " CD 0) =. _% -11, C :3 M ;3 F 0 3: = CL 0) " a- m r-0. a) 0 -n X m - " CD 0 = " 17 - 2) Mo cr 0 -- , m. 07 c: 0 (n 0 W r_f� . :3 > U) < @ - - CO -n c- =r (D _- W C W - 0 0 1 lm� m " 0- - UT CO z ;U m -n a X , M O - C7 * =L 3 0 0) 3 (D -0 '-t. =r .0 :) a. 0 C) < 0 �4 0 ""I 0 M 0 M. ,9< 2) F ) �� W'< ( = = * c: CO r- @ K 3 5* cr 'A X - = o 0. M :3 " �� m ;b *q C: M O f-1. X CL f-t. z mm< . m r_t� O M "I 4 (0 =':2 O.- r=_1q. CL = G) m M 0 - 0 m r- m 00 m m6=2i . m (n 0 0 0 0 z ch 0 Es I< m _0 -"h 0 = -0 0 0 --i 0-i 0 Q_ @ 0 r"t, " 0 z -0 W " 0 =7 O (:) 0 011)056-4 *=� o * m 0 __1 = _ =r r-t. " :� m 0 0 = < O r,4, O' =:P.51 = c 0 (D 3 -5 m r-1- -0 r-f. =ach 0(0 5: . ::r ,.I. A. m 'V 0 '@' M, g '< ::5 ;u C ;:� M c �0_ (A 0 '. X o cr 0 a c -- -- 0) a a -0 o o * *p Z 3 m om o 6 " - - C, 1. cp a M W M:j (n O -.#, *-I- a " 0 :3 o :3 O N g: K __X 0 5* c: 0 W ::r ':4 " M CL M 3 M z e% to 0 '< U C . ::r 3 :(:� :3 cl , A. 0 0 2) = M _. O "a 0 a 2) CD "00 :3 " 0 = r.f. ) (D O 0 ' c W ::b W *� *.j D 0 �4 0 r-t' r.q� -1 = 2) 5 CL . = O 5 W 0 57 M S2. W 0 01 5-1 :3 se. 0 _* 0 'a Mo = n W m O = = f-+ - 0 '..+1 _. m 0 = % ch - . * = @ I"% . r4l - m m i 4 = W 0 0_ 5�1 O 3 B M . c = '< o cr 5 !� 5: 0 = 0 W !r. < @ r-+. = 0 (a = to =; 0 M O -, -n * 4W -a 0 " O " W'�a _* m 0 U 0- 0 = cp -4 M O 0 �k 0) M = 0 Q�- I*' 0 '< --h " r-f. -0 r-1. -% 0 f-f. z � 0-0 ;::� E; (a c 0 cp 0 CCO CA 2: O C Z) =r CD C W CL - cn- = -11, W :3 �0 0 (D -0 6 0 X O m o m R. --I 5..0 f_-1. - f-t. ch -0 W #-I- r-1. 08 W . 0 --ft' 0 o ,Z ::r =r 0 ,-I- = = -* U c O -3 "D = M W c: W - O = 0. -0 M =- W ::r = = -.0 " " 3 " -' -x= ,-+L �jj W 6-0 c m 0,0 " �: 0 c- O_ -0 0 =r -- m UY 3 to O O M " = O 0 " (n %< " -0 " --h 2) -- c :- W 4�� 0 0 - " 0 It 0 z --s _%..o = -+% M � - _. m 3 -- r- m 0 " 0 M W " e-1. = O _ _ O -1 m ff "a = CL CL (1) M M M (0 Cr M 0) U -0 C7 *7' = 2) -1 0 "a a (D - - W = M CA 0 0) c-14- W -, M -0 W 0 -0 a) -0 2) B cn n A �41 z -u M. __ :3 c: _. 1< 0 '�< CL f--f- c: a ,%W �� 0 . :� . "o " 0- W g < z ;W z' " 3 8,z 2) U z 0 0 11 c 3 . 6 -0 m m- "- 3 = 0 = - U 3 WX= -0 = _. c: = - W I.." --% 0 N o_0 O* . #-]P- r- C O 3 'm* -C-*t) W * ;:;: Z = 0 -. ::r ::r _ O "< '< 0 O = ="o W CD O- E" OL M * --% * t* -4 0 M CD W 6 W W ::r M cc " CL < r- = M m CL 0 = 3 UP F M M 0 �� W;6 < ::4 0- -0. 0 =- (D ::r a = c 0 0 W.3 :E W = cp 13) ^ - X r- CL (J) :3 :3 0 O a r", (1) 0 cn - :3 =b = F) = 0 t* 0 r4.. 0) = 0 -_ 0 6 0 =7 = " �� W 3 ;::� --q 0 CD 0 I- " O m 0) :3 0 =. :3 CA - r_)� O a :3 " �E < ,+3 1 , m m = (a W l< Ey . = 0--0 0 0 = W ,rt C: 0 (0 O 6 - = M r U -a 0 c 0) 0) M :5. 3 " W,_- . O_ " D_ c- 0 = 0 " ;_" "n "< 0 O . O 6 = W O.-C 0- .1 ,-,. O_ f-11 :� * @ c 0_0 cl CL 0 __ =-a ' 0 I,< 0) - W --a = _. W M a @ 0 :3 c Q.:3 3::3 0) (!� m c 2) '..'. " ..":�. W to cr 0) U) " - __6 � M 2� (a " B = X 0 . W M 2) f". (f) -0 B -, :; " � :3 __q 3 '-V A - M,� 0 0 < :3 = c� "..-" m - c 0 O a) (D =r M W 3 -b 0 a 5 :� 0) - O 0 2) 0 =- r-J. � 'Z @ . . cr Z *< . f-4. * O W ,.I. 04--. . -a 0 _ _____O *� 4 3 3 =r :3 r_)� 0 . or "a 0) -0 " ;* 3 O C 0 :3 0 2) 2) W 0) %%O O 0 �* :3 :3 Z 0 W 0 0 O 03 -0 cl) * " O 0) M 6 5: (D 0 " 0 - - %� j5I E" -=117' 0 6 O M ::r (D @ ch " O - (j) 0 ,0 C C) - r"#. ::r _1 = o) O 0- -0 6 ""I . 83 U 5 M " 0 5 - 5. = (O M - � 9 o-4- r.q. O =r Cr CL r-r I _* 3 0_6 c- m - A. 0 W 0 W a' F CD CD " " M c :3 cl) r." C " @ _% M cl) z O O C'> = cn = 0 =r 'Z 0 ::r ::E = r-p- = =r 3 = m 0 `0 M = :3 0 0 3 �e c = "5� m. :3 " 0 f-1. = 0 * (a < CD 3 ' W 0 M --i -n 0 -1 c 11 c 0 �� 0. ';� 0.� . (A CL U O 0 c W Erag :3 CL O M m a 0. _. T , :; a 0 _ M W 0 a- * 0- CL O = 3 ch g ;0 X 0 - ':� " W a 6 < 3 m CL O W 0 #-I- 0 F a - @ W 0 It 1� c 0 'a I c '"� 0 W a 4 0 r-0. =; 0- 5' 6 *0 (A 6 =r * 0 1 W ::r S' a :3 " 0 g: 0 " CD W , ... 1. 64:2 0 @ 0 T (1) cn --I p 0 M. 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A 0 0 Q) M' jm ro A p, ♦. m -0 -0 -1 --1 ov 0 0 U} (1) --1 0 1 m ` -n -I �� ;U m m r r m In C7 m � t7 C`3 �, C � ? -0 M m Z Z O 4 m m z rr- rr- m z � < M < m m j O > O M � > � V m > r z if _0 V V G) 0 r0 Z �, `�. m z Z U) eG z m Vd V✓ ® m 0 m 0 c i r- r- c/) U1 -, _ p 0- Ca a 0 0 0© O= W -4 M 0 • -- W m ,-i o 3: z 0 0 a �a r> m TITLE SHEET STREET IMPROVEMENT PLANS -OFF SITE PROJECT ADDRESS: 75 7 5 REE C� PARCEL MAP NO.288 EK 01 PG 015, 2581 CAMPBELL, CALIFORNIA Date. 08/22/16 .K K I E r R W R" h I H CIVIC. ENGINEERS & SURVEYORS, INC. 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