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ENC1999-00157CITY OF CAMPBELL DEPT. OF PUBLIC WORKS 70 North First St. Campbell, CA 95008 (408) 866-2150 Fax (408) 3?6-0958 ENCROACHMENT PERMIT (for working within the public righ, f-wayl ,ssu Permit expire~ in 15 month~ Permit No. X-Ref. file Application Date Application expires in 6 months APPLICATION - Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code, Section II.04. (Application expires in 6 months it' the permit is no~ issued. Ap.-,lie~ion F~ Lc, r~r.-refum~abie.; Utilb'y u'mr, h location t C. Attach fo~' (4) copies of an cngineer~ plans showing thc location ~d cxl~nt of thc wo~, and four (4) copies of thc prelimh'~'~ Engineer's Estin~l~ of work. Thc plans shail show thc relation of the proposed work to existing surface and under&round improvements. When ~pproved by the City Engineer, said plan becomes a part of D. All work shail conform to the City of Campbell Standard Specifications and De~ails for Public Works Construction; the General Permit Conditions listed on the reverse side; and the Special Provisions for this permit, lisu~l below. Failure to abide by these conditions nmi provisions rn~y result injo~ shut-down and/or forfeiture of Faithful Performance Sure~ies and cash deposits. (See General Permit Conditions I and 2.) E. THE CONTRACTOR MUST HAVE THIS PERMIT AND APPROVED PLANS AT THE SITE AND MUST NOTIFY THE PUBLIC WORKS DEPARTMENT AT LEAST TWO DAYS BEFORE STARTING WORK. NOTICE MUST BE GIVEN ?.,",) PUBLIC WORKS AT LEAST 24 HOURS BEFORE RE.?.TARTING ANY WOPX. ts this work being done by the propert~ owner at m¢i~ own resiaence? The Applic~nt/Permitu:e hereby agrees by affixing their signature to this permit to hold the City of Campbell, its officers. Rents and en-~ployees free, safe and harmless from any ~ or dem,~d for d~nnges resulting from the work covered by this permit. The Applicant/P~ereby acknowledges that they have read and understand ~:rmit, and they will inform their contractor(s) of the S. PE,,Q~AL PROVISIONS 'vi. Street shall not bc open cut for underground installations. Minimum cuts may be allowed for connections or explomion holes. Such cuts may be specifically npproved by the Inspector prior to cut~ing. ..=_2. Pavement may be cut for undcrgrnund insulations a~d roust be restored in accordance with the Utility Trench Restorntion Standard Details, M~thod 'A' Backfill, / unless otherwise approved by Inspector. .__~'3,,r, WOrk to be st~ked by a licensed L~nd Sun~eyor or Civil Engineer and two (2) copies of the cut sheets sent to tho Public Work~ Dep~ before st,~ work. .=~. :Per Section 4215 of the Government Code this permit ts not valid for excavations until Underground Service Alert (USA) has been no6fmd and the imlu~ty · ~,~ id~ntlf~mation number h~s been entered:hereon. USA Phone ~..8~. ~227;2600. USA TICKET NO. SEE I~I~LIC WORIL~ FEE SCHEDULE FOR CURRENT FEES .; . ~ ': . TYPE PER. MIT APPLICATION FEE PLAN CHECK & INSPECTION FEE for City Engineer Da~ \l'or ms\pwperm.Z/rev .6/96 GENERAI~ PERMIT CQND]~TIONS 1. A CONSTRUCTION CASH DEPOSIT is required. Charges will be made against this deposit if there is an emergency call-out, overtime inspection or when City ordered barricading is required. Any such costs in excess of the deposit will be billed to the Permittee. 2. A ONE-YEAR MAINTENANCE PERIOD AND SURETY are required. Such period will begin on date of written acceptance by the City. 3. REFUND of the cash deposit balance and refund or cancellation of the Faithful Performance Surety will be initiated by the written acceptance of the work by the City. 4. The Permitte¢ MUST REQUEST IN WRITINO a final inspection &nd ncceptance of the work upon completion. Acceptance by the City will be made in writing to the Permittee. 5. MAINTAIN safe pedestrian and vehicular crossings and free access to private driveways, bus stops, fire hydrants and water valves. 6. A CONSTRUCTION TRAFFIC CONTROL PLAN and a CONSTRUCTION SCHEDULE is required for all lane closures, detours and street closures. This plan must be REVIEWED and APPROVED prior to any lane closures. 7. The CONSTRUCTION TRAFFIC CONTROL PLAN shah conform with the Caltrans Manual of Traffic Controls for Construction and Maintenance Work Zones, dated 1990, available at Caltrans. Traffic control equipment shall include Type H flashing arrow signs if required. 8. REPLACE IN KIND any damaged or removed existing improvements, including planting. 9. Sawcut for all PCC or AC removals. All PCC removals shall be to nearest scoremark and shall be doweled to existing improvements. I0. OVERTIME INSPECTION PREMIUM will be charged against the cash deposit for inspection required outside the hours of 8:00 a.m. to 4:00 p.m. at the current overtime rate, minhnum one hour charge. I 1. SATURDAY INSPECTIONS must be arranged in advance. Saturday inspection time is charged at the current overtime rate with a three hour minimum. Advance payment for the estimated time is required. 12. Adequate signing and lighted BARRICADING is required on the job site. Failure to provide such signing and barricading may result in the City's tenting such signing and barricades and charging the cost (including all labor and materials) against the cash deposit. 13. Compaction testing of subgrade, base rock, and asphalt concrete by Permittee is REQUIRED unless otherwise stated by the City Engineer. 14. The Contractor or Permittee will have a SUPERVISORY REPRESENTATIVE available for contact on the project at all times during construction. Contractor or Perrmnee shall provide a phone number at which they can be contacted outside the hours of 8:00 a.m. to 4:00 p.m. 15. 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 hn:,nrdolls condition to the public. 16. 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 Permiuee of any obligation to obtain any other permit required by law. 17. This permit does NOT RELEASE the Permittee from any liabilities contained in other agreements or contracts with the City and any other public agency. 18. This permit is NOT TRANSFERRABLE. Work must be performed by the Perminoe or his designated agent or contractor as specified thereon. 19. CALL BACK (call out) due to emergencies regarding this permit, shall be at the current overtime rate with a three (3) hour minimum charge per 20. 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 S. anta Clara Valley Nonpoint Source Pollution Control Program. Applicant shall be responsible f~[ ~f~mg that ali those providing services under the applicant are aware of and underst:md all of the above conditions. ~ Ap~ican~¥'''=''~ Date j:\forms\pwperm2 6/96 To: Finance Director Check Payable To: Address - Line 1: Line 2: City: Description: Account Number: Account Number: Account Number: (Finance Dept only) Total Payable: Purpose: Voucher #: Receipt #: Requested by: Approved by: Finance Dept Only: Verified by: Approved by: Refundable DepOsit Check Request CARPETERIA 423 E. HAMILTON AVE. CAMPBELL Refund Deposit 101.2203 101.540.7448 Interest Earned State: CA Zip: 95008 Amount: $28,700.00 Amount: Amount: (Finance Dept only) (Exact Amount) Refund surety cash deposit. Constructed has been completed and accepted by the City. Permit #: 125452 Date: Alan Ham ,'~ Title: Michelle Quinney Title: ~ Title: Title: 99-157 11/02/1999 Sr. PW Inspector Date: City Engineer Date: Accounting Clerk II Date: Accountant Date: 08/24/2001 08/24/2001 Special ]:nstructions 'For Handling Check Mail As Is: X Mail in Attached Envelope: Interim Check: Needed By: Return To: Other: (Name) (Department) h:\permits\98-278ckreq(mp) t ~IC WORKS DEPARTMENT RECEIPT Effective August 1, 1999 TO: City Clerk P~aUC WORKS FILE NO. PROPERTY ADDRESS Please collect & receipt for the tbHowing monies: ~3~i~;~.921 ] Proiect Revenue (specify proiectI ENCROACIIMENT PERMIT 4722 Application Fee Non-Utility Encroachment Permit ($236.25) Minor Encroachment Permit <, $5.O00 t$50.00) R-I First Permit (No Fee) Subsequent Permit/Yr ($105) Utility Encroachment Permit Arterial/Collector Street t$341.251 2203 Residential Street/Other Areas ($236.25) Plan Check Deposit - 25 of ENGR. EST. 15500 mia) Faithful Performance Securdy (FPS) (100% of ENGR.EST.) Labor and Materials Security (I00 % of ENGR. EST.) Monumentation Security 1100% of ENGR.EST. t {4% uf ENGR.EST.)($500 mia/S10.000 max) Labor and Material Security (100% of ENGR. EST.) Plait Check & htspection Fee [Non-Utility) Engr. Est.< $250.000 (12% of ENGR. EST.) Engr. Est.> $250~000 (Deposit 8% of ENGR. EST./S30.000 min.)** Mimmum Charge Per Location ($126t Conduim/Pipelines up to 500 Feet q$1.75/ft) Above 500 Linear Feet I$1.15/ft) Manholes/Vaults/Etc. ($110.25/es) Pole Set/Removal /S 110.25/es) Street Tree Planting/Removal ($110.25/tree) Utildv > $100.0OO Actual Cost + 20% ~* Street Tree Planting/Removal Permit ($110.25) Proiect Plans & Specifications Proiect No. 4760 Standard Specifications & Details ($1/Pg Sl2.50/Bk) 4760 Copies of Engu'teeriug Maps & Plans i Aerial Plot 24~ x 36~ ($42t 47.)9 Aerial Print 8 l/2~x 11~ ($15) Maps and Plaus 24' x 36' ($51 .- Penalties: Failure to restore public improvements /$100/Calendar Day) iMuni Code Sec. II .34 U[U~ 4722[ Penalties: Failure to correct unsatb conditions ($100/Calendar Day) LAND DEVELOPMENT 4722 Lot Line Adiustment ($577.50) 47221 Parcel Map 14 Lots or Less) ($1~ 125 + $25/Lot) 4722 Final Tract Map 15 or More Lots) 151.450 + $25/Lot) 4722 Certificate of Compliance ($525) 47221 Certificate of Correction 15315) 47221 Notary Fee (per signature) ($10) 47221 Vacation of PuNic Streets & Easements /$577.50) 1722 [ Assessment Segregation or Reapport onment First Split ($577.50) ! Each Additional Lot ($178.50) 47211 Storm Drainage Area Fee Per Acre (R-I, $2.000) (Multi-Res. $2 250) (All Other. $2.500) 4920 Parkland Dedication Fee (75 %/25% Due Upon Cert. of Occupancy) 4965 Postage TRAFFIC 4728 Intersection Turn Counts (Two-Hour Count) ($63) 4728 Imersection Turn Counts (a.m. or p.m. peaks) ($131.25) 47281 Traffic Flow Map (Dally Traffic Volumes) ($28.35) 4.7281 Campbell Traffic Model (Full Scope Assessment) ($2,362.50) 4728 Campbell Traffic Model (Reduced Scope Assessment) {$777) 427 Truck Permits i$36.75/trip) 47281 No Parking Signs (SI/each or $25/100~ OTItER TOTAL NAME OF PAYOR ~'~~7~-''~.J,~ ~~.~., i~ C_. O/PHONE` --~'~,.~.)," ~_f~..~r~._~...~,,~j]} *'Actual Cost Plus 20'70 Overhead (N/6u-later~t beariav...d~osit) :_ . FOR j ~!~iiii!~::.:::~ii~:::.:.':':::!i~i~i~i: !i~i iiii CITY CLERK [ P~ ~ ! ~ ~ b ~::!:::'::i:'::}:: ONLY :::::::::: ' '!:i: ::'" ':::" ' ::ilia:iii ::ii::i:ig!:i:!:i: - i:i:i:i:: ::i:: ::i:i:i:5 ' :':il :i:i:::: ========================== ::il:: ::::: :: ::::::::: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: h:\forms\ecfrm4.xls rev. 7/13/99 (mp) CLIP'S. 0F. City of Campbell To: Finance Director Check Payable To: Address - Line 1: Line 2: City: Description: Total Payable: Account Number: Account Number: Account Number: (Finance Dept only) Purpose: - Refundable Deposit Check Request. Refund Deposit 101.540.7448 Interest Earned State: (Exact Amount) Amount: Amount: Amount: Zip: ~z.~ (Finance Dept only) Voucher #: Receipt #: Requested by: Approved by: Verified by: Permit #: Date: Title: '~U~ ~F__..~¢~c~ Date: Accounting Clerk II Date: Title: Title: Special ]:nstructions For' Handling Check Mail As Is: Return To: Mail in Attached Envelope: (Name) Interim Check: Needed By: (Department) Other: f/n: Forms/exceVc~-eq Revised 02J00 . .LIC WORKS DEPARTMENT RECEIPT Effective August 1, 1999 to: c~ty C,erk PUmC WORKS F~LE NO. Please collect & receipt for the following monies: 435.535.4921 [ Vroiect ~e~ih~e <;~ii;';3;g~i3 ................................................. ENCROAC~ENT PE~IT 4722 Application Fee 2203 2203 2203 ;,03I 9903 4722I 2203I 4722[ Non-Utility Encroachment Permit Minor Encroachment Permit < $5.0(10 R-I First Permit (No Fee) Subsequent Permit/Yr Utility Encroachment Permit (S236.25) /$50.0o) Arterial/Collector Street ($341.25) Residential Street~Other Areas ($236.25) Plan Check Deposit - 2% of ENGR. EST. ($500 rain) Faithful Performance Security (FPS) Labor and Materials Security Monumemation Security (100% of ENGR.EST.) (100% of ENGR. EST.) (100% of ENGR.EST.) (4% t)t' ENGR.EST.)I$500 min/$10,0OO max) 000% of ENGR. EST.) Cash Deposit Labor and Material Security Plait Check & Inspection Fee (Non-Utility) Engr. Est.< $250.0~0 (12% of ENGR. EST.) Engr. Est.>$250,000 (Deposit 8% of ENGR. EST./S30.000 min.)'* Utility < $100.000 (8%I 4722 4722 Mimmum Charge Per Location ($126) Conduits/Pipelines up to 500 Feet ($1.75/fl) Above 500 Linear Feet ($1.15/fl) Manholes/Vaults/Etc. ($110.25/ca) Pole Set/Removal ($110.25/ca) ($100/Calendar Day) Street Tree Planting/Removal ($ 110.25/tree) 2203] Utility > $100,000 Actual Cost + 20% 4722i Street Tree Plannng/Removal Permit ($110.25) 4760[ Proiect Plans & Specifications Proiect No. 47601 Staodard Specifications & Details (S1/Pg $12.50/Bk) 47601 Copies of Enmneering Maps & Plans ! Aerial Plot 24" x 36' i Aerial Print 8 1/2" x IF' ($15) I Maps and Plaus 24" x 36' ($5) Penalties: Failure to restore public improvements ($100/Calendar Day) Penalties: Failure to correct unsafe conditions LAND DEVELOPMENT 4722 4722 4722 47221 4722I 47221 47221 Lot Line Adiustment ($577.50) Parcel Map (4 Lots or Lesst ($11125 + $25/Lot) Final Tract Map (5 or More Lots) 151,450 + $25/Lot) Certificate of Colnpliance ($525) Certificate of Correction ($315) Notary Fee (per signature) ($10) Vacation of Public Streets & Easements ($577 50) 47221 Assessment Segrega on or Reapportionment First Split ($577.50) i Each Additional Lot ($178.50) 47211 Storm Drainage Area Fee Per Acre (R-1 $2 000) (Multi-Res, 52,250) , (All Other, $2,500) 4920[ 4965I TRAFFIC Parkland DedicaPon Fee (75 %/25 % Due Upon Cert. of Occupancy? Postage 4-7281 Intersection Turn Counts (Two-Hour Count} 4728 Intersection Turn Counts (a.m. or p.m. peaks~ ($131.25) 4728 Traffic Flow Map (Daily Traffic VolumesI ($28.35) 4728 Campbell Traffic Model (Full Scope Assessment) ($2.362.50) 4728 Campbell Traffic Model (Reduced Scope Assessment) ($777) 4271/ Truck Permits /$36.75/trip) 4728t No Parking Signs (SI/each or $25/100) tTHER NAME OF ,\PPLICANT ~-,CL~i~_4~>Cz4 CITyFOR CLERK I~~~~' ' :'::: '~: hg, formsXecfrm4.xls rev. 7/13/99 (rap) City of Campbell - Refundable Deposit Check Request To: Finance Director Check Payable To: Address - Line 1: Line 2: City: Description: Total Payable: Account Number: Account Number: Account Number: (Finance Dept only) Purpose: Gulesserian Enterprises cio Carpeteria 423 East Hamilton Avenue Campbell Refund Deposit $500.00 101.2203 101.540.7448 Interest Earned Refund Plan Check Deposit State: CA Zip: 95008 (Exact Amount) Amount: $500.00 Amount: Amount: (Finance Dept only) Voucher #: Permit 0:99-157 Receipt 0: 119520 Requested by :~"/~'~2~~ Title: cr~ ~,, ~..~'~z ~?) Approved by: i~.~ , ~.,~ ~ Title: Finance Dept Only: Bi~._lm~U~a~ Verified by: Title: Date: 03/17/1999 Assistant Engineer Date: Land Dev. Mgr. Date: Accounting Clerk II Date: 07/2612000 07/2612000 Approved by: Title: Accountant Date: Special Instructions For Handlinq Check Mail As Is: XX Mail in Attached Envelope: Interim Check: Needed By: Return To: (Name) (Department) Other: f/n: Forms/exceVchkreq Revised 02/00 I ~IC WORKS DEPARTMENT RECEIPT Effective July I, 1996 AC~. IT~ 435535 4921 [ ~J~t Revenue (~ifv pmi~t) I ENCROACHMENT PE~IT 4722 Application Fee Utili~ ~c~hm~t P~il 2203 Plan Ch~k ~sit - 2% of ~GK 2203 ~ ~ai~ful Pe~b~an~ ~ ~ Plan ~k & {ns~Hon F~ (Non-Ufili~) Minimum ~a~c H~t Solit 472S~ Intention Turn Coun~ ~v~Ho~ ~t} Joanne D° Ambrosia From: Sent: To: Subject: Alan Horn Monday, May 22, 2000 7:21 AM Joanne D' Ambrosia RE: Insurance Renewals The work at all three locations are completed and I do not think we need the insurance anymore, alan .... Odginal Message- .... From: .loanne D' Ambrosia Sent: Friday, May 19, 2000 5:07 PM To: Alan Hom Subject: Insurance Renewals Do the following encroachment permits still need to have valid insurance? Please advise. 1. ENC2000-00002/1460 Arroyo Seco Dr/Jeff McTighe Concrete - The permit went into maintenance as of 2/4/2000. The auto insurance expired as of 4/20/00 but General Liability and Workers' Comp is still in effect. Any need to continue the auto coverage? 2. 98-246/1860 S. Bascom Ave./Mike Zanani - The permit went into maintenance as of 10/26/98. You only required General Liability and it expired as of 3/15/00. See any need to continue the General Liability? 3. 99-157/423 Hamilton Ave/Carpeteria - We had Silicon Valley Paving and the contractor, Terry Obenchain, provide insurance. The automobile liability for Silicon Valley Paving expired as of 3/20/00. Do you see any need to have them continue the auto coverage? INSURANCE REQUIREMENTS CHECKLIST Permit#'"" "'(YC,/-'-/.~ °~7 CIP Project# The following insurance is required of all contractors working in the City of' Campbell public right-of-way. Insurance certificates must be accepted by City staff betbre work can begin. These insurance requirements apply to work being performed under an Encroachment Permit and work being performed under contract for Capital Improvement Projects. Limits Commercial General Liability fbr bodily, personal injury and property damage: ~" $1,000,000 per occurrence, and $1,000,000 general aggregate limit applying separately to the project, or $2,000,000 general aggregate limit. Policy expiration date ~] $1°~. ~ Automotive Liability: ,~ "Any Auto" checked on certificate ~ $1,000,000 per accident 07 fbrbodilv injury and property damage ~ Policy expiration date ~/,,~/~0 Workers' Compensation and Employer's Liability [~ Waiver of Subrogation clause o $1,000,000 per accident for bodily injury or disease :~ Policy expiration date Course of Construction (if required in Special Provisions) ~ Completed value of the project ,n Policy expiration date Required Endorsements to General Liability and Automobile Liability Policies Additional Insured Endorsement The City, the City of Campbell Redevelopment Agency, its officers, employees and volunteers are named as additional insured. '~f The insurance coverage afforded to the Additional Insured is primary insurance. )~ Cancellation area of certificate edited to delete "endeavor to" and "but failure to mail ~,,/ such notice shall impose no obligation or liability of any kind upon the company,, its agents or representatives". ~n Workers' Compensation Insurance Sheet Submitted o · ~.t. 'r",./~ ~" I ~ For General Contractor "~dc' ~ For Developer or Owner ; ~-- .r'a;~'x'r~' '~--~ L~,_~ Acceptability of Insurer(s) ~i~ ........ & - ~ Insurer(s) has current A.M. Best Rating of A:VII and is authorized to transact business in the State of California. Insurance Certificate Reviewed ~'~d ~.tials '~ Copy of Insurance Certificate placed in tickler file for month of expiration. j:\forms\inscklst (rev I 1/99) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aon Risk Services Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE · ' HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR of Northern California ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 99 Almaden Blvd., Ste. 400 COMPANIES AFFORDING COVERAGE San Jose, CA 95113-1604 COMPANY 408-288-8000 A Scottsdale Insurance Company INSURED COMPANY Silicon Valley Paving, Inc B Hartford Fire Ins Company P.O. BOX 26558 COMPANY San Jose· CA 95159 C State Compensation Ins Fund COMPANY i D 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABIMTY GENERAL AGGREGATE $ 2000000 A X COMMERCIAL GENERAL LIABILITY CLS0581294 3/20/99 3/20/00 PRODUCTS - COMP/OP AGG $ 2000000 I CLAIMS MADE ~] OCCUR PERSONAL&ADVINJURY $ lO00000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 FIRE DAMAGE (any one fire) $ "100000 MED EXP (Any one person) $ EXCLUDED AUTOMOBILE LIABILITY B X ANY AUTO 57UENGG2120 3/20/99 3/20/00 COMBINED SINGLE LIMIT $ 1000000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS -- BODILY INJURY X NON-OWNED AUTOS (Per accident} $ PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE EXCESS LIABILITY EACH OCCURRENCE $  UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND WC STATU* [OETRH- EMPLOYERS' LIABILITY C 154079699 3/20/99 3/20/00 EL EACH ACCIDENT $ 1000000 THE PROPRIETOR/ ~ rNCL EL DISEASE- POLICY LIMIT $ 1000000 PARTNERS/EXECUTIVE OFFICERS ARE:I I EXCL EL DISEASE - EA EMPLOYEE $ 1000000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE: Carpeteria/Remodel Project 423 Hamilton Avenue Campbell, CA 95008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Obenchain Building Enterprises EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 370 Miramonte Lane 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, T,iverl~ore, CA 94550 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPJ~ESENTATIVE /] '/] 005431000 12/15/99 12:19 POWERS & COMPANY * 408 3760958 NO.J35 POLICY NUMBER AC:AMI0000996CA9908 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endo~ement modifies insurance provided under the following: COMMERCIAl. GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: CITY OF CAMPBELL ATTN; OEIrr. OF PUBLIC WORKS 10 NORTH FIRST STREET CAMPBELL CA 95008 RE:ALL WORK IN PUBLIC RIGHT-OF-WAY. CITY OF CAMPBELL, CITY OF CAMPBELL REDEVELOPMENT AGENCY,ITS OFFICERS,EMPLOYEES AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSUREDS AS RESPECTS LIABILITY PER CG2010 11185 If no ertt~y appears above, information required to complete this en0orsement will be shown in the DeclaSs as applicable to this ~dorsement,) WHO IS AN INSURED (;eclkm II) iS amended tO incluc~e as an insure0 the person or organization Shown in the schedule, but only with respect to liability arising out of 'your work' for that insured by or for you. CG 2010 (11/85) ColHrigN, Insurance Services Office, Inc. 1984 12×15×99 12:19 POWERS & COMPANY a 408 5?60958 N0.555 PRIMARY COVERAGE ENDORSEMENT This elJdorsement modifies iusurunce provided under thc following: COMMERCIAL GENERAL LIABILITY COVERAGE PART $chMul~ NJue or Person or Organization: CITY OF CAMPBELL ATTN:DEIFF.OF PUBLIC WORKS ?0 NORTH FIRST STREET CAMPBELL CA 9S008 RE:ALL WORK 1N PUBLIC RIGHT-OF-WAY. CITY OF CAMPBELL, CITY OF CAMPBELl, REDEVELOPMENT AGENCY,ITS OFFICJ~RS,i~MPLOYEES AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSUREDS AS RESPECTS LIABILITY PER CG2010 (If un entry oppea~ above, information r~juired to complete this endorsement will be shown in the Evidence os nppllcable to this endorsement.) THE FOLLOWING PROVISION AMEIqDS THE COVERA(~E PKOVIDED TO THE ADDITIONAL INSURED NAMED ABOVE: PRIMARY INSURANCE CLAUSE: It is agreed that such insurance as ts 8fl'ordeal by this policy for the benefit of the listed AdditimJal Insured shall be prinmry lusuruncc, and any other insurance maintuiwed by the Additional Insured(s) sha# be excess nad noncontributory, but only ss respects uny claim, loss or liability arising out of the operations o! thc Named Insured(s) or its sub-contractors, and only if such claim, loss or liabilitT is determined to be solely thc negligence or respoMibility of the Named Insured. 3423 GL 03 98 WORKER'S COMPENSATION INSURANCE INFORMATION The following worker's compensation insurance information is required for all Applicants and Contractors. One of the following items for each Applicant and Contractor must be submitted prior to working under a Public Works permit or contract. WORKERS' COMPENSATION INFORMATION: Nameof Contractor/Applicant (%/'~E/~-Li~I~..~LkIL'-~{~..~ A Certificate of Consent to Self-Insure issued by the Director of Industrial Relations; OR A Certificate of Workers' Compensation Insurance Insurance Co. Policy No. Expiration Date ; OR A signed Certificate of Exemption from the Workers' Compensation laws as printed below. CERTIY'ICATE oF EXEMPTION I certify that in the performance of the work for this contract, I shall not employ any pers°n in a manner s°1California. ~ /'/~°'"b~ec°me su~t t° the W°rkers' C°mpensati°n Laws °f,,~/\ / Signed%_~-- _~-~ ~-___~~~_ Date {-~, Title ~ t,-~,~. ~ NOTICE TO APPLICANT/CONTRACTOR: If after signing this Certificate of Exemption, you should become subject to the Workers' Compensation provision of the Labor Code, you must forthwith comply with such provisions or the Permit or Contract will be cancelled or revoked. j:\forms\workcomp(rev6/96) * ACORD. PRODUCER Powers & Company Insurance Agents & Brokers P. O. Box 619043 Lic #0B02564 Roseville CA 95661-9043 Phone: 916-630-8643 Fax:800-783-0083 INSURED CERTIFICAT- OF LIABILITY INSUR' JO. ,D SH I DATEIM.DD , ----'OBENC-1 09/04/01 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ENTERPRISES OBENCHAIN BUILDING 370 Miramonte Lane Live=more CA 94550 INSURERS AFFORDING COVERAGE INSURERA: General Security Insurance Co. INSURER B: Topa Insurance Company INSURER C: INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MNFDD/YY} DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 000, 000 A X COMMERCIAL GENERAL LIABILITY 22L24005478 08/09/01 08/09/02 FIRE DAMAGE (Any one fire) $ 100, 000 I CLAIMS MADE ~] OCCUR MED EXP (Any one person) $ 5, 000 X Owner/Cont Prot. PERSONAL&ADVINJURY $1, 000, 000 GENERAL AGGREGATE $ 2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 1 · 000, 000 I POLlCY~PRO' JECT ~] LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ma accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANYAUTO OTHER EAACC $ THAN AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ 1000000 B X~ OCCUR [] CLAIMS MADE XLl1927 08/09/01 08/09/02 AGGREGATE $1000000 $  DEDUCTIBLE $ RETENTION $ 100000 $ WORKERS COMPENSATION AND I WC STATU- OTH- TORY L MiTS ER EMPLOYERS' LIABILITY I E.L. EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ E.L DISEASE- POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER IS SHOWN AS ADDITIONAL INSURED PER THE ATTACHED CG2010 11/85 AND PRIMARY BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF OPERATIONS PERFORMED BY NAMED INSURED *'10 DAY NOTICE OF CANCELLATION WILL APPLY FOR NON PAYMENT OF PREMIUM RE: Project / Permit number & Location of Work ~w CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION CITY OF CAMPBELL ATTN=DEPT. OF PUBLIC WORKS 70 NORTH FIRST STREET CAMPBELL CA 95008 CITYCAM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOh DATE THEREOF, THE ISSUING INSURER WILL ~ MAIL 30 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, _ I ]~ -- ~ i I ....... -- _ _ II . _ ACORD 25-S (7~97) ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer dghts to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (7/97) POLICY NUMBER: 22L24005478 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED --OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: City of Campbell, all work in Public Right-of-way, City of Campbell Redevelopment Agency, its officers ,employees and volenteers 70 North First Street Campbell Ca 95008 Re:Project/Permit number and Location of work (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. Such insurance as is afforded by this endorsement for the additional insureds, shown in the schedule, shall apply as primary insurance. Any other insurance maintained by the additional insureds or its officers and employees shall be excess only and not contributing with the insurance afforded by this endorsement, except in the event of sole or contributory negligence on the part of the additional insureds. CG 20 10 03 99 A Includes Copyrighted Information, Insurance Services Office, Inc.. 1996 Page 1 of 1 -ACORD. CERTIFICA- OF LIABILITY INSUF DATE,MM,DDt, ' ' ~' ~-OBENC-1 12/10/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATFER OF INFORMATION Powers & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Agents & Brokers HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 619043 Lic #OBO2564 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, !Rosevxlle CA 95661-9043 COMPANIES AFFORDINGCOVERAGE Richard Powers COMPANY PhoneNo. 916-630-8643 FaxNo. 800-783-0083 A Savers Property & Casualty INSURED COMPANY B OBENC IN BUInOIN ENTERPRISES COMPANY L: t::. ,' Terry Obenchain C 370 ~ramonte Lane COMPANY DEC ~ ili Livermore CA 94550 D PUDL~u COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEPOL3~]-P~D 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 I$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2, 000, 000 A X COMMERCIAL GENERAL LIABILITY ACAM1000n996CA9908 09/05/99 08/05,/00 PRODUCTS-COMP!OPAGG $ 2,000,000 I CLAIMSMADE [~ OCCUR PERSONAL&ADVINJURY $ 50,000 __X_X OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 2,00 0,000 __X MODIFIED OCCUR~NC FIRE DAMAGE (Any one fire) $ 50 , 000 MED EXP (Any one person) $ 5 I 000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE I $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND I WC STATU- TORY LIMITS I OTH-ER EMPLOYERS' LIABILITY THE PROPRIE I OR/ ~--] iNCL ! EL EACH ACCIDENT $ PARTNERS/EXECUTIVE~-~ EL DISEASE - POLICY LIMIT $ OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlSPEClAL ITEMS CERTIFICATE HOLDER IS SHOWN AS ADDITIONAL INSURED PER THE ATTACHED CG2010 11/85 AND PRIMARY BUT ONLY WITH RESPEC,T,TO LIABILITY ARISING OUT OF OPERATIONS PERFORMED BY NAMED INSURED 10 DAY NOTICE OF CANCELLATION WILL APPLY FOR NON PAYMENT OF PREMIUM RE: CARPETERIA CERTIFICATE HOLDER CANCELLATION CITYCAM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF CAMPBELL EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL ATTN: DEPT. OF Pb-BLIC WORKS 30' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, FAX:408-376-0958/JOARt~ D' A. 70 NORTH FIRST STREET CAMPBELL CA 95008 AU. __~THORIZEDREPRESENTATIVE~ /' _ i _ f ' -- ACORD 25-S (1/95) ACORD CORPORATION POLICY NUMBER ACAM10000996CA9908 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: CITY OF CAMPBELL ATTN: DEPT. OF PUBLIC WORKS 70 NORTH FIRST STREET CAMPBELL CA 95008 RE:ALL WORK IN PUBLIC RIGHT-OF-WAY. CITY OF CAMPBELL, CITY OF CAMPBELL REDEVELOPMENT AGENCY,ITS OFFICERS,EMPLOYEES AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSUREDS AS RESPECTS LIABILITY PER CG2010 11/85 If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (section II) is amended to include as an insured the person or organization shown in the schedule, but only with respect to liability arising out of "your work" for that insured by or for you. CG 2010 (11/85) Copyright, I nsu rance Services Office, Inc. 1984 PRIMARY COVERAGE ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name or Person or Organization: CITY OF CAMPBELL ATTN:DEPT.OF PUBLIC WORKS 70 NORTH FIRST STREET CAMPBELL CA 95008 Schedule RE:ALL WORK IN PUBLIC RIGHT-OF-WAY. CITY OF CAMPBELL, CITY OF CAMPBELL REDEVELOPMENT AGENCY,ITS OFFICERS,EMPLOYEES AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSUREDS AS RESPECTS LIABILITY PER CG2010 11/85 (If no entry appears above, information required to complete this endorsement will be shown in the Evidence as applicable to this endorsement.) THE FOLLOWING PROVISION AMENDS THE COVERAGE PROVIDED TO THE ADDITIONAL INSURED NAMED ABOVE: PRIMARY INSURANCE CLAUSE: It is agreed that such insurance as is afforded by this policy for the benefit of the listed Additional Insured shall be primary insurance, and any other insurance maintained by the Additional Insured(s) shall be excess and non-contributory, but only as respects any claim, loss or liability arising out of the operations of the Named Insured(s) or its sub-contractors, and only if such claim, loss or liability is determined to be solely the negligence or responsibility of the Named Insured. 3423 GL 03 98 12×15×99 12:19 POWERS & COMPANY ~ 408 5?60958 N0.555 ACORD. CERTIFICATE (~F LIABILITY INSURANCEo"o~% 12/10/99 moauc~ ~IS CER~FI~ ~S ISSUEO AS A ~ ~ INF~TION %ae~ ~ ~ ~o~a~e HOLDER THIS CERTIFICATE ~ES NOT AMEND, ~ND OR V. O. ~ 6190a] ~ ~256~ AL~R~ECO~GE~FOR~DBY~EPOUCIESBELOW, ~a~11e ~ 95661-90~ ~__~ 916-G30'8643 ~ S0~-~83-00e3 ~ BUX~ ~XSES c~ ~LICY EFFEC~ ~1~ ~T~N L~ z ~sc~~ ~.~cE s2~O00,O00 ~ H~ ~ B~LY ~Y ' S ?0 ~RTH FZ~T S~E~ FAX TO: Richard Powers Powers & Company PO Box 619043 ~.D,Sw,~'Ci~vs-Gatos,,~,-~"' 95661 Phone Fax Phone (916) 630-8643 (800) 783-0083 CC: I Date 12/15/99 I Number of pages including cover sheet FROM: Joanne D'gmbrosia City of Campbell 70 North First Street Campbell, CA 95008 Phone Fax Phone (408)866-2150 (408)376-0958 REMARKS: [] Urgent [] For your review [] Reply ASAP Re: Insured: Obenchain Building Enterprises Permit No. 99-157/423 E. Hamilton [] Please Comment We have reviewed the certificate of insurance that has been submitted in connection with the above referenced permit and find that the following items need to be added or ch~nged to meet our minimum insurance requirements: ~/.,.,...,~z ~:~-r~ / . 1. We require that proof of automobde liability coverage as well as workers' co tion coverage also be submitted to the City. 2. We require that the insurance provided to the City be issued by an insurer with a current A.M. Best Rating of A:VII and be authorized to transact business in the State of California. Savers Property & Casualty has a A.M. Best Rating of A-:VIII. Copies of the applicable sections of our insurance requirements follow for your reference as well as a copy of the original certificate that was submitted. Please call me if you have any questions. Thanks for your help in this matter. ©~ * CA4/,o CITY OF CAMPBELL Public ~(/orks Department August 24, 2001 Obenchain Building Enterprises 370 Miramonte Lane Livermore, CA 94550 Subject: Permit No. 99-157 Location: 423 E. Hamilton Maintenance Inspection - Acceptance Dear Mr. Obenchain: The City of Campbell has made the final maintenance inspection of subject Public Works improvements and find that no remedial work is required. Your warranty requirements and any surety, therefore, are hereby released. Your construction cash deposit of $1,148, plus any interest due, will be sent directly to you from our Finance Department. Sincerely'3'~,L,/~..f,,- ~.,~'.~ Alan Hom Senior Public Works Inspector Permit 99-157 70 North First Street · Campbell, California 95OO8-1423 · TEL 408.866.2150 · FAX 408.376.0958 - TDD 408.866.2790 CITY OF CAMPBELL Public ~g,'orks Department August 24, 2001 Carpeteria 423 E. Hamilton Avenue Campbell, CA 95008 Subject: Permit No. 99-157 Location: 423 E. Hamilton Maintenance Inspection - Acceptance Gentlemen: The City of Campbell has made the final maintenance inspection of subject Public Works improvements and find that no remedial work is required. Your warranty requirements and any surety, therefore, are hereby released. Your warranty deposit of $28,700, plus any interest due, will be sent directly to you from our Finance Department. Sincerely, ./.--) / /' Alan Horn Senior Public Works Inspector MQ Permit 99-157 Public Works Maintenance Division 70 North First Street · Campbell, California 95008-1423 . TEL 408.866.2150 · FAX 408.376.0958 · TDD 408.866.2790 Alan Hom Public Works Inspector City of Campbell 70 North First Street Campbell, CA 95008 Phone: (408) 866-2168 Fax: (408) 376-0958 Fflx To:'""~~-f C)n~.~c~,~ From: Alan Hom Fax: '~"/E, - '~?~7.- Pages (including cover sheet): Re: q:'~z~w ~t~ q~.tt~7 Date: ~,~^~ [] Urgent [] For Review --[] Please Comment [] Please Reply [] Please Recycle · Comments: Alan Hom Public Works Inspector 423 E. Hamilton Ave. ~ Carpeteria Street lighting Punch List March 6, 2000 Type 15 street light standard # JN 16292 (eastern pole): Pole not labeled with Brady #5890 reflective labels at 10 foot level, 45 degrees to direction of travel · The pcc pad around pole base and pull box is missing · Pole flange not grouted. No. 3 ½ pull box at base of pole: Bottom of pull box is not grouted. · Drain rock is too small, should be crushed granite, aggregate size 1" min. to 2" max. · End bell missing on PVC conduit · Grounding bushing on RGS conduit not tied to bond wire. · Conductors not spliced with crimped copper C-taps. · "HEX" double fuse holder with 3 amp "BAF", "OTM" or equal fuses not installed in pull box. · Splice insulation should be mastic-lined, heavy-walled, polyolefin heat-shrinkable tubing on fuse holders and on conductor splices. Type 15 street light standard #JN 18438 (western pole): · Pole not labeled with Brady #5890 reflective labels at 10 foot level, 45 degrees to direction of travel · The pcc pad around pole base and pull box is missing · Pole flange not grouted. No. 3 ½ pull box at base of pole: · Bottom of pull box is not grouted. · End bell missing on PVC conduit · Both conductors are RED, one should be BLACK. · Conductors not spliced with crimped copper C-taps. · "HEX" double fuse holder with 3 amp "BAF", "OTM" or equal fuses not installed in pull box. · Splice insulation should be mastic-lined, heavy-walled, polyolefin heat-shrinkable tubing on fuse holders and on conductor splices. Alan Hom Public Works Inspector City of Campbell 70 North First Street Campbell, CA 95008 Phone: (408) 866-2168 Fax: (408) 376-0958 Fflx To: '~"~?_~.~ (~)~oc-4~1~ From: Alan Hom Fax: '~'/~ - q ~%"L. Pages (including cover sheet): Re: ,6c'Z.'~ '~' ~t~-r~,~o Date: [] Urgent [] For Review [] Please Commem [] Please Reply [] Please Recycle · Comments: Alan Hom Public Works Inspector PARTIAL DEFICIENCY LIST FOR 423 E. Hamilton Permit 99-157 DATE: February 29, 2000 1. Provide "As Builts" plans: 1 mylar and 2 blueline copies. 2. Install street tree with using Detail 12 as shown on approved sheet 4 of 5. a. Tree staking incorrect. b. No evidence of a tree root barrier being installed. c. Deep watering tube and bubbler head not in. d. Have no proof of the fertilizer tablets were planted. e. Had no opportunity to check health and condition of tree roots. Relocate water meter to back of right-of-way per approved sheet 3 of 5. Paint wood barricade on west end of the project. Place either a concrete or asphalt pad around the base of the wooden barricade to keep water away from the post base. Remove the plastic cap on the expansion joints and fill with matching color sealants. Clean catch basin floor of all dirt and debris. Backfill with clean soil on the back of wall on the west end. Correct street light installation per list forthcoming from the City street lighting division. 10. Clean all sidewalk, curb/gutter and landscape area of all debris. o 7. 8. 9. Harold Housley From: Sent: To: Cc: Subject: Harold Housley Monday, November 22, 1999 9:31 AM Marlene Pomeroy Bill Helms; Harold Housley 423 Hamilton Ave. This is a project Chuck has been handling. To the best of my knowledge the the EP has been issued pursurant to Steve P. approval even though the R/VV had not yet been granted to the City. The Grant of PSE is now attached for your recordation. The Clerk must accept for the City. Note to tickle file and usual copies. Thanks. City of Campbell Department of Public Works :ROACHMENT PERMIT ISSUANCE C iK LIST Encroachment Permit No. c"'-tc:~-- ~.~"='/ Tract No. Address: ~':~ ~ ~-. JT/~l~, ,qho~, lq ~/'~ . ITEMS/REQUIRED FOR PERMIT APPLICATION: ~//~ Applicant section complete b/' Applicant signature and date (front and back) v/'t Permit A,p_plication Fee $225 00 paid- Receipt Number L// Engineer s Estimate Submitt2d , '~7/Plan Check Deposit Paid (2 % o; Engineer s Estimate, $500 rain) Receipt Number L~Five Sets of Improvement Plans Submitted ITEMS REQUIRED PRIOR TO PUBLIC WORK CLEARANCE FOR BUILDING PERMITS Plan Check & Inspection Fee: If Engineer's Estimateq~250,000, then 12% of Engineer's Estimate. If Engineer's Estimate > $250,000, then Acmai Cost + 20%. (Deposit of 8% of Engineer's Estimate required; $30,000 minimum. deposit). Amount $_ ~.q~fl~er ~ Receipt No. ~/~.~z~.J Security for Faithful Performance and Labor and Materials, 100% each of Engiaeer's Estimate, supplied or paid. Security for Monumentation Amount $ .4/A7~ Receipt No. /2/,t~~ Construction Emergency Cash Deposit: 4% of Engineer's Estimate. ($500 minimum, $10,000 maximum) Amount $ /./_~// Receipt No. ~ Storm Drainage Area Fee Amount $ Receipt No. orker's Compensation Insurance Information Sheet Received~or Applicant. All other Public Works requirements listed in the Conditions of Approval of the development. Other Fees, Payments, Deposits Amount $ Ref. ojlx'No. ri'EMS REQUIRED PRIOR TO ISSUANCE OF ENCROACHMENT PERMIT: Contractor's signature added to the permit application (front and back) Worker's Compensation Insurance Iaf6rmation Sheet received from Contractor. Certificate of Insurance with Additional Insured's Endorsement received from Applicant or Contractor. One mylar set and four blueline sets of off-site plans signed by licensed engineer, stamped APPROVED FOR CONSTRUCTION. Permit signed by City Engineer. WHEN ALL OF TI{E ABOVE ITEMS ARE COMPLETE, PERMIT MAY BE ISSUED. Issuer: Initial and date and file with permit. '~{Le/'-%'~ N ISSUANCE, INITIATE CHECK REQUEST FOR PLAN CHECK DEPOSIT REFUND j:\word\forms\pmtcklst rev. 4/97 .? ~ , ' Recording Requested by: City of Campbell When recorded mail to: City Clerk City of Campbell 70 North First Street Campbell, CA 95008 (Space above this line for Recorder's use only.) STREET IMPROVEMENT AGREEMENT THIS AGREEMENT (identified as File No. S 98-08) made and entered into this day of , 19 , by and between GULESSARIAN ENTERPRISES, A CALIFORNIA LIMITED PARTNERSHIP, hereunder referred to as "Owner," and the CITY OF CAMPBELL, a municipal corporation of the County of Santa Clara, State of California, hereinafter referred to as "City." WHEREAS, on SEPTEMBER 1, 1998 the Planning Commission adopted Resolution No. 3177 granting conditional approval of S 98-08 for that certain real property described in Exhibit A attached and incorporated as though fully set forth herein, and commonly known as 423 East Hamilton Avenue, which property is hereinafter referred to as "said real property"; WHEREAS, compliance with the terms and conditions of this Agreement are conditions to the approval of the above described Site and Architectural Permit; NOW, THEREFORE, IN CONSIDERATION OF THE ABOVE-MENTIONED APPROVAL, and satisfaction of the conditions to that approval, (1) Owner shall provide, construct and/or install at his own proper cost and expense, street improvements as described in Section 11.24.040 of the City Code within 12 months from the date first mentioned hereinabove; provided, however, that in the computation of said 12 month period, delays due to, or caused by acts of God, viz., unusually inclement weather, major strikes, and other delays beyond the control of Owner or his successors shall be excluded. (2) It is expressly understood and agreed to that if Owner shall fail to complete the work required by this Agreement within the said 12 month period, the City, after giving ten (10) days written notice thereof to Owner, or his successors, may construct and/or install said improvements and recover the full cost and expense thereof from owner, or his successors. (3) Owner, or his successors, shall cause to be prepared at his cost and expense improvement plans for the construction and/or installation of said improvements prior to such construction or installation. Said plans shall be prepared by a civil engineer registered by the State of California and submitted to the City Engineer for examination and approval. All of said improvements shall be constructed and/or installed in accordance with those plans approved by the City Engineer and shall be made under the supervision and inspection and to the satisfaction of the City Engineer. Said construction and/or installation shall be in accordance with the existing ordinances and resolutions of the City of Campbell and to all plans, specifications, standards, sizes, lines and grades approved by the City Engineer, and all State and County statutes applicable thereto. Upon completion and acceptance of the improvements by City, Owner, or his successors, shall provide reproducible as-built plans to the City Engineer. (4) The construction work of the improvements embraced by this Agreement shall be done in accordance with the specifications of the City of Campbell and West Valley Sanitation District of Santa Clara County, where indicated. (5) Prior to approval of the plans by the City Engineer pursuant to Section (3) of this Agreement, Owner, or his successors, shall pay to the City for examination of improvement plans, field inspection of construction of improvements and all necessary expenses incurred by City in connection with said improvements, a sum calculated in accordance with Resolution No. 9391, as adopted by the City Council on June 2, 1998, or as may subsequently be adopted by the City Council. (6) Owner, or his successors, shall file with City, prior to beginning construction, surety acceptable to the City in amount equal to the City Engineer's estimated cost of the street improvements to ensure full and faithful performance of the construction of all the aforementioned improvement work, excluding sanitary sewers and water distribution system. Said surety shall guarantee that Owner, and his successors, will correct any defects which may appear in said improvement work within one (1) year from the date of acceptance of the work by City and pay for any damage to other work resulting from the construction thereof, as well as pay the cost of all labor and materials involved. This surety shall remain in effect until one (1) year after date of final acceptance of said improvements by City. Said surety amount may be reduced by the City Engineer after the date of final acceptance to not less than twenty-five (25) percent of its full value. (7) Upon final release of said surety by City, the obligations of Owner, and his successors, contained in this Agreement shall be considered null and void. (8) When called upon by City to do so, Owner, or his successors, will execute a petition for the formation of any special assessment district created pursuant to any special assessment act as provided in the Streets and Highways Code of the State of California created for the purpose of constructing and/or installing any or all of said improvements. (9) Owner, or his successors, shall participate in and become a part of any special assessment district as described in paragraph (8) of this Agreement. It is expressly understood that any obligations of Owner, or his successors, contained in this Agreement that are accomplished to the satisfaction of said City Engineer by said special assessment district shall be considered null and void. (10) Owner, or his successors, shall make such deposits or file such bonds and enter into such agreement as required by West Valley Sanitation District of Santa Clara County to ensure the installation of a sanitary sewage system to serve said real property, and Owner, or his successors, shall file with City, upon execution of this Agreement, a letter from said Sanitation District stating that Owner, or his successors, have made such deposits or filed such bonds and entered into such agreements. (11) Owner, or his successors, shall pay to Pacific Gas and Electric Company any and all fees required for installation of underground wiring circuit to all electroliers within said real property when Owner, or his successors, is notified by either the City Engineer or the Pacific Gas and Electric Company that said fees are due and payable. Owner's, and his successors', obligations under this section shall not be relieved by delay or the passage of time, but shall remain binding indefinitely and forever. (12) Owner, or his successors, shall make such deposits or file such bonds and enter into such agreement as required by San Jose Water Company when called upon to do so to ensure the installation of a water distribution system to serve said real property, including fke hydrant. Owner's, and his successors', obligations under this section shall not be relieved by delay or the passage of time, but shall bind Owner and successors indefinitely and forever. (13) Any easement and right of way within or Without said real property necessary for the completion of the improvements shown upon aforesaid improvement plans shall be acquired by Owner, or his successors, at his own cost and expense. It is provided, however, that in the event eminent domain proceedings are required for the purpose of securing said easement and right of way, Owner, or his successors, shall deposit or cause to be deposited with City a sum covering the reasonable market value of the land proposed to be taken and to be included in said sum shall be a reasonable allowance for severance damages, if any. It is further provided that in addition thereto such sums as may be required for legal fees and costs, engineering and other incidental costs shall be deposited with the City. (14) Owner, or his successors, shall carry out any and all negotiations with all interested parties and shall perform or cause to be performed at his own cost and expense and to the satisfaction of the City Engineer any and all work required to abandon, remove, raise, lower, relocate and otherwise modify irrigation line or lines within the boundary of said real property. (15) To the fullest extent permitted by law, Owner, and his successors, shall indemnify, defend and hold the City of Campbell, and its agents, employees, attorneys, officers, officials and assignees harmless from any and all claims, damages, losses and expenses, including, but not limited to, attorneys' fees, arising out of, or resulting from any negligent or intentional act or omission (including misconduct) of said Owner, or his successors, or any subcontractor, or anyone directly or indirectly employed by him, or anyone for whose acts any of them may be liable in the course of performance of the Agreement. The Owner, and his successors, shall also indemnify, defend and hold the City of Campbell, and its agents, attorneys, employees, officers, officials, and assignees harmless against and from any and all claims, demands, liabilities, losses, lawsuits, judgments, damages, costs and expenses (including, but not limited to, attorneys' fees and court costs, whether incurred at trial, appellate or administrative levels) which the City of Campbell may incur or suffer, or to which the City of Campbell may be subjected resulting from the failure of Owner, or his successors, or his agents, employees, subcontractors, or anyone performing services under him, to fulfill any of the obligations imposed under this Agreement. (16) It is acknowledged that the provisions of this Agreement constitute covenants for the improvement of the subject real property for the mutual benefit of Owner's property, commonly known as 423 East Hamilton Avenue, and the City's property, commonly described as East Hamilton Avenue where it adjoins Owner's property. These covenants shall be considered to affect rights in the above-described real properties, and shall be binding on the heirs, assigns, successors, and grantees of Owner to said real property. (17) Nothing contained herein shall be construed to transfer any unvested interests in real or personal property for purposes of the rule against perpetuities. (18) In the event that Owner, or his successors, should breach any of the terms, conditions, or covenants of this Agreement, the City shall be entitled to recover, in addition to any other relief available in law or equity, all costs incurred in attempting to obtain enforcement of the Agreement, or compensation for such breach. These costs shall include reasonable attorneys' fees and court costs. (19) This is the entire Agreement between the parties, and there are no representations, agreements, arrangements or understandings that are not fully expressed herein. (20) This Agreement can be executed in counterparts by the parties hereto, and as so executed shall consist of one agreement, binding on all parties. (21) Owner shall provide and construct public street improvements per preliminary plans titled "Street Improvement Plans for 423 E. Hamilton Avenue, Encroachment Permit 99- 157," which are subject to approval by the City Engineer, prepared by Watson Engineering, Incorporated, 1303 Vintage Way, Auburn, CA 95603. IN WITNESS WHEREOF, said City has caused its name to be affixed by its Public Works Director and City Clerk, who are duly authorized by Ordinance 1951 adopted September 2, 1997, and said Owner has caused his name to be affixed the day and year first above written. GULESSARIAN ENTERPRISES, A CALIFORNIA LIMITED PARTNERSHIP BY: ~ (Notary Acknowledgment for above signator(ies) MUST be attached.) CITY OF CAMPBELL Robert Kass, Public Works Director ATTEST: Anne Bybee, City Clerk H:\landdev\423eham3 (mp) STATE OF CALIFORNIA COUNTY OF SANTA CLARA (Notary Public) personally appeared ~-~¢_ G~,$$,~1-:,,o personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. (Signature of Notary Public) (This area for notarial seal) llllllllllllllllllllllllllllllllilillllllllllllllllllllll ~= ~ ALEC L. fiULESSERIAN ---,,. u~ COMM. NO. 1206848 ~: NOTAFiYPUBLIC CALIFORNIA 21 · ~ ALAMED,A COUNTv ,o My comm. exDires Jan. 2, 2003 ~ illilllllillllllllllllllllllllltlllllllllllllllllllilllll 6 EXHIBIT A That certain property situate in the City of Campbell, County of Santa Clara, State of California, described as follows: Parcel One, as shown on the parcel map filed for record in the Office of the County Recorder of said Santa Clara County, on October 25, 1972, in Book 311 of Maps at Page 3. 7 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT STATE OF CALIFORNIA DATE NAME, TITLE OF OFFICER - E.G., "JANE DOE, NOTARY PUBLIC" personally appeared, .~"~ G,,,-~ %~.a '~,~ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/ they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. NOTARY PUBLIC SIGNATURE (SEAL) IIIIIIii1111111111111111111111111111111111111111111111111 ALEC L. GULESSERIAN COMM. NO. 1206848 NOTARY PUBUC CALIFORNIA ALAMEDA COUNTY My comm. expires Jan. 2, 2003 IIIIIIIIIIIII!111111111111111111111111111111111111111111~ OPTIONAL INFORMATION DATE OF DOCUMENT ~'~' ~' ~(~ NUMBER OF PAGES S,CNERtS~ OT.ER T.^N NAMED ABOVE ~l N ENGINEERING August 23, 1999 Job Number 99001 Mr. Chuck Gomez City of Campbell Public Works 70 North First Street Campbell, CA 95008 Re: Carpeteria Permit 99-157 RECEIVED AUG 2 5 1999 PUBLIc WORK8 ~'DMINIB'rR&.rlo~ Dear Chuck: I have made the revisions you requested in your CP#2 and as we discussed by phone. I have attached the following for your final review, as you requested: 1. One set of revised blueprints. 2. Your CP#2 redlined comments. Please call me if I can provide any additional information. Sincerely, WATSON ENGIN~INC. Principal 1303 Vintage Way, Auburn, CA 95603 · 530-889-1300 · Fax 530-889-2300 · mark ¢~vatson-eng.com. www.watson-eng.com PUBLIC WORKS DEPARTMENT ENGINEER'S ESTIMATE Address: 423 E. HAMILTON AVENUE Date: 7/14/99 ENCROACHMENT PERMIT NO. 99-[57 A )lica[ion No. ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION UNIT QTY < $30 K $30 K to $150 K > $150 K $ AMOUNT I, SURFACE CONSTRUCTION MOBILIZATION I LS $ 1,000.00 $ 1,000.00 CONSTRUCTION TRAFFIC CONTROL/PHASING Ii LS $ 1,500.00 $ 1,5(X) 00 CONSTRUCTION STAKING LS CONSTRUCTION TESTING LS $ 600.00 $ 600.00 II. DEMOLITION/CLEARING 1. CLEARING & GRUBBING LS ~ $ 2. SAWCUT P.C.C./A.C.(UP TO 6") 247 LF 54.50 $3.00 $2.00 5 1, [ t 1.50 3. P.CC. REMOVAL (126SY) AC (28SY) 154 SY $30.00 $23.00 $10.00 5 4~620.00 4. CURB AND GUTTER REMOVAL 3(] LF $6.00 53.00 $2.00 S 180.(X) 5. MEDIAN REMOVAL SF $4.50 $2.25 51.25 6. 'DEMOLISH EXISTING INLET/PLUG RCP'S EA III.STORM DRAINAGE I. 12' R.C.P. (CLASS V) 8 LF $60.00 $40.00 $20.00 S 480.00 2. 15" R.C.P. (CLASS III) LF $65.00 $48.00 $38.00 3. 18" R.C.P. (CLASS III) LF $70.00 560.00 $52.00 4. 24" R.C.P. (CLASS Ill) LF $80.00 $68.00 55900 5. 30" R.C.P. (CLASS Ill) LF $90.00 $7500 $65 00 6. I~V. INSPECTION (12") LF $120 50.75 50b0 i 7. STD. DRAINAGE INLET EA $1,600.00 51,300.00 51.000.(10 (C.C. DETAIL 5) 8. FLAT GRA'rE INLET EA $1,400.00 $I, 100.00 $90000 (C.C. DETAIL 6) 9. STANDARD MANHOLE EA $2,000.00 $1.600.00 $1,300.00 C.S.J. DETAIL D-I I) INCLUDES FRAME & LID) II). BREAK AND ENTER M.H./DI. EA $70000 $550.00 $~,50.00 Page 1 ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION UNIT QTY < $30 K $30 K to $150 K > $150 K $ AMOUNT IV. CONCRETE IMPROVEMENTS I. SIDEWALK 871 SF $6.50 $4-.50 $2.75 $5,661.50 2. DRIVEWAY APPROACH 256 SF $7.50 $5.50 $3.75 $ 1,920.0() 3. CURB AND GUTTER LF $22.00 $1800 515.00 4. VA LLEY GUTTER S F $12.50 $ I0. (X) $8,25 4.5 SPECIAL VALLEY GUTTER LF S5.0(} 5. CURB RAMP EA $1,200.00 $800.0() $700 0(} 6. TYPE B-I CURB LF $12.00 $9.50 $7.50 7 'FYPE Al-B3 CURB LF $15.0( $12.00 Sl0.00 8. COBBLESTONE MEDIAN SURFACE SF S12.00 $8.00 55.00 9. P.C.C DRIVEWAY CONFORM SF $70() 55.50 S4 50 10. A.C. DRIVEWAY CONFORM SF S4 50 S3.75 $3 00 V. PAVEMENT I. ASPHALT D[GOUT AND REPLACE CF $5.00 $3.50 $2.50 2. PAVEMENT WEDGE CUT (6') LF $5.00 $2.50 $1.50 3. ffAVEMENT GRIN DING SF $0.80 $0.50 $0.35 4. PAVEMENT FABRIC (PETRO-MAT) SY $2.00 $1.85 $1.50 5. ASPHALT CONCRETE (TYPE A) T S8000 S5000 $35.0() 6, AGGREGATE BASE (CLASS 2) T S40.00 $20ff0 S 12.(X) 7. SLURRY SEAL (TYPE ll) SF S0.07 $006 S005 8. SLURRY SEAL (TYPE lid SF 50.11 $0.09 $0.07 VI. TRAFFIC SIGNALS/LIGHTS 1. DETECTOR LOOP (6' ROUND) EA $450.00 $300.00 S250.00 2. DETECTOR LOOP (6' x 30') EA S650.00 $540.00 $440.0() 3. DETECTOR LOOP (6' x 50') EA $90000 $75000 S640 00 4. ELECTROLIER 2 EA $2,60().00 S2,200.00 $1.800 00 $ 5,2(X) 0(I 5. I 1/2" RIGID CONDUIT 117i LF 59.00 S7.00 55.00 S 1,053 (R) 6 2' RIGID TRAFFIC SIGNAL CONDUIT LF $ 17.00 $ 13.00 $ 10.00 Page 2 ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION UNIT QTY < $30 K $30 K to $150 K > $150 K $ AMOUNT 7 CONDUCTOR 351 LF $ 0.70 $ 0.55 $ 0.45 $ 245.70 8 PULL BOX (NO. 3 1/2) 2 EA $300.00 $240.00 $185.00 $ 6OO.00 9 TRAFFIC SIGNAL PULL BOX (NO. 5) EA $400.00 $350.00 $300.00 lo PULL ROPE LF $0.55 VII, STRIPING AND SIGNS 1. REMOVE PVMT. MARKINGS (PAINT) SF $2.50 $1.50 $1.00 2. REMOVE PVMT. MARKINGS (THERMO) SF $3.00 $2.00 $1.40 3. REMOVE PVMT STRIPING LF $1.40 $0.80 50.40 4. STRIPING DETAIL 9 LF $1.35 $0.85 $0.35 5. STRIPING DETAIL 29 LF $2.25 $1.65 $1 20 6. STRIPING DETAIL 32 LF $2.40 SI 75 $1.25 7. STRIPING DETAIL 37 (THERMO) LF $1.85 $1.50 ' $1 8. ~STRIPING DETAIL 38 (THERMO) LF $2.50 $1.85 $1 I5 9. STRIPING DETAIL 39 LF $1.50 $0.85 $0.45 I0. STRIPING DETAIL 40 LF $2.20 $1.70 $1.00 I I. LIMIT LINE LF $1.35 $1.05 $0.90 12. CROSSWALK, 12" WHITE LF $1.35 $1.05 $0.90 13. PAVEMENT MARKINGS (PAINT) SF $2.50 53.80 $1.60 14. PAVEMENT MARKINGS (THERMO) SF $5.50 $3.80 $2.60 TYPE IV ARROWS 15. PAVEMENT MARKER (NON-REFL.) EA $4.50 $3.00 $2.20 16. PAVEMENT MARKER (REFLECTIVE) EA 56.00 $4.15 $3.15 17. TYPE K MARKER EA $95.00 $80.00 $7000 18. TYPE N MARKER I EA $95.00 $80.00 $70.00 $ 9500 19. SALVAGE ROAD SIGN EA $85.00 $75.00 $6500 20. RELOCATE ROAD SIGN (W81 ON NEW POST) EA $100.00 $85.00 21. INST. RD. SIGN ON EXIST. POLE EA $200.00 $145.00 $110.00 22. ROAD SIGN WITH POST EA $300.00 $240.00 $195.00 23 INSTALL 1226S SIGN WITH POST EA $240.00 24 STANDARD BARRICADE LF $15.00 25 TYPE IV BARRICADE 7 LF $15.00 $ 105.00 Page 3 ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION UNIT QTY < $30 K $30 K £o $[50 K > $150 K $ AMOUNT VIII. LANDSCAPING I. IRRIGATION, PLANTING WORK 997.5 SF $700 $6,982.50 2 PRUNE TREE ROOTS EA $125.00 $100.00 $85.00 3 TREE REMOVAL EA $65000 $5(×).00 $~OO.00 4. ROOT BARRIER (12') LF $20.00 S10.00 S6.00 5. ROOT BARRIER (18') LF $2500 $1500 $1000 6. STREET TREE (24' BOX) EA S450.(X) S325 O0 $250.00 $45000 7 STREET TREE (36' BOX) EA S700.(X) S550.00 S400.00 8. TOP SOIL BACKFILL 27 CY $17.50 S15.00 $472 50 (9.5' x 105' x .75') 9 IRRIGATION LS $675.00 IX. MISCELLANEOUS I. PEDESTRIAN BARRIER LE $75.00 560.00 S50,00 2. CHAIN LINK FENCE (6') LF $15.00 $1150 $9.25 3. RAISE MISC. BOX TO GRADE EA $300.00 S200.00 $175.00 4. RAISE MANHOLE TO GRADE EA $400.00 $275.00 $200.00 5. INSTALL MONUMENT BOX EA $450.00 5350.00 i $300.00 6. MEDIAN BACKFILL CY $19.00 $17.00 $1550 7 ;RESET BENCH MARK LS $150.00 SUBTOTAL $ 32,276 70 PREPARED BY: D. CORONA 10% SECURITY ENFORCEMENT FEE $ 3.227 67 REVIEWED BY: I, HAROLDHOUSLEY TOTAL ESTIMATE FOR FAITHFUL 535.504 37 APPROVED BY: MICHELLE QUINNEY PERFORMANCE SECURITY $35,5(X) 00 *See Section 66499.4 of the Map Act. h:\landdev\423eham.xls(mp) Page 4 PUBLIC WORKS DEPARTMENT ENGINEER'S ESTIMATE Address: 423 E. HAMILTON AVENUE Date: 7/14/99 ENCROACHMENT PERMIT NO. 99-157 Application No. S 98-08 ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION UNIT QTY < $30 K $30 K to $150 K > $150 K $ AMOUNT I. SURFACE CONSTRUCTION MOBILIZATION LS $ 1,000.00 $ 1,000.00 $ 1,0(X).00 CONSTRUCTION TRAFFIC CONTROL/PHASING I LS $ 1,500.00 $ 1,500.00 $ 1,500.00 CONSTRUCTION STAKING LS CONSTRUCTION TESTING 1 LS $ 600.00 $ 600.00 $ 600.00 II. DEMOLITION/CLEARING I. CLEARING & GRUBBING LS 2. SAWCUT P.C.C./A.C.(UP TO 6") 247 LF $4.50 $3.00 $2.00 $ 741.00 3. P.C.C. REMOVAL (126SY) AC (28SY) 154 SY $30.00 $23.00 $10.00 $ 3,542.00 4. CURB AND GUTTER REMOVAL 30 LF $6.00 $3~00 $2.00 $ 90.00 5. MEDIAN REMOVAL SF $4.50 $2.25 $1 25 6. DEMOLISH EXISTING INLET/PLUG RCP'S EA III. STORM DRAINAGE 1. 12" R.C.P. (CLASS V) 8 LF $60.00 $40.00 $20.00 $ 320.00 2. 15" R.C.P. (CLASS 111) LF $65.00 $48.00 $38.00 3. 18" R.CP. (CLASS lid LF $70.00 $60.00 $52.00 4. 24" R.C.P. (CLASS 111) LF $80.00 $68.00 $59.00 5. 30" R.C.P. (CLASS I11) LF $90.00 $75.00 $65.00 6. T.V. INSPECTION (12") LF $1.20 $0.75 $0.60 7. STD. DRAINAGE INLET EA $1,600.00 $1,300.00 $1,000.00 (C.C. DETAIL 5) 8. FLAT GRATE INLET EA $1,400.00 $1,100.00 $900.00 (C.C. DETAIL 6) 9. STANDARD MANHOLE EA $2,000.00 $1,600.00 $1,300.00 C.S.J. DETAIL D-I 1) INCLUDES FRAME & LID) 10. BREAK AND ENTER M.H./D.I. EA $700.00 $550.00 $450.00 Page 1 ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION UNIT QTY < $30 K $30 K to $150 K > $150 K $ AMOUNT IV. CONCRETE IMPROVEMENTS 1. SIDEWALK 871 SF $6.50 $4.50 $2.75 $ 3,919.50 2. DRIVEWAY APPROACH 256 SF $7.50 $5.50 $3.75 $ 1,408.00 3. CURB AND GUTTER LF $22.00 $18.00 $15 00 4. VALLEY GUTTER SF $12.50 $10.00 $8.25 4.5 SPECIAL VALLEY GUTTER LF $5.00 5. CURB RAMP EA $1 ~200.00 $800.00 $700.00 6. TYPE B-I CURB LF $12.00 $9.50 $7.50 7, TYPE Al-B3 CURB LF $15.00 $12.00 $1000 8. COBBLESTONE MEDIAN SURFACE SF $12.00 $8.00 $5 00 9. P.C.C. DRIVEWAY CONFORM SF $7 00 $550 $4.50 10. A.C, DRIVEWAY CONFORM SF $4,50 $375 $300 ¥. PAVEMENT 1. ASPHALT DIGOUT AND REPLACE CF $500 $3.50 $2.50 2. PAVEMENT WEDGE CUT 16') LF $5.00 $2.50 $1.50 3. PAVEMENT GRINDING SF $0.80 $0,50 $0.35 4. PAVEMENT FABRIC (PETRO-MAT) SY $2,00 $1.85 $1.50 5. ASPHALT CONCRETE (TYPE A) T $80.00 $50.00 $35.00 6. AGGREGATE BASE (CLASS 2) T $40 00 $20.00 $12 011 7. SLURRY SEAL (TYPE I11 SF $0.07 $0.06 $005 8. SLURRY SEAL (TYPE lid SF $0. I 1 $0.09 $0.07 VI. TRAFFIC SIGNALS/LIGHTS 1. DETECTOR LOOP (6' ROUND) EA $450.00 $300.00 $250.00 2. DETECTOR LOOP (6' x 30') EA $650.00 $540.00 $440.00 3. DETECTOR LOOP (6' x 50') EA $900.00 $750.(X) $640.(X) 4. ELECTROLIER 2 EA $2,600.00 $2,200./10 $1,80000 $ 4,400 I10 5. I 1/2" RIGID CONDUIT 117 LF $9.00 $7.00 $5,00 $ 819.00 6 2" RIGID TRAFFIC SIGNAL CONDUIT LF $ 17.00 $ 13.00 $ 10,00 Page 2 ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION UNIT QTY < $30 K $30 K to $150 K > $150 K 7 CONDUCTOR 351 LF $ 0.70 $ 0.55 $ 0.45 $ I93.05 8 PULL BOX (NO. 3 1/21 2 EA $300.00 $240.00 $185.00 $ 480.00 9 TRAFFIC SIGNAL PULL BOX (NO. 5) EA $400.00 $350.00 $300.00 10 PULL ROPE LF $0.55 VII. STRIPING AND SIGNS 1. REMOVE PVMT. MARKINGS (PAINT) SF $2.50 $1~50 $1 1/0 2. REMOVE PVMT. MARKINGS (THERMO) SF $3.00 $2.00 $1.40 3. REMOVE PVMT STRIPING LF $1.40 $0.80 $0.40 4. STRIPING DETAIL 9 LF $1.35 $0.85 $0.35 5. STRIPING DETAIL 29 LF $2.25 $1.65 $ I 20 6. STRIPING DETAIL 32 LF $2.40 $1.75 $1.25 7. STRIPING DETAIL 37 (THERMO) LF $1.85 $1.50 $1.00 8. STRIPING DETAIL 38 (THERMO) LF $2.50 $1.85 $1.15 9. STRIPING DETAIL 39 LF $1.50 $0.85 $0.45 10. STRIPING DETAIL 40 LF $2.20 $1.70 $1.00 11. LIMIT LINE LF $1.35 $1.05 $0.90 12. CROSSWALK, 12" WHITE LF $1.35 $1.05 $0.90 13. PAVEMENT MARKINGS (PAINT) SF $2.51/ $3.80 $1.60 14. PAVEMENT MARKINGS (THERMO) SF $5.50 $3.80 $2.60 TYPE IV ARROWS 15. PAVEMENT MARKER (NON-REEL.) EA $4.50 $3.00 $220 16. PAVEMENT MARKER (REFLECTIVE) EA $6.00 $4.15 $3.15 17. TYPE K MARKER EA $95.00 $80.00 $70.(X) 18. TYPE N MARKER I EA $95.00 $80.00 $70.00 $ 80.00 19. SALVAGE ROAD SIGN EA $85.00 $75.00 $65.00 20. RELOCATE ROAD SIGN (W81 ON NEW POST) EA $100.00 $85.00 21. INST. RD. SIGN ON EXIST. POLE EA $200,00 $145.00 $110.00 22. ROAD SIGN WITH POST EA $300.00 $240.00 $195.00 23 INSTALL 1226S SIGN WITH POST EA $240.00 24 STANDARD BARRICADE LE $15.00 25 I'YPE IV BARRICADE 7 LF $15.00 Page 3 ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION UNIT QTY < $30 K $30 K to $150 K > $150 K VIII. LANDSCAPING 1. IRRIGATION, PLANTING WORK 997.5 SF $7.00 2 PRUNE TREE ROOTS EA $125. O0 $ 100.00 $85. O0 3 TREE REMOVAL EA $650.00 $500.00 $4(X).00 4 'ROOT BARRIER (12") LF $20.00 $1000 $6.00 5. ROOT BARRIER (18") LF $25.00 $15.00 $10.00 6. STREET TREE (24" BOX) 1 EA $450.00 $325.00 $250.00 $ 325.I)0 7. STREET TREE (36" BOX) EA $700.00 $550.00 $400.(X) 8. TOP SOIL BACKFILL 27 CY $17.50 $15.00 $ 405.(XI 9.5' x 105' x .75') 9 IRRIGATION LS $675.00 IX. MISCELLANEOUS 1. PEDESTRIAN BARRIER LF $75.00 $60.(X) $5000 2. CHAIN LINK FENCE (6') LF $15.00 $11.50 $9.25 3. RAISE MISC. BOX TO GRADE EA $30000 $200.00 $175.0(I 4. RAISE MANHOLE TO GRADE EA $400.00 $275.00 $200.00 5. INSTALL MONUMENT BOX EA $450.00 $350.00 $300.00 6. MEDIAN BACKFILL CY $19.00 $17.00 $15.50 7 RESET BENCH MARK LS $150.00 SUBTOTAL $ 19,82255 PREPARED BY: D. CORONA 10% SECURITY ENFORCEMENT FEE $ 1,982.26 REV1EWED BY: I. HAROLD HOUSLEY TOTAL ESTIMATE FOR FAITI I FUI. $21,804.8 I APPROVED BY: MICHELLE QUINNEY PERFORMANCE SECURITY $21,8(X).00 *See Section 66499.4 of the Map Act. h:\landdev\423eham2.xls(mp) Page 4 Date: CITY OF CAMPBELL Public Works Department TO: FROM: SUBJECT: .TRANSMITTAL FROM THE PUBLIC WORKS DEPARTMENT ~::~------t'~-~'-%~_T' ~:%-- \ '~-7 We are forwarding the following: Remarks: 70 North First Street · Campbell, California 95008.1423 · TEL 408. . · . . · TDD 4O8.866.279O CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEER'S ESTII~L4.TE £nermchmera Permit No. I. ~qJRFACE CONSTRUCTION MOBILIZATION RECEIVED NAR 1 7 1999 eUeL,c WO.KS CONSTRUCTION TRAFFIC CONTRO LCONTROL/PHASi NG ,CONSTRUCTION STAKING CONSTRUCT{ON TESTING : 11. ,DEMOLITION/CLEARING I. CLEARING & GRUBBING 2. SAWCUT P.C.C./A.C.(UP TO 6') ;IV. ~.C.C. REMOVAL IIL CURB t~..'~ ,ZL ."r:'~. _~ ZZ:-:'2VAL MEDIAN REMOVAL DEMOLISH EXISTING INLET/PLUG RCP's ~ST ORM I) RAIN A G~. I. ~ /0" pdt. 2 .... ~"?V~_ 3. 15' R.C.P. (CLASS lid 4. 24' R.C.P. (CLASS III) 5. 30' R.C.P. {CLASs lib 6. T.v. INSPECTION (12') '. 7. STD. DRAINAGE INLET [C.C. DETAIL 9) 8. FLAT GRATE INLET (0 fC.C. DETAIL 6) 9. STANDARD MANHOLE [C.S.J. DETAIL D-Il) HNCLUDES FRAME & LID) I0. BREAK AND ENTER M.H./D.L CONCRETE IMPROVEMENT~ 1. SIDEWALK 2. DRIVEWAY APPROACH L~ LF SY LF SF EA LF LF LF LF LF LF .Eat EA SF SF UNIT PRICES FOR PROJECT AMOUNT ; , < $30K $30K to$150K ' ~ $150K SAMOUNT .~oO $4.50 $4.50 ~ $gO.O0 $1.~ S1.(~0.00~ $70O.OO', $7.$0 $10.001 Sl.2~1 $0.'~ S1,3m.0o $1.:eo. eol $$.50[ $20.o01 $$~.00{ $0.60 $1,(I00.00 $1.3~0.00 $450.00; ~3.75 "7 Z?o ,OO / 27-Jun-96 Page 1 of 4 ITEM i NO. DESCR I _P~I'I 3. ,CURB AND GU'Fr£R 4. VALLEY GUTTER HANDICAP RAMp 6. TYPE B-I CURB 7. TYPE AI-B3CURB 8. COBBLESTONE MEDIAN SURFACE 9. P.C.C. DRIVEWAY CONFORM I0. A.C. DRIVEWAY CONFORM 1' ASPHALT DIOOUT AND REPLACE 2. ,PAVEMENT WEDGE CUT (6') 3. PAVEMENT GRINDING 4. :PAVEMENT FABRIC (PETRO-MAT) 5. ASPHALT CONCRETE (TYPE A) 6. AGGREGATE BASE (CLASS 2) Vi. 7, SLURRY SEAL (TYPE Il) $. SLURRY SEAL (TYPE Ill) ~RAFFlC SIGNAL~/t. IGHTS 1. DETECTOR LOOP f6' ROUND) DETECTOR LOOP (6' x DETECTOR LOOP (6' x 50') 4. ELECTROLIER 5. ,I 1/2' RIGID CONDUIT 6. 2' RIGID CONDUIT UNIT PRICES l' 'OJECT AMOUNT · ! UANTITIES ' < {30K ' ~30k..150K · S150K ~ - · ' $ AMOUNT LF { $22.001 SILO0 { SF ! $12.501 EA { $1.200.00; LF', sl2.0oi LF j $15.(301 SF~ $12.00! SF i $7.00I CF ! SF~ $0.801 SY ' ~ EA: ~2,0O0.001 ' LF '. $9.00~ LF $17.00} $10.00 $12.001 SI.MI $S0.0O{ $0.0~1 { ~.200.00J Sl3.00 SlO.00l SI.50~ Sl2.Ooi $1.{00.00i $10.0O1 { 27-Jun-96 Page 2 of 4 i ITEM i , NO, I 7. CONDUCTOR 8. ~ULL BOX (NO. 3 I/2) 9. PULL BOX (NO. 5) VII. ~.IPING AND SIGNS I. REMOVE PVMT. MARKINGS {PAINT) 2. ,REMOVE PVMT. MARKINGS (THERMO) 3. REMOVE PVMT STRIPING 4. STRIPING DETAIL 9 DESCRIFT~G ~ ~rRIPING DETAIL 29 STRIPING DETAIL 32 7. ~STRIPING DETAIL 37 CrHERMO) STRIPING DETAIL 38 (THERMO) 9. ~'RIPING DETAIL 39 10. STRIPING DETAIL 40 IL LIMIT LINE 12. CROSSWALK t3. ,PAVEMENT MARKINGS (PAINT) 14. ?AVEMENT MARKINGS CI'I'[ERMO) t I$. PAVEMENT MARKER (NON-REFL.) 16, ,PAVEMENT MARKER (REFLECTIVE) 1'7. ~TYPE K MARKER 18. TYPE N MARKER 19. ~ALVAGE ROADSIGN 2:0. tRELOCATE ROAD SIGN 21. INST. RD, SIGN ON EXIST. POLE 2:2. ROAD SIGN WITH POST UNIT PRICES FC yECT AMOUNT mK s~o~ .~OK I >sl~oK ! SAMOU~ J ~-~; ~.~t ~.~f EA $2.$0: S1.~)i $1.001 SI.40 ~0.~0t $1.35 $0.[5 i ~}.'1~ $2."'~ $1.6~1 $1.21 ~2.40; Sl.751 Sl.2~ $1.~. $1..~1 $1.00/ ~'~o: $1.~i $1.'~: $1.o~1 ~0.~oi $1..~5 $1.~ $0.90 $2J0: $1.~0 $1J0 $~.50 ~.00 $2.201 $~.00: Sd. iS[ ~.~01 ~0.~0 $70.00I I ' $100.00: $~.001 $75.00 $~00.~01 $14~.00 ,~110.00 $~00.001 $740.00 / $1~J.O 27-Jun-96 Page 3 of 4 ITEM NO. DE$CRIPTIC VIII. ~t'ANDscAPE~G L IRRIGATION. PLANTING WORK 2. PRUNE TREE ROOTS 3. TREE REMOVAL ROOT BARRIER (12') $. ROOT BARRIER (18') 6. STREET TREE (24' BOX) ?. STREET TREE (36' BOX) 8. TOP SOIL BACKFILL tX. ~4ISCELLAN'EOUS 1. ~ED~IAN BARRIER 2. ~HAIN LINK FENCE (6') 3. ~.AISE MISC. BOX TO GRADE 4. RAISE MANHOLE TO GRADE $. iNSTALL MONUMENT BOX 6. MEDIAN BACKFILL 7 iQUANTITIES ~ EA~ SI2~.~Oi SICX).m{ EA. LF: $2~.00{ SiS.00i LF. S75.001 s6o.goi LFI SLS.O0! Sll.50i CY S19.~OI S17.00l uNrr PRICES Fl' ')JECT AMOUNT t < ~ K ~0 K T,, , K ~> $150 K S AMOUNT $50.0 Sl~.00 $300.00 $15-q)i REVIEWED BY: APPROVED BY: 10% SECURITY ENFORCEMENT FEE TOTAL ESTIMATE FOR FAF~ PERFORMANCE SECURITY Section 66499.4 of~e M~ Act. H:\CECOSTEST. WK3fM F~ REV6/3/96 27-Jun-96 Page 4 of 4 UiATSOII EN~INEERIN~ February 11, 1999 99001 Mr. Craig Miers Stark * Miers * Scott 1495 River Park Drive, Suite 150 Sacramento, CA 95815 Re: Carpeteria Dear Craig: Attached are the following items as we discussed: Civil originals Package for submittal to the Public Works Department: 1. Encroachment permit application. 2. Encroachment permit issuance checklist. 3. Engineer's cost estimate. 4. 5 sets of wet signed plans. To complete the submittal package the owner needs to fill in the highlighted portions of the application and sign (both front and back). A check in the amount of $725 ($225 application fee and $500 plan check deposit) made out to the City of Campbell needs to accompany the submittal. Please call me if l can provide any additional information. Sincerely, M~rk Watson, PE Principal 1303 Vintage Way, Auburn, CA 95603 · 530-889-1300 · Fax 530-889-2300 · mark~watson-eng.com ° www. watson-eng.com