888 Camden Ave. S79-28
P . W . F i 1 e No.
TO: CITY CLERK
Please collect and receipt
for the following monies:
Acct.
351
(i~i)
351
351
351
351
351
351
351
351
351
351
352
352
352
351
351
380,1
380. 1
380.1
Name
Address
'b /n ~ I~)
Items Amount
Preliminary Environmental Impact Report Fee ($50.00)
Storm Drainage Area Fee ($765/acre--$170/1ot minimum) '" 2.'17. ('. c'
Plan Examination and Construction Inspection Fee
(3-1/2% of value
Tentative Parcel Map Filing Fee ($50.00)
Tentative Tract Map Filing Fee ($100.00)
Final Parcel Map Filing Fee ($100.00)
Final Tract Map Filing Fee ($100.00)
Vacation of Public Streets and Easements ($200.00)
Assessment Segregation or Reapportionment ($200.00
for first plus $60.00 each additional)
Lot Line Adjustment Fee ($100.00)
Certificate of Compliance ($100.00)
Map Revisions to Map Companies ($10.00)
Copies of Engineering Maps and Plans ($0.50/SF)
Work Area Traffic Control Handbook ($2.00)
Project Plans and Specifications ($10.00)
Excavation Permit Application Fee ($25.00)
Excavation Permit Fee (3-1/2% of value less $25.00)
Cash Deposit
Faithful Performance Deposit
Maintenance Bond Deposit
D$
I
I
i
i
I
i
i
TOTAL
Phone
Zip
FOR
CITY
CLERK
ONLY
Receipt No,
Amount Paid
CJ5t...fSI
~~c/.3. c"~
CL r./
Received by
;2 -d- b-W
Date
$
27;J.
February, 1980
MEMORANDUM
To: BUILDING DEPARTMENT
Date:
~.i).
CITY OF CfMPBELL
I
2<;;' /'1Af
I
From: PUBLIC WORKS DEPARTMENT
Subject: PUBL I C WORKS DEPARTMENT REQU I REMENTS
----------------------------------------------------------
,
The requirements of the Public Works Department have been satisfied for
the following develop~enr: !
APPLI CANT J< \ / 01 C(l }, c\
BUILDING ADDRESS ,\ /. ;.~~.
COUNTY ASSESSOR'S
PARCEL NUMBER
APPROVAL NUMBER ~7 (7,." 2 ~
PUBLIC WORKS FILE NUMBER 'n I \\
\. J I
,;t (J;.... !T>f1 Cf
(' O. L,( A ( "\ 1\ 0< ,
\, C(
JOSEPH ELLIOTT
~;~EU~::~lIC~:KS~J ___
/I "" /:
Date: 2.. "). 6., -f.-C:?
THIS AGREEMENT (identified as No. Dln (89) ), made and entered into this
day of t 19 ,by and between Dan Ki ng
and Richard Scarlotta -
---------
A G R E E MEN T
erelnafter re erred to as Owners", and the CITY OF CAMPBELL, a municipa
corporation of the County of Santa Clara, State of California, hereinafter
referred to as IICi ty" ,
WITNESSED:
WHEREAS, Owners applied to City for approval in order to construct an
office building upon that certain real property described
ln Grant Deed to Dan Klng, a single man
recorded Uctober 22 t 1974. and filed in Book B140d of Official Records at
page 79 in the Office of the County Recor er, County of Santa Clara,
State of Californiat which property is hereinafter referred to as "said real
property";
WHEREASt at its regular meeting held July 17 t 19~t the Planninq
, Commission of City did consider said application and grant its approval
thereon subject to certain conditions thereof as contained in S79-28
.
,
i
NOW, THEREFORE, IT IS MUTUALLY AGREED TO by and between the parties heretb
as follows. to wit:
(1) Owners shall providet construct and/or install at their own proper
cost and expense upon Camden Avenue
throughout the frontage of said real property public I
street improvements which may consist oft but not be limited tat the followind:
Standard City of Campbell curbt guttert sidewalkt driveway approaches, handic~p
ramps, pavement structure, storm drainage systemt street lighting systemt und~r-
ground utilities to serve said real propertYt and street trees. i
I
I
(2) Owners shall provide and construct and/or install all of said publi~
street improvements when Owners are so notified to do so by said City Engineet
of City. .. :
(3) All of said improvements shall be constructed and/or installed with~n
twelve (12) months from the date that Owners are notified by said City Engine~r
to do so; providedt however, that in the computation of said twelve-month
periodt delays due to or caused by acts of God. viz., unusually inclement
weather, major strikes, and other delays beyond the control of Owners shall be
excluded.
1 of 4
. . ,.--.--- -..-r------"~.~
It is expressly understood and agreed to that if Owners shall fail to
complete the work required by this Agreement within the said period of twelve
(12) monthst the City, after giving ten (10) days written notice thereof to
Owners, may construct and/or i!lstall said improvements and recover the full
cost and expense thereof from Owners.
(4) Owners shall prepare or cause to be prepared at their cost and
expense improvement plans for the construction and/or installation of said
public street improvements, which plans shall be prepared by a civil engineer
licensed by the State of California. which plans shall be submitted to City
Engineer of City for his examination and approval and which plans shall be ,
submitted to City Engineer when Owners are so notified to do so by City Engineer.
i
I
Upon completion and acceptance of the improvements by CitYt Owners shall
provide reproducible as-built plans to said City Engineer.
(5) The construction work of the improvements embraced by this Agreement I
shall be done in accordance with the Standard Specifications of the Department I
of Public Workst Department of Transportationt State of California, dated I
January, 1.975, and in accordance with the Specifications of the City of Campbelll
and Sanitation District No.4 of Santa Clara County, where indicated.
Wherever the word "State" or words "Department of Transportation" are
mentioned in the State Specifications, it shall be considered as referring to
the City of Campbell. Alsot wherever the "Director" or "Director of Public :
Works" is mentioned, it shall be considered as referring to the City Engineer. i
In case of conflict between the State Specifications and the specificatio~s
of the City of Campbell and Sanitation District No.4 of Santa Clara County, :
the Specifications of the City of Campbell and Sanitation District No.4 of
Santa Clara County shall take precedence over and be used in lieu of such
conflicting portions,
(6) Owners shall deposit with City, when called upon to do so, for offic~
examination of improvement planst field inspection of construction of improve-i
ments and all necessary expenses incurred by City in connection with said !
improvements and all necessary expenses incurred by City in connection with said
rea 1 property the sum of trIO HUNDRED TEN DOLLARS i
($ 210.00 ). I
(7) Owners shall file with City, upon execution of this Agreementt a
surety acceptable to City in the amount of SIX THOUSAND 1__
DOLLARS {$ 6,000.00 ) to insure full and !
faithful performance of the construction of all the aforementioned improvement I
work, excluding sanitary sewers and water distribution system. Said surety !
shall guarantee that Owners shall correct any defect which may appear in said I
work within one (1) year from the date of acceptance of the work by City and I
pay for any damage to other work resulting from the construction thereof, as wtll
as paying the cost of all labor and materials involved. , This surety shall re~;n
in full force and effect until one (1) year after date of final acceptance of i
said improvements.
(8) Upon final release of said surety by CitYt the obligations of
Owners contained in this Agreement shall be considered null and void.
2 of 4
(9) In conformance with the requirements of Section 20.16.060 of the
Campbell Municipal Code, the storm drainage area fee for said real property is
in the amount of TWO HUNDRED NINETY THREE DOLLARS
($ 293.00), In accordance with City of C~.mpbell Storm Fee Schedule, the
reimbursement for storm drainage facil;ties constructed as shown on said plans .
will be tA-the-affie~At-ef--------------------------------------------------OGhlAR~1
($--------}!determined at the time said plans are submitted to City. '
(10) City reserves the right to revise storm drain design shown on
approved improvement plans provided Owners are given reasonable written notice
of City's intention to make revisions. Reimbursement amount will be adjusted
by difference between revised storm design and presently approved storm design,
in accordance with City of Campbell Storm Fee Schedule,
(11) When called upon by City to do so, Owners 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 the public improvements herein described.
(12) Owners shall participate in and become a part of any special
assessment district as described in paragraph (11) of this Agreement.
It is expressly understood that any obligations of Owners 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.
(13) Owners shall make such deposits or file such bonds and enter into
such agreement as required by Sanitation District No.4 of Santa Clara County
to insure the installation of a sanitary sewerage system to serve said real
propertYt and that Owners shall file with CitYt upon execution of this Agree-
mentt a lettert from said Sanitation District No. 4t stating that Owners have
made such deposits or filed such bonds and entered into such agreements.
(14) Owners shall pay to Pacific Gas and Electric Company any and all
fees required for installation of underground wiring circuit to all e1ectroliers
within said real property, when Owners are notified by either the City Engineer
of Campbell or the Pacific Gas and Electric Company that the said fees are due
and payable.
(15) Owners shall make such deposits or file such bonds and enter into
such agreement as required by San Jose Water Works when called upon to do so
to insure the installation of a water distribution system to serve said real
propertYt including fire hydrant.
(16) Any easement and right of way within or without said real property
necessary for the completion of the project shall be acquired by Owners at thei
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, Owners shall deposit or cause to be deposited with City. 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 damagest
if any. It 1s further provided that 1n addition thereto such sums as ~y be
required for legal fees and costs, engineering and other incidental costs shall
be deposited with City.
3 of 4
(17) Owners shall carry out any and all negotiations with all interested
parties and shall perform or cause to be performed at their own cost and
expense and to the satisfaction of the City Engineer any and all work required
to abandon, remov~, raise, lower, relocate and othe~{ise modify irrigation
line or lines within the boundary of said real p~operty.
(18) Owners shall indemnify and save harmless the City of Campbell, the I
City Council and the City Engineer, and any and all other officers or employees!
of City from any suits, claims or actions brought by any person for or on accou~t
of any injuries or damages to persons or property sustained or arising in the !
construction of the on-site work due to any acts, omissions or negligence of
Owners, their officers, agents, employees or contractors.
(19) This instrument is and shall be considered to be an instrument
affecting the right, title, interest in or possession of the real property
hereinabove describedt and shall bind the successors in interest of Owners.
IN WITNESS WHEREOF, said City has caused its name to be affixed by its
Mayor and City Clerkt who are duly authorized by resolution of the City Council
and said Owners have caused their names to be affixed the day and year first
above written.
CITY OF CAMPBELL
Mayor
City Clerk
:z. . >.
Dan K4
~ ~~,Wi~S
(Notary Certificate)
4 of 4
STATE OF CALIFORNIA l ss.
COUNTY OF SANTA CLARA r
On ,.....:F.',~:t?~~,C)"~y'u,?,6.uL 19~,Q,u.., before me, the undersigned, a Notary Public in and for said County and S~te, personally
d ,",S,"..~"e",p,",h,e."n"""J,"~., Perez h..
appeare .. m ~ u ..~,..m..u..........mmm,u....m"..known to me to be t e person whose name is subscrzbe to the within
instrument as witness thereto, who, being by me duly sworn, deposed and said: That u,h.~.. resides in m..~a.nt.,C3umG"~"a.,:r:c:t..j,G9:u,t:l"1::Y";
that hem was premt and saw mmPa.n,..Ki,.Jl,g,u,C3J;l,q.....R:i.G,h,CI,,J:'q.....$,qc:t,:r:~9,1:::t:,C3.. ,...,..m...,mm ....f
,""""".1, ,"""." '""' '"'"" ~"'
,mm..,mm,personally known tb "~~:rn to be
the person,$. described in and who executed the within instrument as par~,~:? thereto, sign, seal and deliver the sa~e; that said
part ..ieJ?acknowledged to said affiant that ,1::h"~Yexecuted the same; and that said affiant subscribed ,h,~~u,.. name theretJ as a witness.
, 1
WITNESS my h n
seal. ~ ~ 01
N"""~
I
WITNESS ACKNhWLEDGMENT
r VTC,I28
I
OFFICIAL SEAL
JOHN W. CLARK
NOTARY PU8L1C. CALIFORNIA
PRINCIPAL OFFICE IN THE
COUNTY OF SANTA CLARA
My Commission Expires May 23. 1980 Q
~~
L
ELLIOTT
Public Works
I RETURN TO :
"'~--'- =t
I. --_,
fl. ,-
---_....1 !: I.':~: F:J :
fj~' ".(
.....-. ~I,J \
February 6, 1980
, D:;.Z
-----, . - ~I!!,~C~
CA~~ ! i. /-
fF==r~11
"~-
Mr. Richard Scarlotta
892 Camden Avenue
Campbell, CA 95008
RE: DIn (~)
Dear Mr. Scarlotta:
Enclosed is the agreement to install street improvements on Camden
Avenue. Since the title to the property Is vested in Mr. King,
he will have to sign the agreement. Please return two copies
signed and notarized.
When this agreement Is returned with the bond, and the storm
drainage area fee of $293.00 has been paid, the requirements for
the Public Works Department will have been satisfied,
If you need to do any work within the street right-of-way, please
contact the undersigned as soon as possible.
If you have any questions, do not hesitate to call.
Very truly yours,
Bill Helms
Engineering Manager
by James Penoyer
Engineering Technician
JP!le
enc 1 .
B0f\TT) NO. _ 61121lP
P. lIUM; _-UQO.OO
SIIBDIVISION H1PROVEMENT
PERFORMMCF BOND
(GOVERNMENT r.ODE SECTION 66499.1)
vlhereas, the Crry OF CAMPBELL , State of
ra 1 iforni a, and DAN KING RICHARD SCARLOTTA
(hereinafter designate as 'nrincipa have entere into an agreement whe eby
nrinci~al agrees to install and comnlete certain designated public improve ents,
\'Ihi ch said agreement, datedS79-28 , 19 ' , and identified as'
P~blic Imnrovement Proceeding No. (commonly referred to as
is hereby referred to an ma e a Dart hereof; an
Whereas, said nrincinal is required under the terms of said agreement Ito
furnish a bond for the faithful performance of said agreement. I
I
Now, therefore, we the nri nci na 1 and INDEMNITY COMPANY OF 1-.-
CALIFORNIA , as cornorate surety, are helld and
fi rOll v hound unto the r.rT'V ' , in the penal sum of at- '_ __
----~TX THOnStND A7f NOll 00- -- - -- -- ---- -- ---- --- -- --- - - do llars
(~ 6,000.00 lawfu money of the lInited States, for the payment of which
sum well and truly to be made, we bind ourselves, our heirs, successors, e~ecutors
and administrators, jointly and severally, firmly by these oresents.
i
The condition of this obligation is such that if the above bounded prilnciPal,
his or its heirs, executors, administrators, successors or assigns, shall in all
things stand to and abide by, and well and truly keep and perform the cove~ants,
conditions and nrovisions in the sald agreement and any alteration thereofimade
as herein nrovided, on his or their nart, to be kept and oerformed at th~ ~ime
nnd in the manner therein snecified, and in all resoects according to thei~ true
intent and meaning, and shall indemnify and save harmless CITY , it~
officers, agents and emnl~yees, as therein stipulated, then this obligatio1 shall
become null and void; otherwise it shall he and remain in full force and ~ffect.
. ,
~s a part of the ohligation secured hereby and in addition to the fac~
amount snecified th, erefor, there shall be included costs and reasonable ex enses
and fees, includinC) reasonable attorney1s fees, incurred by City in succes fully
enforcino such obligation, all to be taxed as costs and included in any ju gment
rendered. i
1
I
The sure~y hereby stinulates and agrees that no change, extension of ~ime,
alteration or addition to the terms of the agreement or to the work to be erformed
thereunder or the plans and specifications accomoanying the same shall innywise
'affect its obligations on this hand, and it does hereby waive notice of any SUCh
chanqe, extension of time, alteration or addition to the terms of the agreBme~t
or to the work or to the snecifications.
In witness \'Ihereof, this instrument has been duly executed by the prirlcip:ll
and surety above named, on FEBRUARY 25. 1980
).4
DAN ;~~RIC RD ~,,~RLOTA
r;-~~__~~
~ nnciral
INDEMNITY COMPANY OF CALIFORNIA
SUBDIVISION IMPROVEMENT
PAYMDIT BO~m
(GOVERNMENT rODE, SECTION 66499.2)
BOND I\TO. 611911P I
PREM 1 ~THIS BOND' IS
INCLUDED IN THE PREMI}JM FOR
THE BOND GUARANTEEING' PERFORM-
ANCE OF THE CONTRACT POVERED
THEREUNDER. I
i~hereas, the CITY OF CAMPBELL , State of
ra 1 i forni a, and DAN KING, RICHARD SCARLOTTA
(hereinafter desiqnated as "principal") have entered into an agreement
whereby princinal agrees to install and comDlete certain designated public
imDrovements, which said agreement, dated S79-28 , 19 , and i
i ctenti fi ed as Pub 1 i c Imnrovement Proceedi ng No. , (common ly referted
to as , )
is hereby referred to and made a pa rt hereof; and I
,
Whereas, under the terms of said agreement, principal is required beforf
enteri~g unon the nerformance of the work, to file a good and sufficient pay~ent
bond Wl th the CITY. to secure the claims to which referen~e
is made in Title 15 (commencinq with Section 3082) of Part 4 of Division 3 of
thp rivil Code of the State of California. j
Now, therefore, said nrincipal and the underSigned as cornorate surety,1
are held firmly bound unto the CITY and all contractors, I
subcontractors, laborers, materialmen and other nersons emolQyed in the i
nerformance of the aforesaid agreement a~d referred to in the aforesaid Codel
of rivil Procedure in the sum of SIX THOUSAND AND NO/100------------i
-------------dollars ($ 6,000.00--1, for materials furnished or labor I
thereon of any kind, or for amounts due under the llnemnloyment Insurance Act!
with r~snect to such work or lab6r, that said sure~y will pay the same in ani
amount not exceedinq the amount hereihabove set forth, and also in case suiti
is hrought unon this bond, will pay, in addition to the face amount thereo~,1
costs and reasonable expenses and fees, including reasonable attorney's feesl
incurred by CITY in successfully enforcing such obligation, to be i
awarded and fixed by the court, and to be taxed as costs and to be included 1n
the judgment therein rendered.
It is hereby exnresslv stipulated and agreed that this bond shall inure to
the benefit of any and all persons, companies and corporations entitled to f le
claims under Title 15 (commencing with Section 3082) of Part 4 of Division 3 of
the'Civi1 Code, so as to give a riqht of action to them or their assi~ns in fny
suit brou0ht unon this hondo :
I
Should the condition of this bond be fully nerformed, then this obligation
sha 11 become nu 11 and voi d, othervli se it sha 11 be and remai n in full force a~d
effect. I
j
The surety here~v stinulates and agrees that no change, extension of time,
alteration or addition to the terns of said aqreement or thp. nlans and
snec'ifi cati ons accomnanyi no tre same s ha 11 in any manner affect its ob 1 i gati ons
on this bond, and it does herehy waive notice of any such change, extension,:
alteration or addition.
In witness whereof, this instrument has been duly executed by the orincipal
and surety above named, on FEBRUARY 25, 1980
...~i~~
BY:
G. F. GERBIN ,
ATTORNEY-IN-FACT
IDEMNITY COMPANY OF CALIFORNIA
Administrative Offices: 820 North Parton Stretll
SANTA ANA, CALIFORNIA 92701
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that Indemnity Company of California, does hereby make, constitJ,te and
appoint G. F. Gerbing, Jr.,1
N~
253
its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver for and on its behalf as surety, and all b~nds or
undertakings but not to exceed One Hundred Sixty-Two Thousand Dollars ($162,000) anyone bond or undertaking if e~ecuted
before June 30, 1980. i
and to bind INDEMNITY COMPANY OF CALIFORNIA thereby and all of the acts of said Attorney(s)-In-Fact, pur~< ant to
these presents, are hereby ratified and confirmed. This Power of Attorney Is granted and Is signed and sealed by f sclmlle
under and by the authority of the following Resolution adopted by the Board of Directors of INDEMNITY COMP NY OF
CALIFORNIA at a meeting duly called and held on the 16th day of August, 1976. '
"RESOLVED, that the Chairman of the Board, the President, any Vice President of the Company, be, and that each or anY~f them
hereby Is authorized to exec,ute Powers of Attorney qualifying the attorney named In the given Power of Attorney to execute In half of
IMDENMITY COMPANY OF CALIFORNIA, bonds, undertakings and all contracts of suretyship; and that any Secretary or any sslstant
Secretary be, and that each or any of them hereby Is, authorized to attest the execution of any such Power of Attorney, and t attach
thereto the seal of the Company. '
"FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such power~f Attor-
ney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile sign ures or
facsimile seal shall be valid and binding upon the Company when so affixed and In the future with respect to any bond, undert king or
contract of suretyship to which It Is attached." <
In Witness Whereof, INDEMNITY COMPANY OF CALIFORNIA has caused its official seal to be hereunto afflx~d, and
these presents to be signed by Its President or by one of its Vice Presidents and attested by Its Secretary or by on~ of Its
Assistant Secretaries this 16th Day of August, 1976. I
INDEMNITY COMPANY OF CALIFORNIA
AIT~lJ~'~ ~~7S
~J-,0-~0
Jerome J. Sweeney
Secretary
By
J.F. Bowley
P~88id8rrt
!
,
STATE OF CALIFORNIA
(~;;:[J):i~
COUNTY OF LOS ANGELES
I
On this 12th Day of April, 1979, personally came before me, J.F. Bowley, President, and Jerome J. sweeney,!secre-
tary, to me known to be the individuals and officers of INDEMNITY COMPANY OF CALIFORNIA, who executed the above
Instrument, and they each acknowledge the execution of the same, and being by me duly sworn, did severally depo e and
say: that they are the said officers of the corporation aforesaid, and that the seal affixed to the above Instrument lis the
seal of the corporation, and that said corporate seal and their signatures as such officers were duly affixed and sUb~crlbed
to the said instrument by the authority of the board of directors of said corporation. I
OFFICIAL SEAL
DOROTHY THOMAS
NOTARY PUBLIC. CALIFORNIA
PRINCIPAL OFFICE IN
ORANGE COUNTY
MY COMMISSION EXPIRES JUNE 11. 1982
~
Notary Public
Dorothy Thomas
~~~~.....~'".......
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES
CERTIFICATE
I, the undersigned, assistant secretary of INDEMNITY COMPANY OF CALIFORNIA, DO HEREBY CERTIFY th,t the
foregoing and attached Power of Attorney remains In full force and has not been revoked; and furthermore, that th~ pro-
visions of the Resolutions of the Executive Committee of the Board of Directors set forth In the Power of Attorney, ar~ now
In force. '
ICC-2 (6/79)
({~fJ;!~,})
25thdayof FEBRUARY ,1980,
~"/
/ /,
rj,;J! /l-1 . 7 l,kL"
Signed and sealed in the City of Santa Ana, California, this
Karl A. Reardon Assistant Stcretary
STATE OF CALIFORNIA t SJ.
COUNTY OF SANTA CLARA
February 26, 198 '
On uu............m,,,..,,,,"."m.......m '"'' before me, the undersigned, a Notary Public in and for said County and St~te, personally
~ppeared ..u,S,t,~Pbenu..I,:rL,I>.e,~e.~,......,......m..u.................m......,..,m,kno'Wn to me to be the person 'Whose name is subscribe1 to the 'Within
Instrument as 'WItness thereto, 'Who, being by me duly s'Worn, deposed and said: That ,hem, resides in ,..,s.,~p.t.~....GJ,a,:r:',C3..+G()tl:rl,:t::y..;
that" be.. 'Was present and sa'W.........'p,~J}u,J<JJ)g,....~,J}g..,R~c;::hcp:.gm,$C;::,c:l..:r:).,9:t:,1;:~..u, ....m..'..'m...m
, him.
...............'m'.... m..m..'U..m mpersonally known ~o ......"..,...0 be
the personS.m. described In and 'Who executed the 'Within instrument as partJe,Sthereto, sign, seal an.d deliver the s1me; that said
part.i,eS. acknowledged to said affiant that ..theYxecuted the same; and that said affiant subscribed mh,:L'~m name therett as a witnns.
WITNESS
WITNESS ACKNbWLEDGMENT
VTC,I28
o
'"
i' ~ NOTARY PUBLIC, CALIFORNIA
',~j PRINCIPAL OFFICE IN THE
~'!i*'. COUNTY OF SANTA CLARA
My Commission Expires May 23, 1980
\~....ocr..r.r~",;,:;,::",::,~::"::;r'.......w..'Q::J
OFFICIAL SEAL
I!l JOHN W. CLARK
STATE OF CALIFORNIA
COUNTY OF SAN MATEO } ss:
On this ti~ day of FF.RRlTARY 19 ,before me
Ga . Ihgguu:i , a Notary Public in a d for the said
County of SAN MATEO State of CA LTFORNT A , residing therein, duly commissio ed and sworn,
personally appeared G. F. GERBING, JR. known to me to be the Atto ney-in-Fact of
INDEMNITY COMPANY of CALIFORNIA the corporation that executed the within instrument, and acknowledged to e that he sub-
scribed the name of INDEMNITY COMPANY of CALIFORNIA thereto and his own name as Attorney-in-Fact.
Notary Public in and for the County of
, State of
b~j/ ;J?
/
~AN MA'T'F.()
r.AT,TFORNT A
/~~
~ u
:P~;~;;~~~:~~,t~~h:':ri'J'~'<;)~~'re'z ' before me, the undersigned, a Notary Public in and for said County and St fe, personally
. . ___h...mo.__........__....______. m______."_m_h.._._ ._ __known to me to be the person whose name is subscribe h ..
Instruh~ as wItness thereto, who, being by me 1uly sworn, depos,ed and wid: That ..he... resides in ,..,Sant,a..,c.la.ra ~"o~~~'thln
that.......... was present and saw ..........p.,~,p...J<:;1,,~ghhg,n.qhhR.J,.,Gh,a,rg...,Sc,g..r.l,Q.t:ta.. .., .. y,
STATE OF CALIFORNIA
COUNTY OF SANTA CLARA
_u__________ ________
...un_______.________ ___._____
the Pfrson, S , described In and who executed the 'Within..............,....... .......; ........................................ ...personally known t ,him to be
art J.es ' . instrument as part..J"J~Sthereto, sign, seal and deliver the sa, e; that said
P acknowledged to sazd affIant that t,h~y executed the same; and that said affiant suhscrl'hed h. is .
.... name thereto' as a witne.<s.
WITNESS my hand
WITNESS ACKNqWLEDGMENT
VrCI28
OFFICIAL SEAL
JOHN W. CLARK
o NOTARY PUBLIC - CALIFORNIA
PRINCIPAL OFFICE IN THE
COUNTY OF SANTA CLARA
My Commission E,pi.es May 23, 1980 ~
<OC~
STATE OF
COUNTY OF
On this
CALIFORNIA
SAN MATEO } ss:
') Srn day of li'EBRT1ABY 1~, before me
l.2a1 i ,.1... .ti1ggUU~ , a Notary Public in and for the said
County of SAN MATEO State of 9~ T.TFORNT A ,residing therein, duly commissiortled and sworn,
personally appeared G. f. GERBiNG, ' known to me to be the Attorney-in-Fact of
INDEMNITY COMPANY of CALIFORNIA the corporation that executed the within instrument, and acknowledged to me that he sub-
scribed the name of INDEMNITY COMPANY of CALI FORNIA thereto and his own name as Attorney-in-Fact.
Notary Public in and for the County of SAN M..I\_TEO
ha ~ Stat< of CALI1'ORN~
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