96-108
mY OF CAMPBElL
DEPT. OP PUBUC WOIUCS
'70 North FiIIt St.
CmapbeD, CA 9SOlB
(408) ~2150
ENCR.OAawEN1' rBRMIT
(for workiDa witbia tile
pubIk~ riIfJ~1'6 J
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APPUCAnON - ~ II henby ... for. Public Worb Penait ia 8CllOIdaace with CampbcD MuaicipaI Code, Sec:daD tUN. (Appll.....'11 ap...
ia 6 IDClIIItba if tile paIDit II DOt iIIued).
A. WOJtaddnllortnlCt# MOrel.- 0 rZ40 CM1)::AJ Ave, CMPI!JBt.L I CA. ~
Utilitytlellcb Iocatiaa 1~f2-l&A1/tN 1(11 I34ef:- oF WALK !
B. Nature of wort LAN06CA'PE ({ENt)''' RtN. /vVO 1 f1PP0v~ /,J)i ML 9 51'. -j,.e6&Jl
AN1 tU.MOv~ /)JfI54<:.~() -rM:;:t~. ' c:
C. AttIIcb lour (4) copieI 01.. ....... drMriDa IbowiDa the Iocadaa. ....t _ dip""" 01 the wort. Tbe drMriDa IballIboIr die reIatioa of tile g
1b......-d wort to ClliIIiq IlIIfIa _ 1IDlkta-u4 ~...-as. WIleD 8JlPIO'II'Od by die Qty &,iaccr, laid cInIwiDa becameI . part 01 tbiI permit.
D. .AD wort IbaII coafonIlto die Cty'1 Geacral Ccadi.... StaadaJd 0IaItnJcti0Il PruviIic.. _ StaadaJd ea.tructioD DetaliI for Public WOIb t
CoaImx:tica; tile GcDe1lII Permit Coaditioaa IlIted 011 tile nlVUIe aide; _ tile Special PruviIic.. for tU permit, IlIted below. Paibue to abide by ~
tbeIc eoaditioaI _ pnMIioaa may -.It iD job Ibut'" _lor forfeiture of PaitIaful PafOllDaDCle Suretia _ c:aIb dcpoIitL (See Geaen! l""
Permit Ccaditioalt _ 2.) ~
E. A DOIU'efuaclable appIicatioll fee IDUIt .. >("0 "'11-111 tbia appIicatioIl. ~
Name of AppIicaDJ:lA:1f6~ LJ.IJ~ 1 I NL · T~ (sJ6)fo51-41cx)
Mdrca,..jSq45 WN'<M 6P!<W65 E?1i-VoL P!2.2!1ovJ7; CA.-. 94539
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Is thiI wort beiD& doac by tile JIftlIlCrtY 0WIlC1' at tbeir on Jaidcace?
to:
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Complete ad attach WO!kcrI' Compeaatioa _ CoDtnIdor Iafonaatioa forma.
Tbe AppIicaDt/Pcrmittee hereby...... by lIfIixIq their lIipatule to tbia permit to bold die Qty ol CampbcU, ita oftice.., ....tI aDd empIoJeeI free, aafc
_ bum1.. f!om any claim or dcIDIDd for damIpa -.JtiD& fJom die wort comed by tbiI permit.
tbat tbcy bave IUd _ uadclltaDd both the froat aad '*k of thiI permit, aad tbcy wiD inform their
~~ NJrrouAL LNJ~ t/ltt!1b
(Applicaat (Pamittee) print/lip
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Acceptett
Dete
NC>'Im: AU. WORK SHAlL CONFORM wrm 1HE A'ITACIED, APPROVED PLANS AND AU. APPUCABLB CAMPBEU.. SI'ANDARD
DRAWINGS AND CONDmONS.
1HE CONTRACI'OR MUSI' HAVE 1HIS PERMIT AND APPROVED PlANS AT 1HE SITE AND MUSI' NO'IlPY 1HE PUBUC WORKS
DEPARTMENI' AT LEASr TWO DAYS BEFORE SI'AR.TING WOK
NonCE MUSI' BB GIVEN TO PUBUC WORKS AT LBASI' 24 HOURS BEFORE RBSI'AR.TING ANY WOK
SPBaAL PROVISIONS
SI'ANDARD
AMOUNl'
RFrRJ1IT NO.
901(06
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Sheet IbaII DOt be opea cut for UDCIcJp'ouDd .....lIItioa1 MiDiaauaa CUtI tuy be allowed for ~ or CIpIoratioll bola. Such cutl mUll
be IIIeCific:aUv 8DDrDIIed bv the IDmertor mior to cuttill2..
hv=eDt tuy be cut for UDdcrp'OuDd ~1"tioaI _ mUll be JatOftd iD 8CILlDIduce with tile Utility Treuch RatoratioG StaadanI I>nnriDg.
Wort to be Itabd by . IiceIIIed Laad Surve,or or CMlIlDpleer aad two (2) copieI of tile cut __tlleDt to tile Public WOIb Dcputmcnt
before Itartiaa wort. .. .
~~~('Ni!LJ 1'tta fJiANTrJ&. AN(j /#.J{A TJG~ AsrM/"~. l..Ad(; WrlUM:. ~qu./~{1l'j Av ~dvJ
_2.
_3.
L4.
PERMIT APPUCAnON FEB
PLAN alECK DEPOSIT
SURm'Y FOR PADHPUL PERFORMANCE
CASH DBPOSlI'
PU\N alECK a. 1NSPBCl10N FEB
Next S30,000.$80,000 t~ AmouDt
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APPROVED FOR ISSUANCE
.:2..),~9,
Date
* *
h:PW PBRMITjRev.4/94
USA phone (800) 642-2444
F ,)to U'a:':'
(ac otbcr aide)
"
TICKET NO.
* :.:.-
:;: Jf' ,CJ
City of Campbell - Check Request
To: Accounts Receivable
Please Issue Check
Payable to: National Landscapes, Inc.
Address - Line I:
Line 2: 45945 Warm Springs Blvd.
City: Fremont State: CA Zip: 94539
Finance Only:
Description: REFUNDABLE DEPOSIT INTEREST EARNED
Amount Payable: $500.00
Account Number: 101.2203 101.540.7448
Date and Receipt No: 1/22/96 *90399
Pennit No: Qfi-1OR
Purpose: Refund Cash Deposit
Requested by: Randy WestfalL Title:PW Inspector Date~/11/96
Approved by: ~I 11 . TillePity Engineer Date:3fl.2.. jq It
c ~e e Q ll-Lulu:::::t
FINANCE ONLY:
Verified by: Title: Date:
Approved by: Title: Date:
Special Instructions For Handling Check
Mail As Is: XX Mail in Attached Envelope:
Return To:
(NAME) (Department)
Other:
.
. ./
rev: 3/25/95
TO: City Clerk
PUBLIC WORKS DEPARTMENT RECEIPT
Effective July 1, 1995
PUBLIC WORKS FILE NO. 9b- }(JX'
/Jt:;.J ~k.
PROPERTY ADDRESS
. Please .&....for the ,unuyvn'\I monies:
...,'" "'..,,, A ,:.".( Proiect RAVAnllA (soeci~v oroiect)
ENCROACHMENT PERMIT
472 Application Fee
Non-Utility Encroachment Permit ($225)
R-1 First Permit (No Fee) SubseQuent Permit/Yr ($100)
Utility Encroachment Permit
Arterial/Collector Street
Residential Street/Other Areas
Plan Check DeDosit
Faithful Performance Surety (FPS)
Monumentation Surety
Cash DeDosit
Labor and Material Surety
Plan Check & Inspection Fee (Non-Utility)
Engr.Est. < $250,000
Enor.Est. > $250,000
Utilitv < $100 000
Conduits/Pipelines up to 500 Feet ($1 . 60/ft.)
Above 500 Feet ($1.10/ft.)
ManholesNaults/Etc. ($105/ea)
Pole Set/Removal ($105/ea)
Minimum Charge Per Location ($120)
Street Tree Plantino/Removal ($ 1 05/tree)
Utilitv> $100,000 (DeDosit 15% of ENGR. EST.)"
Proiect Plans & SDecifications Project No.
Standard SDecifications & Details ($l/P" $12/Book)
CODies of Enoineerino MaDS & Plans ($.50/sQ.ft.)
Penalties: Failure to restore Dublic imDrovements ($100/Calendar Dav)
(Muni Code Section 11.34.010)
472 Penalties: Failure to correct unsafe conditions ($1 OO/Calendar Dav)
LAND DEVELOPMENT
4722 Lot Line Adiustment
472 Parcel MaD (4 Lots or Less)
472 Final Tract MaD (5 or More Lots)
472 Certificate of ComDliance
472 Certificate of Correction
472 Vacation of Public Streets & Easements
472 Assessment Segregation or Reapportionment
First Split
Each Additional Lot
472 Storm Drainage Area Fee Per Acre
492C
4961'
TRAFFIC
472
472
472
472
472
427
472
OTHER
220
220
220
220
220
($325)
($225)
($500)
(100% of ENGR.EST.)
(100% of ENGR.EST.)
(4% of FPS)($500 min.)
(100% of ENGR. EST.)
472
220
472
(12% of ENGR. EST.)
(Denosit 15% of ENGR. EST.)"
220
476
476
476
472
($500)
($1,060 + $25/Lot)
($1 380 + $25/Lot)
($400)
($300)
($550)
($550)
($170)
(R-1, $2,000)
(Multi-Res, $2,250)
(All Other, $2,500)
Parkland Dedication Fee (75%/25% Due Unon Cert. of OccuDancv)
Postane
Intersection Turn Counts (Two-Hour Count) ($60)
Intersection Turn Counts (a.m. or n.m. Deaks) ($125)
Traffic Flow MaD (Dailv Traffic Volumes) ($27)
Camobell Traffic Model (Full Scone Assessment) ($2250)
Camohell Traffic Model (Reduced ScoDe Assessrr($740)
Truck Permits ($35/triD)
No Parkino Sions ($l/each or $25/100)
TOTAL
NAME OF APPLICANT
NAr\t>~It:..\ ~ \ ING.
NAME OF PA VOR ~e- A~ U:f)JJ:
4/'711.5" WARM .Pf2/Nb5 8vJD. F~ CA.
ADDRESS
.
,.2 j, ~J 6 6
4;60 (){')
9017']
~ 3~. 00
.
$ / ()(..J () b
PHONE .~o~b51-4/OO
945'31
ZIP
.. Actual Cost Plus 20% Overhead (NDn-lnterest bearino deDDsitl
:':'CLERJ< _m___~ .... . ........
ONLY . r..~ l- 0 3qq. .' 'Y\f
- ..... .. \./ .. ( r L............ . ~
I' .' . . . . . . . . . . . Date/Initials I
h:\recfrm3.wk3(mp)rev.1/9/96
c!f-?,<I,I~ ~~-;~~_
RECEIVE))
J~M 2 2199&
C\1'{ CLERK'S OFF\CE
BOND 11U2152558
'ND FOR FAITHFUL PERFORM 'eE PREMIUM: $100.00. .
~/I /~.~) /'~~ / ~)i2;)./~
(" ~. I \\.....hl
We, the undersigned NATIONAL LANDSCAPES, INC. , (hereinafter
"Contractor") and UNITED PACIFIC INSUW~X~ . a corporation organized under the laws of the State of
PENNSYL VANIA , and au'(fibnze to transact business in the State of California, as Surety, are
obligated to the City of Campbell, (hereinafter "City") a municipal corporation under the laws of the State of California,
in the sum of TWO THOUSAND EIGHT HUNDRED AND NO/lOOS---- Dollars ($ 2.800.00 )
for the payment of which sum we obligate ourselves and our successors and assigns, jointly and severally by the
following provisions:
~
Ie)
\r--
The condition of this obligation is:
Because the obligated Contractor has, on
Contract with the City for the Project entit H -# q" -10
attached and made a part of this bond, ti construction of Project.
. 19_. entered into written
, a copy of which is
Now, therefore, if the Contractor shall faithfully perform the work in accor ce WI e plans, specifications
and co!'!ttact documents tiuring the original t.erm. and any extensions of the contract which may be granted by the City,
with or without notice to the surety, and if it shall satisfy all claims and demands incurred under the contract, and shall
fully indemnify and save harmless the City from all costs and damages which it may suffer by reason of failure to do
so, and shall reimburse and repay the City all outlay and expense which the City may incur in making any default, then
this obligation shall be void; otherwise to remain in full force and effect.
If any legal action be tiled upon this bond, it shall be filed within one year after final payment has been made
under the Contract excluding the warranty period, if any, provided for in the Contract, and venue shall lie in the County
of Santa Clara, State of California, and that surety, for value received stipulates and agrees that no change, extension
of time, alteration or addition to the terms of the Contract or to the work to be performed under it or the specifications
accompanying it shall in any way affect its obligation on this bond, and it does by this means waive notice of any change,
extension of time, alteration or addition to the terms of the Contract or to the work or to the specifications, and thereby
waives the provisions of Section 2819 of the Civil Code of the State of California.
In witness, contractor and surety have executed this agreement as of JANUARY 31
,19~.
h:forms\bonds.frm(mp)
Title Yf2.f.S-ruU'\-r-
(Surety) UNITED PACIFIC INSURANCE COMPANY
~if.~'O~~~ACT
Address of Surety: 580 CALIFORNIA STREET, #1300
SAN FRANCISCO, CA 94104
(Attach Acknowledgements)
Surety's Bond Number U2152558
(Both Principal's and
Surety's Attorney in Fact)
(Accompany this bond with Attomey-in-fact's
authority from Surety to execute the bond,
certified to include the date of the bond.)
CALIFORNIA ALL.PURPC. ..:. ACKNOWLEDGMENT No. 5907
r.~-=<>~~~<~~~
. County of SANTA CIARA . ~
On JANUARY 31, 1996
DATE
before me,
JEAN L NEU, NOTARY PUBUC
NAME, TITLE OF OFFICER. E.G.. "JANE DOE. NOTARY PUBLIC"
Zrson lIy appeared JODY A JOHNSON ,
NAME(S) OF SIGNER(S)
personally known to me - OR - 0 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 ac-
knowledged 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.
~:~_:cr..JL.X.I":. ~"1f"l'~"'7"'''''''''''''''W''''''''''V'''''"''''''''.''''''8
"~"':';"")., JEAN L NEU
...:. 1':/::::-::"';;":" . CJ)
OI/'J1..J~~"~': COMM. #101Q866
.~\.t.o/ i"l ;1: f,,)rARY ?l.~!.!S.t:ALtC:ORNiA s:
VJ '\;.~ ~ . SANTA CLARA COUNTY 0
tJ..:,,~2-' My Camln. Expires Dec. 5.1997 i
r\ .~'.a'J"'1'".& I"X.~X...... ...A............................................
nd official seal.
~
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent
fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER
o INDIVIDUAL
o CORPORATE OFFICER
DESCRIPTION OF ATTACHED DOCUMENT
TITLE OR TYPE OF DOCUMENT
T1TLE(S)
o PARTNER(S)
o LIMITED
o GENERAL
o ATTORNEY-IN-FACT
o TRUSTEE(S)
o GUARDIANlCONSERV ATOR
o OTHER:
NUMBER OF PAGES
DATE OF DOCUMENT
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES)
SIGNER(S) OTHER THAN NAMED ABOVE
C1993 NATIONAL NOTARY ASSOCIATION' 8236 Remmel Ave.. P.O. Box 7184. Canoga Park. CA 91309-7184
T~-_.-
~~m;~i!,'W~~ 1 ~: -1 ;;"', ''l -fa,
RELlANC~ SURETY COMPANY
UNITED PACIFIC INSURANCE COMPANY
-, ,,---c,-.. .,....~---"'_. , . t;l -~.. ~ ~
~ .'.,_11 _" 1'-;.'" ..,_.".~,' '__.~ '_'.~i~,lli.'.';'\'.'~ ..i1:-j.',4..'.-....,...~:'..~ -".,,~.'4'.m~~..
_....__......--........-._.~_. - '....lmLIANc~INSURANcE"c. .
RELIANCE NATIONAL INDEMNITY COMPANY
ADMINISTRATIVE OFFICE. PHILADELPHIA. PENNSYLVANIA
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS. that RELIANCE SURETY COMPANY is a corporation duly organized under the laws of the State of Del-
aware. and that RELIANCE INSURANCE COMPANY and UNITED PACIFIC INSURANCE COMPANY. are corporations duly organized under the laws
of the Commonwealth of Pennsylvania and that RELIANCE NATIONAL INDEMNITY COMPANY is a corporation duly organized under the laws of
the State of Wisconsin (herein collectively called "the Companies") and that the Companies by virtue of signature and seals do hereby make.
constitute and appoint Jody A. Johnson, of San Jose, California their true and lawful Attorney(s)-in-Fact. to make. execute. seal and deliver for
and on their behalf, and as their act and deed any and all bonds and undertakings of suretyship and to bind the Companies thereby as fully and to
the same extent as if such bonds and undertakings and other writings obligatory in the nature thereof were signed by an Executive Officer of the
Companies and sealed and attested by one other of such officers. and hereby ratifies and confirms all that their said Attorney(sl-in-Fact may do in
pursuance hereof.
This Power of Attorney is granted under and by the authority of Article VII of the By-Laws of RELIANCE SURETY COMPANY.
RELIANCE INSURANCE COMPANY. UNITED PACIFIC INSURANCE COMPANY. and RELIANCE NATIONAL INDEMNITY COMPANY which
provisions are now in full force and effect, reading as follows:
ARTICLE VII- EXECUTION OF BONOS AND UNDERTAKINGS
1. The Board of Directors. the President. the Chairman of the Board. any Senior Vice President. any Vice President or Assistant Vice President or other officer designated by the Board of
Directors shall have power and authority to la) appoint AttorneylsHn-Fact and to authorize them to execute on behalf of the Company, bonds and undertakings. recognizances. contracts of indemnity
and other writings obligatory in the nature thereof. and lb) to remove eny such AttorneylsHn-Fact at any time and revoke the power and authority given to them,
2. AttorneylsHn-Fact shall have power and authority, subject to the terms and limitations of the Power of Attorney issued to them, to execute deliver on behalf of the Company, bonds
and undertakings. recognizances, contracts of indemnity and other writings obligatory in the nature thereof. The corporate seal is not necessary lor the validity 01 any bonds and undertakings,
recognizances. contracts of indemnity and other writings obligatory in the nature thereof.
3. AttOrney(s)-in-Fact shall have power and authority to execute affidavits required to be attached to bonds. recognizances. contracts of indemnity or other conditional or obligatory
undertakings and they shall also have power and authority to certify the financial statement of the Company and to copies of the By-laws of the Company or any article or section thereof.
This Power of Attorney is signed and sealed by facsimile under and by authority of the lollowing resolution adopted by the Executive and Finance Committees of the Boards of Directors of Reliance
Insurance Company. United Pacific Insurance Company and Reliance National Indemnity Company by Unanimous Consent dated as of February 2B. 1994 and by the Executive and Financial
Committee of the Board of Directors of Reliance Surety Company by Unanimous Consent dated as of March 31. 1994,
-Resolved that the signatures of such directors and officers and the seel of the Company may be affixed to any such Power of Attorney or any certificates relating thereto by
facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such Power so
executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company. in the future with respect to any bond or undertaking to which it is
attached, -
IN WITNESS WHEREOF, the Companies have caused these presents to be signed and their corporate seals to be hereto affixed. this November 14.
1995.
RELIANCE SURETY COMPANY
RELIANCE INSURANCE COMPANY
UNITED PACIFIC INSURANCE COMPANY
RELIANCE NATIONAL INDEMNITY COMPANY
~ d-I, 4/~
STATE OF Washington }
COUNTY OF King } ss.
On this. November 14. 1995. before me, Janet Blankley, personally appeared Lawrence W. Carlstrom. who acknowledged himself to be the
Senior Vice President of the Reliance Surety Company, and the Vice President of Re!isnca Insurance Company, United Pacific Insurance Company.
and Reliance National Indemnity Company and that as such. being authorized to do so. executed the foregoing instrument for the purpose therein
contained by signing the name of the corporation by himself as its d ' ed officer.
:\0
In witness whereof, I hereunto set my hand and official seal. ~ t~
NOT~ ... ~
~ ~C "'"
~ 12-2M7 ~.
?I f)iWA':.-r.\~
I. Robyn Layng. Assistant Secretary of RELIANCE SURETY COMPANY, RELIANCE INSURANCE COMPANY, UNITED PACIFIC INSURANCE COMP-
ANY. and RELIANCE NATIONAL INDEMNITY COMPANY do hereby certify that the above and foregoing is a true and correct copy of the power
of Attorney executed by said Companies. which is still in full force and effect.
IN WITNESS WHEREOF. I have hereunto set my hand and affixed the seals of said Companies this 31stdayof January 1922-
7~
Assistant Secretary
9G,? -lOb
................................
"" ACORD
.. 1M
CA
94070
DATE (MMIDDIYY)
7/1/97
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.
COMPANIES AFFORDING COVERAGE
COM;ANY AMERICAN STATES INSURANCE
PRODUCER
Professional Insurance Associates, Inc.
Dennis A. McClenahan Insurance Agency
P. O. Box 1266
San Carlos
#04
INSURED
NATIONAL LANDSCAPES, INC.
45945 WARM SPRINGS BLVD.
FREMONT
COMPANY
B
FRONTIER INSURANCE COMPANY
CA
94539
COMCANY CALlFORNI1t.l(fyls'McE
COMPANY CIGNA
D
~ Ul211991
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 I POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR! DATE (MMIDDIYY) DATE (MMlDDIYY)
GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS - COM PlOP AGG $
B CLAIMS MADE ~ OCCUR GLS 25049 9/27/96 9/27/97 PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT ' EACH OCCURRENCE $
FIRE DAMAGE (Anyone lire) $
MED EXP (Anyone person) $
FxrMO"", ""'~
COMBINED SINGLE LIMIT $ 1 ,000,000
ANY AUTO
X ALL OWNED AUTOS BODILY INJURY
A I~ eo",o",,, '"'0' 01-CE-110377-1 9/27/96 9/27/97 (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 I EACH OCCURRENCE
D X UMBRELLA FORM XU< G18847267 9/27/96 9/27/97 1,000,000
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
C THE PROPRIETORI N 2050338A 7/1/97 7/1/98
INCL EL DISEASE - POLICY LIMIT
PARTNERSIEXECUTIVE
OFFICERS ARE: EXCL
OTHER
MOTEL 6 #1310
PARKING STRIP PLANTING
CER IFICATE HOLDER a d LIST BELOW ARE NAMED AS ADDITIONAL INSURED
CITY OF CAMPBELL
AND THEIR OFFICERS, DIRECTORS,
AGENTS AND EMPLOYEES
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS
:QgR~'t~Ajjl:]llt.t.U~il:::\::J::::::' .:':::. ." """.
CITY OF CAMPBELL
DEPARTMENT OF PUBLIC WORKS
70 NORTH FIRST STREET
CAMPBELL
10 DAY NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM
"""",;,;,::::;;\\\\"";';"';';';"';';';';';"":""""""":"""""""."""""""""",,.,:';""""':"'bj;NbE~ptT..:'" .. .....:.N"":"';"';""""'::'::...""":::.,.,..;';';:::::::::,':,:,;:;:'::::;:,:.:...........""'r::'..",':'.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
~OIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
CA 95008
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KLND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZV'lfPRESENTATI~E , ~ ./
~ L ~~.~~~~
...............................1...........
::l.o.o.Ale:(,1111,':11
:.:.:.;.:.:.;.:.:.:.:.:.:.
......,...:.;.:.:.:.:.:.:.:.:
~~ ~~~~ ~~~ ~~ ~~ ~~~~~~~~
:::::IfI.::~Ril~:Ri"'l~tj:::j:.J
.:.:.:.:.:.:.:.:.:.
.......:.:.:':':.:.:.:.:
...
:':':':':.:.:.:.:.:.:.
:.:.:.:.:.:.:
........
...........
...................
...................................
.............'.............'..............
......................
:;:;:;:;:;:;:.:;;;:;:;:;:;:.:.
;:;:;:;:;
A CORD....;..:IMI:.I:~::I:::I:: ,........:If.\:.:..:P!M...J:II{...liiil.iii!f....:. ......... ..............:...:.....:...: DATEg(/M2M7/D/DgN6Y)
T.N!irl!;g':f]5i..::,gf]Ii'II'N'Ji!n:.'>.~t;;;
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.
COMPANIES AFFORDING COVERAGE
PRODUCER
Profe,,:<;,.:mallnsurance Associates, Inc.
Dennis A. McClenahan Insurance Agency
P. O. Box 1266
San Carlos
#04
CA
94070
COMPANY
A AMERICAN STATES INSURANCE
.:c. ~.
INSURED
COMPANY
B
FRONTIER INSURANCE COMPANY
.,.-n."
~,:;;
...
COMPANY
C
CAL COMP INSURANCE
oc? 2 ... .---
4 ~99EL
NATIONAL LANDSCAPES, INC.
45945 WARM SPRINGS BLVD.
FREMONT
CA
94539
COMPANY
D
CIGNA
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
LTfl
POLICY EFFECTIVE
DATE (MMIDDNY)
POLICY EXPIRATION
DATE (MM/DDNY)
LIMITS
TYPE OF INSURANCE
POLICY NUMBER
B
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
--. - --
CLAIMS MADE X OCCUR
OWNER S & CONTRACTORS PROT
GENERAL AGGREGATE
PRODUCTS. COMP/OP AGG S
-_..~._--_._-------_.~. -------
9/27/96
9/27/97
PERSONAL & ADV INJURY S
~------~----_.. - -~---_._-- ---
GLS 25049
EACH OCCURRENCE S
--,' --------...--
!,1f'iE DAM~EJ~y."ne 1"8(
MED EXP IAny one person)
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
A
-X
X
X
X
X
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY
(Per person(
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
01-CE-1110377-02
9/27/96
9/27/97
BODILY INJURY
(Per aCCident)
PROPERTY DAMAGE
GARAGE LIABILITY
AUTO ONL Y . EA ACCIDENT S
----'-.--.,--------
ANY AUTO
OTHER THAN AUTO ONL Y
EACH ACCIDENT S
AGGREGATE S
EXCESS LIABILITY
o . X UMBRELLA FOR~'
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
9/27/97
9/27/96
XLX G18847267
AGGREGATE
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC STATU. OTH.:
~BY.LlMlI.S...- ER .
EL EACH ACCIDENT S
EL DISEASE. POLICY LIMIT
EL DISEASE. EA EMPLOYEE S
c
WP96 710 8977
7/1/96
7/1/97
THE PROPRIETOR
PARTNERS/EXECUTIVE
OFFICERS ARE
OTHER
INCL
EXCL
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
MOTEL 6 #1310
PARKING STRIP PLANTING
Clio-JOB
1,000,000
o
o
o
_.1
--.1
1,000000
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~9_u DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
............................~,..~~~~m8::j...
CITY OF CAMPBELL
DEPARTMENT OF PUBLIC WORKS
70 NORTH FIRST STREET
CAMPBELL CA
95008
.QQftQ~(jijji............
THIS ENOOHSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY.
POLICY CHANGES
Policy Chanl'P
Number
-'Jll(Y NI IMBffl
PUUCY CHANGES
[ffreTIVE
COMPANY
GLS 25049
9-27-96
PRONTIER INSURA.NCE COfY'iI'ANY
NAMED INSURED
AUTHORIZED REPRESENTATIVE
NATIONAL LANDSCAPES, INC.
COVERAGE PARTS AFFECTED
c; [~r'JEf\!\ L L] 1\ H 1 LJ TY
CHANGES
LN CONSIULi',"i'] UN OF Tlil-:
A,ND AGl\SEIJ dJ~,T THF ATT:
crlPTI0NED ). LTC)' .
;': j IWi C IJ!\ i
, '1 j:: ;: A D I - 1 (
.. ,j) ! T IS Ii i.>: F: B '{J IJD E! \. ; j
/ qh) IS {iDDED TO THE l\IVI,;
IL l20l1185
Copyright. Insurance Services Office. Inc.. 1983
Copyright. ISO Commercial Risk Services. Inc.. 1983
o
I~NDORSEMEN1~
The following spaces preceded h)' an asteriskC*) need not he completed
if this endorsement and the policy have the same inception date.
f
111. TTACHED TO AND FORMING
..
PART OF POLICY NUMBER
GLS 25049
*EFFECTIVE DATE OF
ENDORSEMENT
9/27/96
*'SSUFD TO
NATIONAL LANDSCAPES. INC,
This Endorsement Changes The Policy. Please Read It Carefully.
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS
n-DS ENDORSEMENT MODlHES INSURANCE PROVIDED UNDER THE FOLLOWING
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
NAME OF PERSON OR ORGANIZATION:
CITY OF CAMPBELL
AND THEIR OFFICERS. DIRECTORS,
AGENTS AND EMPLOYEES
ADDITIONAL PREMIUM: NIL
(IF NO ENTRY APPEARS ABOVE, INFORMATION REQUIRED TO COMPLETE THlS ENDORSEMENT Wll..L BE
SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT)
WHO IS AN INSURED (SECTION II) IS AMENDED TO INCLUDE AB AN INSURED THE PERSON OR
ORGANIZA nON SHOWN IN' TI-IE SCHEDUlE, BUT 0Ni. Y WITH RESPECTS TO LIABILITY ARISING OUT OF
"YOUR WORK" FOR TIlAT INSURED BY OR FOR YOU,
THIS INSURANCE IS PRllv1ARY. BUT ONLY AS RESPECTS LIABILITY ARISING FROM A LEGALLY
ENFORCEABLE AGREElvffiNT WITH THE NAMED INSURED AND ONLY FOR LIABILITY ARISING OUT OF
THE NAMED INSURED'S SOLE NEGLIGENCE AND ONLY FOR OCCURRENCES OR COVERAGES NOT
OTHERWISE EXCLUDED IN THE POLICY TO WHICH THIS ENDORSEMENT APPLIES,
IT IS FURTI-IER UNDERSTOOD AND AGREED TIlA T IRRESPECTIVE OF THE NUMBER OF ENTITlES NAMED
AS INSUREDS UNDER TIllS POLlCY. IN NO EVENT SHALL TIffi COMP ANY'S LIMlTS OF LIABILITY EXCEED
THE OCCURRENCE OR AGGREGATE LIlvUTS AS APPLICABLE BY POLICY DEFINlTION OR ENDORSEMENT.
ADI-l(4/96)
OATE (MM/OOIYY)
1/29/96
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.
COMPANIES AFFORDING COVERAGE
. .,........."""........,.. .-, '.'-, ,'-,
A CORaMIf!.ISIFtI~A.
"
;
I
I
i PRODUCER
OFLIABILITV lNSUR. __ _ ~E
Profession8~ Insurance Associates, Inc. #04
Dennis A. McClenahan Insurance Agency
P. O. Box 1266
San Carlos CA
94070
COMPANY
A SEQUOIA INSURANCE COMPANY
INSURED
COMPANY
B CALIFORNIA COMPENSATION INSURANCE COMPANY
RECEIVED
JUl 9.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME[jJ~B-F B;rH~. pOLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUM~nWn ,f>~tlt6> WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREINiS.~1 A(JIE)~THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NATIONAL LANDSCAPES, INC.
45945 WARM SPRINGS BLVD.
FREMONT
COMPANY
C
CA
94539
COMPANY
D
CO
LTR
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DDIYY)
TYPE OF INSURANCE
POLICY NUMBER
LIMITS
i
IA
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR
OWNER'S & CONTRACTOR'S PROT
9/27/96
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone lire) $
MED EXP (Anyone person) $
GENERAL AGGREGATE $
PRODUCTS - COM PlOP AGG $
CPP 300 3439
9/27/95
f------~~TOM~B~~~-;.I~;~;~-----
i
COMBINED SINGLE LIMIT
ANY AUTO
A
X
X ALL OWNED AUTOS
X
X
X
BODILY INJURY
(Per accident)
SCHEDULED AUTOS
9/27/96
BODILY INJURY
(Per person)
BAP 300 3440
9/27/95
HIRED AUTOS
NON-OWNED AUTOS
PROPERTY DAMAGE
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
$
WC STATU- OTH-
TORY LIMITS ER
EL EACH ACCIDENT $
EL DISEASE - POLICY LIMIT $
EL DISEASE - EA EMPLOYEE $
1----
i EXCESS LIABILITY
! A X UMBRELLA FORM
I OTHER THAN UMBRELLA FORM
t------~--------..-------------------
; WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
CC 300 5162
9/27/95
9/27/96
B THE PROPRIETOR/
PARTNERS/EXECUTIVE
:_____.__QFJ:~C.5.RS ARE.._______..
OTHER
WP96 710 8977
7/1/96
7/1/97
INCL
EXCL
DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlSPECIAL ITEMS
; MOTEL 6 #1310
i PARKING STRIP PLANTING
IcsRTtPleAiteHQ~QER
CITY OF CAiv1PBELL
DEPARTMENT OF PUBLIC WORKS
70 NORTH FIRST STREET
CAMPBELL CA
96 -lug
CANCELLATION
2,000,000
2000000
1,000,000
1,000,000
50000
5000
$
1,000,000
$
o
$
o
$
o
o
o
o
1,000,000
1,000.000
1,000,000
1,000,000
1,000,000
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL _..__....!f! TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
95008
au I r-AILUt1.t I U MAIL :tUuM NV 11\,1: ~nALL IMt"'UOI: NU UaLluA'lvN UH LIAtslLl1 T
I
I ACQR025.s (1/95)
AUTHORIZED REPRESENTATIVE
~
^~ AA.V .,.Aln 11""'''1 TUJ: ,..n...."A..IV IT~ ...,.r-.......... """ ...r-......r-~~.............I\/J:~
"c ~c.~~
@ ACORD CORPORA lION 1988
POLICY NUMBER: CPr 300 3439
COMMERCIAL GE~~RAL LIABILITY
THIS ENDORSEMENT EXPIRES ON THE POLICY EXPIRATION: 9/27/96
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.
NAME OF PERSON OR ORGANIZATION:
CITY OF CAMPBELL
AND THEIR OFFICERS, DIRECTORS,
AGENTS AND EMPLOYEES
(If no entry appears above, information required to complete this
endorsement will be shown in the Declarations as applicable to
his endorsement.
WHO IS AN INSURED (SECTION II) is amended to include as an
insured the Person or Organization shown in the Schedule, but
with respect to liability arising our of "your work" for that
Insured by or for you.
Such insurance has is afforded by this endorsement for the
additional insured shall apply a~primary insurance. -', Any other
Insurance maintained by the additfOna'linsureds or its offices
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.
REF:
MOTEL 6 #1310
PARKING STRIP PLANTING
"Subject to the terms and
conditions of the policy"
NAME AND ADDRESS OF INSURED
NATIONAL LANDSCAPES, INC.
45945 WARM SPRINGS BLVD.
FREMONT, CA 94539
ACORQ.
CERTIFICA ..: OF LIABILITVINSURJ.
~CE
professionallnsul,'nce Associates, Inc.
Dennis A. McClenahan Insurance Agency
P. O. Box 1266
San Carlos
~
~
COMPANY t:' ~
COVERAGES D"W'~7,....,l~.t.""";
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABoft.7QR T'tllc~PERIOb
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Wf$j,tl~CT T H THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUlWipkr~LL TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, :Sl'" G"I(
'f'4l' S
LIMITS /Ol\t
PRODUCER
INSURED
NATIONAL LANDSCAPES, INC.
45945 WARM SPRINGS BLVD.
FREMONT
CO
LTR
TYPE OF INSURANCE
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR
OWNER'S & CONTRACTOR'S PROT
AUTOMOBILE LIABILITY
A
X ANY AUTO
X
X
X
X
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
A X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
B
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
#04
DATE (MMlDDNY)
1/29/96
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFO.BRI;,Q~Y Tl:t!=. PQb!~IE$ E3~LQW..
COMPANIES AFFORDING COVERAGE
CA
94070
COMPANY
A SEQUOIA INSURANCE COMPANY
COMPANY
B
CALIFORNIA COMPENSATION INSURANCE COMPANY
CA
COMPANY
C
94539
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMlDDNY) DATE (MMlDDNY)
CPP 300 3439
9/27/95
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
. MEQEX~ (Any Ql'lep'~,!,.Qnl.._$
2,000,000
2,000,000 '
1,000,000
1,000,000
50000
..~,QQq
1,000,000
9/27/96
COMBINED SINGLE LIMIT
$
BAP 300 3440
9J27/95
BODILY INJURY
(Per person)
o
$
9J27 J96
BODILY INJURY
(Per accident)
$
o
PROPERTY DAMAGE
o
o
$
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
CC 300 5162
9/27J95
EACH ACCIDENT $
. .....A.GJ3.~J3A I.I=__..L.
EACH OCCURRENCE $
AGGREGATE $
.L
o
9/27 J96
1,000,000
1,000,000 :
WP9571 08977
WC STATU-
TORY LIMITS
EL EACH ACCIDENT
1,000,000,
1,000,000
1,000,000:
OTH-
ER
7/1J95
7J1J96
$
$
Eh.qISE"'~~ - E-".~Mf'LQYE~ ,$
INCL
EXCL
EL DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONSlLOCATlONSNEHICLESlSPECIAL ITEMS
MOTEL 6 #1310
PARKING STRIP PLANTING
CERTIFICATE HOLDER
CITY OF CAMPBELL
DEPARTMENT OF PUBLIC WORKS
70 NORTH FIRST STREET
CAMPBELL
ACORD25~J1-'9.~J. H
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL "..n"Avn" TO MAIL
30
_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
CA
95008
DII"I" ~Allln:)I: Tn ..IAII ~II"'U a.1r\Tli""C ~UAII II..IDn~~ ..,"'" ^DI .""A"I"I"""'" ,.u~ IIADIII"I"V
COMPANY ITS Ac;,I=NT~ nR RI=PRI=~I=NTATIV~~
.A': ~~.~~
$AC()flaQQR~A'I'I()N1$..!
POLICY NUMBER: CPP.. J 3439
L1ABI L1TY
" JlMERCIAL GENERAL
THIS ENDORSEMENT EXPIRES ON THE POLICY EXPIRATION: 9/27/96
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED
OWNERS, LESSEES OR CONTRACTORS
FORM. (B)
This endorsement modifies insurance provided under the
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
following:
NAME OF PERSON OR ORGANIZATION:
CITY OF CAMPBELL
AND THEIR OFFICERS, DIRECTORS,
AGENTS AND EMPLOYEES
(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 with respect to liability arising our of "your
work" for that insured by or for you.
Such insurance has is afforded by this endorsement for the additional
insured shall apply as primary insurance. Any other insurance maintained
by the additional insureds or its offices 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.
REF:
MOTEL 6 #1310
PARKING STRIP PLANTING
"Subject to the terms and
conditions of the policy"
NAME AND ADDRESS OF INSURED
NATIONAL LANDSCAPES, INC.
45945 WARM SPRINGS BLVD.
FREMONT, CA 94539
.Of'CltJ/t
... .0 ~
" ~
... r'
U r-
'"
$<<-
.ORCHA'll'O
CITY OF CAMPBELL
Public Works Department
March 28, 1997
Mr. Chris Garrett
National Landscapes, Inc.
45945 Warm Springs Blvd.
Fremont, CA 94539
SUBJECT: PERMIT NO. 96-108
LOCATION: Motel 6 at 1240 Camden Avenue
ONE YEAR MAINTENANCE INSPECTION - ACCEPTANCE
Dear Mr. Garrett:
The City of Campbell has made the final one year maintenance inspection of subject Public
Works improvements and find that no maintenance is required.
Your warranty requirements and any surety, therefore, are hereby released.
Please find attached your original Maintenance Bond which we are returning to you.
, Sincerely,
~Vxfv!l
Randy Westfall
Public Works Inspector
MQ ,t1A9...
cc: Permit 96-118
Public Works/Maintenance Division
United Pacific Insurance Company, 580 California Street, #1300, San Francisco, CA 94104
H: \ WORD\PERMITS\961 08ACC(JD)
70 North First Street, Campbell, California 95008.1423 . TEL 408.866.2150 . FAX 408.376.0958 . TOO 408.866.2790
o\,'C.-1..tt
!..~:~. .o<J>~
... t"'
W ~
. .
~ . ~
10 "-
~. G'
Q~CHA"\).
~ U/:~.i'-1.,~ i~ ~;J;
C c' ':.. Ie;; tit
CITY OF CAMPBELL
Public Works Department
March 11. 1996
Mr. Chris Garrett
National Landscapes, Inc.
45945 Warm Springs Blvd.
Fremont, CA 94539
SUBJECT:
PERMIT NO. 96-108
LOCATION: Motel 6 at 1240 Camden Avenue
FINAL INSPECTION AND ACCEPTANCE
Dear Mr. Garrett:
The City of Campbell has made a fmal inspection of subject Public Works improvements and fmds the work to
be acceptable and in conformance with City standards. Accordingly, the City Engineer accepts the improvements.
The one year maintenance period stated in the permit begins as of the date of this acceptance letter. The permittee
is responsible for the repair and/or replacement of any defective work or failures that occur within one year. The
City will inspect the improvements within one year and notify you, in writing, whether or not any repairs are
required.
At your option, the Faithful Performance Bond may be kept in force for the duration of the one year maintenance
period; or it may be replaced with a Maintenance Bond in the amount of $700.00. A copy of our approved bond
form is enclosed. Additionally, your cash deposit of $500.00, plus any interest due, is now being processed and
will be sent to you under separate cover.
If you have any questions, please call Randy Westfall, Public Works Inspector, at (408)866-2165.
Sincerely,
~& '
Michelle Quinney, ~
City Engineer
RRW~
tJi- j,. arJ,/~.;U ~/Nf'11j.
jai.
l/p!??
Enclosure
cc:
Suspense - II months
Pennit #96-108
",./
h:\96108FAC.LTR(JD)
70 North First Street. Campbell, California 95008.14'23 . TEL 408.866.'2150 . FAX 408.379.'257'2 . TDD 408.866.'2790
NEW PW [AX #
40R.37h_OO=:O
CITY OF CAMPBELL
FIELD ENGINEER I S DAILY REPORT
~J 110/
J~d
~ 0 ~,
CONTRACTOR: Ne>J1'1 L~5C~S..
ITEM
DESCRIPTION
PROJECT NO. 9& ---I u P
REPORT NO: cJ..
DATE: ).. J -0 ~
WEATHER: t'" ,
f-/~ I r
INSPECTOR: R. ~~5rfALL
cc:
PAGE: I
OF I
CITY OF CAMPBELL
FIELD ENGINEER'S DAILY REPORT
t1ttef ~&e !J6!/AcCV1- ~ft7/
/~cr6 ~
CONTRACTOR: ;J~'.~,J ~C/Jf<-.
PROJECT NO. CJ6-/o
REPORT NO: /
DATE: J -I:. ---9ft:,
WEATHER: J4" /'
INSPECTOR: K. ~~5"'TfALL
ITEM
DES CRI Pl'ION
-ht. tJMM/~ a--J} /tIMfJj,
cc:
PAGE: I
OF I
(
CITY OF CAMPBELL
70 NORTH FIRST STREET
C AMP BEL L, C A L I FOR N I A 9 5 0 0 8
(408) 866-2100
Department:
Public Works
Date: 1..- 30-'1~
FACSIMILE COVER SHEET
TO:
J-AN~
FROM:
Fax Telephone No. ;) 9 f - '7 3 ~ 7
~6Y kJ&Sfffrtc
t!Cl-: J/V'JCJT&/'" 'G J !/JdtjL ~lf ,^}ItTlONfr( U.N~ suJ~
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