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88-105 ....G-~~::- ~ ~ · U J 't rI ..~.... . :.J ~ n . ... :J on n ~ n (: ""....- ... :~5~:~ :' ~ - Q .... - n ,.. .... " :f:J. N ~~.~~ . . :J > ,... On__u ... .:J ,- . """ nt ... ., ) '-0"-0 r n 0:1" .C.._". .LIlnC:: >'-"".0 , 0 > .. 0 1"U :1 ....... 0 ..: -:T .. .. o :J ::r < ., ~ fj :. ~ i: "lr ...-a. . t.r" :J " . :J n .. .. - :J I) r-i .: v ,.. :.J ~ {.. no... ". n ,.. .r-.-o 0"" :r r- c:: .... ."" . :J .,. Q ~ (a.. .. ...... .. ., :J ::r... .. .. t,l)O~"rt nr-O:1.... -.<.,g.. n .- :> .... '.-n ...",..;:r u 0 .. "'::lJ6~ C) 0 ,... .... n. .....lI a ,... -,.. ~ .... n .~"'" no:> " l\; Lon. .-:r ~ ,: 1-. .... to ::J "" )C I_a lilt ,- II n Q .., ...... :l ,- <( .:: 0 .. ,., ,... n lIlr-nn .. .:sa- :l :.u. . . n.. .....-0 :1';) :;) .. U .... .. II :J, ... 1\ ~ .... n ';r o ... ~ . ~ () . n :.IO~~;J=- ...~ n ".c.lt :fq//~ '1 CITr 0' CA"~UtLL VUULIC WOk~S V~"KJT DlI'T. or "UIU.IC WOU~ TfD"rvorn-nrrrn-nlf 70 ~O[th rlru til. i!ulJl1c Cl__ht-ot-wa~) X-kat. tLle Call1l't..IIL CA 1I~1l01l /_~/ ~/.I7P c;;. /_//'J n.d b ~/"~ APl'll~aLlolI Date cr 7-~/) 1.0 I lit. -H ~O I ~:~:~ r-e1~U~' n H .0.. ...'1 r.. Trv-IJ,OI. A....LICATIO~ - Appltcatlon ta heceby .ad. tor . ~u~llc Wurk. "ar.lt 10 accordanc. wLth Ca~~t.ell Hunlc1pel Coda, ~.ctlun 11.0.. Ito. ~ (, " , " 1. ~Otk addr... or tract . 263 & 273 D{llon Avenue I' e M. C. Utility t(.h~h l~c.[loo Hatuu of worlt; site grading and drainage, CG & sjw, street reconstruction., AtteCh flv. (~l copt.. of a drawlnq .howln~ the locAtlon, ..tent and dl.enalona of the wor~ Tile drawing .hall ehow the celation of the propo..d work to ..latl1l9 audac. alld unl1cClFouna tlllprOllclIlcnte. Wh.1I a""rullcd U)' the Clt)' 1:1191nacr, .ald drawln<J bacome. a paCt of till. pcr"ll. The Gencral CondLt 10na tor all perllllt. arc Illlltlld on thll rCllertie .ldc. ~pecI..I "rOIlI.lonlj tor thi. pcrllllt arc lLared below. l'allurc to abide uy theu: condll lone and prol/Llllon.. _y rcaull ln lob lItlul-down and/ur forfellucc ot 'althful "crtorlllonce build.. and Ca." dcpo..lt.. I~ce Conecal Condition. I and 21. " u I' D. 1:. An appllcatton fae mual accompany thib Apollcation. Th!~ 1~ nDn-r~fu~a4blc. Hanle ot Appl1Collt Jo'hn DiBenedetto Telephone: ^ddCe~u 1138 Cameo Drive, Campbell, CA 95008 ..- 371-2484 III tlli. wock lIeln\) dUlle 'by thc propert)' owner at th.Le OWIl ru.ldencc} _ye.. COlllplelc attAchaO Worker.' COlllpenl1AllOn and Contractor for.... The AppllCAlIl/t'erMlltlec hereby 4groell by attlxlng their atynaturc to thl. permlt ro hold the CICy 01 Call1Puell, It. ultlccla, a'Jcot. and ...ployce.. frce, ....te and har8llealo trum allY CIAllk or dc..."loo.:1 tor a"lIIa9"a re.ultlll';j trolll [he worlL cOllo:rad by till.. pcrudt. X no t'cceby ac~nowled'Je.. that the~ have rcad alld unueretand both lllc fcont ana IAl tlley will Inform thell CUCltcACturll.) ot th~ IlItorlllotlon. /-/e?-ff lIan ~OTtS: ALL 'WOkK ~II^LL CO/1I'Okl1 W11'II Tttt ATTACIIED, Al'l'kOVtO ..1.1./1:; ANO ALL AI't'LICAbLt CM11'bt:LL ~TAlWAkO DHAWJHG$ AND CONOI1'ION~. Tilt: CONTItAC1'01t ",U:;T IlAllt: 'fillS l't:kKIT AND APPkOVt:O PLAHS AND KUST 11t:t:T 10111'11 Tilt: 1".101. JN~I't.:CT0k 0" Tilt: SITE AT LLA~T "wu OAY~ bt:J'OICL STA..IITlNG WOltK. NOTlCt: "'UST lit: (;lVLlj TO ..UULIC WOHKS AT LEAST H tlOUkS btrOItE kL5TAkTING ANY WO/lK. SPlCIAL PItOVISIOHS .--, _1. V" 2- L..J. 5lre~t Io~oll not be open cut tor underground ln~l~IIAtionlo. Hlnl~u~ CUl~ ~AY be all~~e~ for conllectlOll:o or clploratlon holell. Such cut. ftlUlIl Dc "peCdlcally al'proved tJy rll.. 11ol>'h:CluC. l'aVl!lIle'nr.ay Oe cut tor under",roun'" lc\liltA11Al ion. AIIIl ..Ullt bc cClolorcd ln aCCOrllallCe waT> tile Utlllty Trenetl ltcIotorat10n StAndard OrAwilll). w,"n. [0 ue ut"..e4 by a l1ccnlociJ L.alld SurvcyoC 01 Civil t:nqlnCl~r and two !21 COr!,,~ at tr.c cut ""<""'I" "O:/lt to lh" 1'..1..11c W..c" ucpt. t..ctore .t...ctlng WOCk. The Ilour.. at WOrk ACC hlllilel1 to Outf.tdc Ltle hour. ot 1-~ A.IlI. And 3-li p.lII. tuc .Ally w"c~ fecllng a trAttle Ian.. 1 ' (' (;.. I' '~ _t. \/ ~. S ~U..,..STb..'\ W 0\..J~ Mn"lUG.:r> Lbt)E- CJt"2- 'Tl~r=-~Ie ~V\.l\J \\'-1.UtJt. fZ'tu""\'-LU1:::~~" ~ ~~-4Zc::::;o~ \ c::;:;~U \~ (;. L\ ~~~-:::; B/:>"l2nJ ~ 1 c I' , 1"1:I01J T Al'l'Ll CATION l'l:U PLAH CULCIl OE1'051 T aw/1)) I'OU J'AITIII'UL PEkl'OttKANCE ,. P. (CASU I Dt~~JT (k-l) (~J~.OOI ~~O.OO ~~OO.OO (100' Or ~HG. tST.l C., or ~HO.~~OO HINI kk:CEJI'T hO. i'1()67, / 1 (JtJ -z, h\i-\L':;~ "'f l \ <;;:'(~2.. <::::.~ \ Cit 1...", (;,. :iTAHOAJtO AI10UN'r ~ .5ZJD" j g(}t'/ ~ "'L~~ -'1 (:0. ~ IOL-~ ...00 C' C~2001 Pt:kHIT I'LE 11. or '.1'. bOND ~~o ~ h q~ . UU lG2.a.,- \L.-\q-~~ UAl:e ~PPltovt:O rOk l:iSUAHC~ t: t'WI't:kI11T "avl.aO 1/117 PUBLIC WORKS PERMIT ISSUANCE CHECK LIST Public Works Permit No. ~~- \6S L~-21~ b\LLc::,~ D\LLbU 4S \--A.S City of Campbell .~ Applicant section complete Q) -I-l III .,-i -I-l .,-i ~ .,-i ~ Applicant signature and date ~Permit Application fee, $35.00 for R-l, $50.00 for standard, paid. Receipt number \-, ~ ~ Plan check deposit, $500.00 for standard only, paid. Receipt number \., c.::c:>-""2- ~ Five sets of improvement plans submitted o . l-l -I-l ..I<: o U ll-l 'd Q) Q)~ l-l l-l U Q) 'rl -I-l ::l ~ -I-l b" III Q) Q) r-l r-l P:: 0. tJl ..I<: l-l fl U .,-i r-l .g III ll-l o Q) U ~ III ::l tJl . tJl -I-l .,-i 'g l-l l-l o OJ ll-l 0. 'd O't Q) ~ l-l 'rl .,-i 'd r-l 'rl Q) ::l P:lll ------------------------------------------------------------------------ ~. Bond for faithful performance, 100% of. City Engineer's estimate for standard only, posted and appropriately noted Amount $ "'\..S-I ~-Form !>4~<r I. D. # \ \ ~D-2.0~ ~~T-i ~ Cash Deposit: $200.00 for R-l; 4% of FP bond, $500 min. for standard, posted. Amount $ \C>~~ - Receipt No. lq--z..~ ~ Permit fee of 7% of FP bond, $35.00 min., paid. Amount $ n ~.q - Receipt No. \q l.:Z_ <- ~ Worker's compensation information received for Applicant (see Information Sheet for Public Works Permits) Land development requirements met (see separate letter from land development section) ---------------------------------------------------------------------------- ~Worker's comp and Contractor's Information received for Contractor (see Information Sheet for Public Works Permits) ~ Certificate of Insurance with Additional Insured's Endorsment received from Contractor (see General Summary of Insurance Requirements for Public Works Permits) ~ Three sets of off-site plans, stamped APPROVED (Tract or Development and Public Works Permit number and property address on plans) ~ Permit signed for City Engineer WHEN ALL OF THE ABOVE ITEMS ARE COMPLETE, PERMIT MAY BE ISSUED Issuer: Initial ~ and date lL-.- \q-~", and file with permit UPON ISSUANCE, INITIATE PLAN CHECK DEPOSIT REFUND CHECK REQUEST. 4/88 f/permchklst Permit No. ~~'JO~ Applicant INFORMATION SHEET FOR PUBLIC WORKS PERMITS A separate form must be completed for the applicant and each contractor that will work under this permit. CONTRACTORS_INFORMATION Note that all contractors must have current City of Campbell Business License, State Contractor's License and Workers' Compensation Insurance. Name of Contractor:::hSlA......,--r:,,~NG:..t)errD Telephone:6,& - 2..4<;('-\ Address-3 \~B C-.A.r-.i:.~D~. Or~OQ.'G.LL C.o.. ~ State Contractor License No. City Business License No. Expiration Date Will do the following types of work: ~ underground _____P.C. concrete ~A.C. paving electrical _____other (specify) WORKERS' COMPENSATION INSURANCE INFORMATION Name of Contractor/Applicant One of the following must be on file with the Public Works Department: 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 The Certificate of Exemption from the Workers' Compensation laws printed below (certificate must be signed). CERTIFICATE OF EXEMPTION I certify that in the performance of the work for this permit, I shall not employ any person in any manner so as to become subject to th~ Workers' Compensation Laws of California. SignecL ./ .-h~~ ./ -= ~ -Date 1- I/'- g- ~ NOTICE TO CONTRACTOR/APPLICANT: If, after signing this Certificate of Exemption, you should become subject to the W~rkers' Compensation provision of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. f:PERMINFO REV. 11/87 ZtTI .' '-. 4/;t/('1 Address Zf.o 5" - b I L..UO ;0 Type of work: Street ~torm Other (describe) PUBLIC WORKS INSPECTION REPORT ..JAte Permit or Project No. ~~ Sanitary ElectricAl /' [JPRELIMINARY INSPECTION WITH DEFICIENCY LIST (attAched) [JF~INSPECTION WITH DEFICIENCY LIST (AttAched) ~INAL INSPE~ION - ACCEPT~E Signed plans? Y ~ (If signed, Council acceptance.) Charges against deposit? y Overtime: hr.. @ $ Date " reason: ~. - $ Barricade rental (attach invoice)? Y Date " reason: @ $ Other? $ $ $ · Refund $ Total charges deducted from deposit. (Cash Deposit $ less charges $ ck. req.) DONE YEAR MAINTENANCE WITH DEFICIENCY LIST (attached) o ONE YEAR MAINTENANCE - ACCEPTANCE (Release'maintenance bond. Check Request if CAsh.) Engineer ~ 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 FAX # (408) 379-2572 Department: April 19, 1989 Public Works Mr. John DiBenedetto 1138 Cameo Drive Campbell, CA 95008 RE: Final Inspection and Acceptance Permit No.: 88-105 Location: 265 Dillon Avenue Maintenance Bond Amount: $6,425.00 We have made a Final Inspection of subject public works construction and find it acceptable and in conformance with City standards. Accordingly, the work is hereby accepted subject to the one-year maintenance requirement indicated below. You are responsible for the maintenance , repair and/or replacement of all work done should any failures occur within one (1) year of this date. To guarantee this, you must either post a maintenance bond in the amount indicated above, or maintain your existing faithful performance bond. If you post a separate maintenance bond, your current bond will be released by a separate action. We will inspect the work in one year and advise you whether or not maintenance is needed. Please feel free to call the undersigned if you have any questions. Sincerely, .'~ ~~ M. Jocson Associate Civil Enginneer CMJ:p cc: G. Eaton, P.W. Inspector Suspense - 1 year 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 FAX # (408) 379-2572 Department: Public Works April 25, 1989 Mr. John DiBenedetto 1138 Cameo Drive Campbell, CA 95008 RE: Public Works - Labor and Material Bond Permit No.: 88-105 Location: 265 Dillon Avenue Bonding Company: Amwest Surety Insurance Company Bond No.: 1150208 $25,700.00 Public Works construction at 265 Dillon Avenue, Campbell, California, under permit No. 88-105 has been satisfactorily completed and accepted. Accordingly, subject bond is hereby released. Please feel free to call the undersigned if you have any questions. Sincerely, , .~ Carlo M. Jocson Asso late Civil Enginneer CMJ:p cc: G. Eaton, P.W. Inspector Amwest Surety Ins. Co. " 88-105 ~\:J ~ ,~QJ # n.lo ~ 0" ~ ~' A -~ Q,'" 0 s;:s ~:cr'~ ~~ ,~ ~~ (.yU ~ ~ _Q-, ,.,"J' ~ '? (J ,.,vo U ,~ -SrJJ t{.lo U~ c} ~ <Qo ~' ~rJJ' f!j'<S ~ ~t:i. rJJ' ~<i.,; .::J~ 0' ~ -:sf ~ ,~OJ ({)o ,:>0<-; S..k' ~ f ~~~ ~O' ~ ~ ~- cV u "OJ ~ ~ ~' 0<:i RECEIVED JUL 28 1989 Public W orksJ Enginoering A CITY OF CAMPBELL DEPT. FO PUBLIC WORKS 70 NORTH FIRST STREET CAMPBELL, CALIFORNIA 95008 Attention: GREG EATON JULY 27, 1989 Re: DIAMOND DEVELOPMENT BOND NUMBER: 1150208 SITE GRADING & DRAINAGE, CG & S/W STREET RECONSTRUCTION PERMIT #88-105 Our records show that the above referenced contract was completed or accepted on: APRIL 1, 1989 It is our policy to send a final closing letter 90 days after completion when the contractor/principal is requesting early return of collateral. This helps to determine whether the work was completed satisfactorily or if you are aware of any unpaid laborers or suppliers (by complaint, lien or stop notice). We ask that you again answer the questions below so that we may close our file. Thank you for your assistance. We have enclosed a postage paid envelope for your convenience. We welcome any additional comments: ~E" 'Ie:i4~ . /W1A-, NTENA ~ c..G" ~~b ~ ~f'J"lA-;"-l ~&~~ I ,#'oJ EF"F~c--r Date:,_~-B~b- 2/50 Phone:J. ~B 4i I' By: Firm: Address: 15 5/88 A AMWEST SURETY INSURANCE COMPANY WOODLAND HILLS, CALIFORNIA BOND NO. 1150208 PREMIUM -0- MAINTENANCE BOND KNOW ALL MEN BY THESE PRESENTS, That we, Diamond Development Company (hereinafter called Principal), as Principal, and AM WEST SURETY INSURANCE COMPANY, a corporation, organized and existing under the. laws ~f the State of California and authorized to transact a general surety business in the State of Cal1.forn~a , (hereinafter called Surety), as Surety, are held and firmly bound unto City of Campbell (hereinafter called Obligee), in the sum of ***Six Thousand Four Hundred Twenty Five************ **************************************************** DOLLARS ($ 6,425.00 ), lawful money of the United States of America, to be paid to the said Obligee, or its successors or assigns, to the payment of which sum well and truly to be made, we do bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal entered into a contract with the said Obligee, dated June 1988 for Sity grading and drainage, CG & S/W Street reconstruction and, WHEREAS, the Obligee requires that these presents be executed on or before the final completion and acceptance of said contract and WHEREAS said contract was completed and accepted on the April 1989 day of ,19_. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal shall remedy without cost to the Obligee, any defects which may develop during a period of One Year from the date of completion and acceptance of the work performed under the contract, caused by defective or inferior materials or workmanship, then this obligation shall be void; otherwise it shall be and remain in full force and effect. SIGNED, SEALED AND DATED THIS 24th DAY OF April ,19~. A Diamond Development Company Principal By: C' / .l.____ _A~nn- --_______ Attorney-in-Fact :J---\ / ESt SURETY INSURANCE COMPANY By: UN-A3014 7/88 Cheryl~. Wolohan "-- . ~OWER NUMBER E08009 BOND NUMBER 1150208 This Power of Attorney has been delivered in connection with the above bond number. A AMWEST SURETY INSURANCE COMPANY P.O. BOX 4500, WOODLAND HillS, CA 91365-4500 .... (818) 704-1111 VOID IF NOT USED BY JANUARY 1, 1990 LIMITED POWER OF ATTORNEY (READ CAREFULLY To be used specified No Power r~}Ql:lthis form shall be s to bOnds, under- kings, recognizances or other . .ten obligations in the nature f executed on or after said date. This Power of Attorney may not be used i is printed on blue paper with black and of this Power of Attorney are valid. officer of AMWEST SURETY INSU to AMWEST SURETY INSURAN Department. This Power of Atto by AMWEST SURETY INSU of attorney forms issued by NAME OF PRINCIPAL: NAME OF OBLIGEE: KNOW ALL MEN BY THE make, constitute and ap CHERYL M. WOLOHAN AS EMPLOYEE OF its true and lawful Company thereto if rlty for and on behalf of the Company as surety, to execute and deliver and affix the seal of the nizances or other written obligations In the nature thereof, as follows: Bid Bonds to $250,000; Contract, Court & Subdivision Bonds to $500,000; Small Business Admlnlstratton Guaranteed Bonds up to $1,250.000; License, Permit & Miscellaneous Bonds up to $25,000, andtobl.l"IdA_ES1'}.~fI.trY'''SU~coMPANY thereby. This appointment is made under andby~uttlOrl~()f.thefOlloWlt'lgpt()\llsions of the By-Laws ofth$ .c<>mpa"y, wtlICh~",~in fultfOrce~ndEtffect: Article III, Section 7 of the By-Laws of AMWEST SURETY INSURANCE COMPANY This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of AMWEST SURETY INSURANCE COMPANY at a meeting duly held on December 15, 1975. RESOLVED that the president or any vice-president, in conjunction with the secretary or any assistant secretary, may appoint attorneys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case, for and on behalf of the Company to execute and deliver and affix the seal of the Company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers may remove any such attorney-in-fact or agent and revoke any power of attorney previously granted to such person. RESOLVED FURTHER that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company (i) when signed by the president or any vice-president and attested and sealed (if a seal be required) by any secretary or assistant secretary; or (ii) when signed by the president or any vice-president or secretary or assistant secretary, and countersigned and sealed (if a seal be required) by a duly authorized attorney-in-fact or agent; or (iii) when duly executed and sealed (if a seal be required) by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority evidenced by the power of attorney issued by the Company to such person or persons. RESOLVED FURTHER that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company; and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, AMWEST SURETY INSURANCE COMPANY has caused these presents to be signed by its proper officers, and its corporate seal to be hereunto affixed this 21 day of February 19 89 ;,>..,'''SO...",,_ ~ i $'o'-~""_o 0) ~ /f / ~ ' ~".. ~c/~ ~ '" . ~ t/' Gary R Peterson. President STATE OF CALIFORNIA, COUNTY OF LOS ANGELES - ss . 21 February 89 G R p. Ka G C h On thiS _ day of A.D., 19 _ , personally came before me ary, e.erson and ren. 0 en to me known to be the individuals and officers of AMWEST SURETY INSURANCE COMPANY, CALIFORNIA who executed the above instrument. and they each acknowledged the execution of the same. and being by me duly sworn, did severally depose and say: that they are the said officers of the corporation aforesaid. and that the seal affixed to the above instrument is the seal of the corporation. and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. ~ k ~~.: ............................... :~ OH"""'...... : : .. - KAREN T. MORITA : : 0 . NOTIMY......JC.CM,.1fOfIHIA : . ~~~IClIN. . l05 .v.ctLf.!t COl)lollv . :. MyCommE.lPAuI14.1990: . . ............................... (SEAL) ~ J !!(_~~ Notary PubliC STATE OF CALIFORNIA. COUNTY OF LOS ANGELES - 55 CERTIFICATE I. the undersigned, secretary of the AMWEST SURETY INSURANCE COMPANY. a California corporation. DO HEREBY CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked, and furthermore, that the provisions of the By-Laws of the Company and the Resolutions of the board of directors set forth in the Power of Attorney, are now in force. Signed and sealed at San Jose, CA. 24th day of April 19 ~ A UN.A1007 ,REV 2/891 -~.~~ ff~_ Karen G Cohen Secretar, Department: j.:.......---.--- ---.- ,I \fI'~"-'l;qLW' :-:'---~-.-.-.-~. "'''.- "/ I ,I fil)d. , 1"~1i \;" I """"____ ,:\..............I,~{.J , I fif,' ',"'.' - . ,.-..----.... ' ,....L.".v .,.)~~r"~'11'_" J t ;--~~:,--- ,--/.": ~~..'!_ ~~. i _. .1 " JO\..s,,~ I: LJ:,'r :,r. : 1 ----..,_ . fC,!,,,''''1U I i ; f('JP"'E'R --t---j--.--__.. ;,...." ; ,...hUl,J If. t ! t--- I-L-. .i; ~E~~~lJ,_.._~.~=]=~l 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 FAX # (408) 379-2572 Public Works May 11, 1990 Mr. John DiBenedetto 1138 Cameo Drive Campbell, CA 95008 RE: One Year Maintenance Acceptance Permit No.: 88-105 Location: 265 Dillon Avenue Dear Mr. DiBenedetto: We have made a one year maintenance inspection of subject public works improvements and find that no maintenance is required. By copy of this letter, we hereby release your maintenance bond. Sincerely, Gregg Eaton Public Works Inspector GE:sd cc: Bond Co. ~/c-?-;-c__~---<:__<-~ DAter:) I/o I ero I I Address d &5 PUBLIC WORKS INSPECTION REPORT ,:?~~/05' Permit or Project No. -l ' 1); !Jon ;q{~f7L{L/ Type of work: Street )( Storm Other (describe) SAnitAry ElectricAl (JPRELIMINARY INSPECTION WITH DEFICIENCY LIST (AttAched) []FINAL INSPECTION WITH DEFICIENCY LIST (Attached) [] FINAL INSPECTION - ACCEPTANCE Signed plans? Y N (If tiigned, Council AcceptAnce.) ChArges AgAinst deposit? y Overtime, hrs. @ $ DAte" reAson: N /hr. - $ BArricAde rental (AttAch invoice)? Y N DAte, reAson: $ Other? $ $ TotAl charges deducted from deposit, $ (CAsh Deposit $ less chArges $ - Refund $ ck. r eq . ) [JONE YEAR MAINTENANCE WITH DEFICIENCY LIST (AttAched) ~ONE YEAR MAINTENANCE - ACCEPTANCE (ReleAse'mAintenAnce bond. Check Request if CAsh.) Engineer G~~) /) ..#- QQ - /~/T 00 -/0:::> DAVID ALLEN INSURANCE Associates, I nc. January 19, 1989 Mr. Gregg Eaton Public Works Inspector City of Campbell 70 North First Street Campbell, CA 95008 Re: 265 Dillon Avenue, CAmpbell, CA 95008 Dear Gregg, In keeping with our recent conversation, I am requesting a final inspection of our building, site and public access improvements. We are available Monday through Friday from 9:00 to 5:00 to assist you in any manner required. PLease feel free to call me at 866-9395 to let me know what assistance you may need. Sincerely, '~\ : I' I /) ;;b-' , . - /// /' /., /' G1.j.U~, V I, -<'.:.-(A-?C David DiBenedetto Northern California Mailing Address: P.O. Box 21483 San Jose, California 95151 (408) 923-8410 Southern Californ ia Mailing Address: P,O. Box 164 Cypress, Californ ia 90630 (213) 430-1078 TO: City C 1 e rk PUBLIC WORKS FILE NO. ~J?~~~~ ACCT. 35-3 96 3372 3521 3521 3372 3521 Please collect & receipt for the following monies: AMOUIH $ R-l : ($35) ($200) :t Vl.: ($ 50) '( 500) ( 4 % 0 f FP B ) ($500 min.) (7';., of FPB) ($35min.) ~.OZJ . - 1- S-dtl. Qi) (Cash) Depos i t Plan Check & Inspection Fee Other Cash Deposit (specify) 3373 3373 3372 Tentative Parcel Map Fil ing Fee ($350) 3372 Final Parcel Hap Fil in Fee ($300) 3372 Tentative Tract Map Fil ing Fee $ 00 1372 Final Tract Ma Fil in Fee ($350) 3372 Lot Line Ad'ustment Fee/Certificate of Compl iance 3372 Vacation of Publ ic Streets and Easements 3372 Assessment Segregation or Reapportionment First Spl it ($500) Each Additional Lot ($150) 3372 Envi ronmental Assessment: ' Categorical Exemption Ne .ative Declaration 3370 Storm Drainage Area Fee per Acre Multi-Res., $2,060; all other, $2,250) ~395 Park Dedication In-l ieu Fee per Unit ($1,132) 3380 Public Works Special Projects 3510 Postage ])//mJolI.Jb .iJelaO~m67\1~AL N>H~~ ~ ADDRESS //.3? ~ tt2v ~..d".b(' $ _~.&2J~ 37/- ;;;{/;f}C :ZIP .f<5?t2!"' PH:)NE ~~ 4) I!tdt FOR C I TV CLERK OIILY RECEIPT NO. J/OO~ ~-s;v 6-() 1~/gR July, 1987 AMOl..R'lT PAID RECE J VED BY DATE' TO: City Clerk ACCT. 35-)396 PUBLIC WORKS FILE NO. Yf\-IOS- Please collect & receipt for the following monies: R-l : ($'35) :t Vl.: ($ 50) '( $500) ( % of FPB) ($500 m in. ) (71u of FPB) ($ 35 min.) Depos i t Plan Check & Inspection Fee 3521 Other Cash Deposit (specify) 3373 3373 3372 3372 3372 ~372 3372 3372 3372 3372 3395 Tentative Parcel Map Fil ing Fee ($350) Final Parcel Map Fil in Fee ($300) Tentative Tract Map Fil ing Fee $ 00 Final Tract Ma Fil in Fee ($350) Lot Line Ad.ustment Fee/Certificate of Compl iance Vacation of Publ ic Streets and Easements Assessment Segregation or Reapportionment First Spl it ($500) Each Additional Lot ($150) Environmental Assessment:' Categorical Exemption Ne ative Declaration Storm Drainage Area Fee per Acre Multi-Res., $2,060; all 0 the r, $2,250) Park Dedication In-lieu Fee per Unit ($1,132) 3380 Public Works Special Projects 3510 Postage NAME ADDRESS 4JlamonJ De.\J.. 2 ~5 'V, /Ipn Av. TOTAL Go. PHONE AMOUNT $ ,.f / 0 2. ~~ I 71'9' ~ 43r~ $ "3 2 G,...s'" ~ /"' ZIP or SOo y FOR CITY CLERK ONLY RECEIPT NO. ( '~d-lc 3 ) ;;Zc.c .s-19-D P AMOlIn' PAID RECE I VED BY DATE' -'t~/Ut #/,,1; July, 1987 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA TION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, LIBERTY MUTUAL INSURANCE COMPANY KOLL CENTER IV 1735 TECHNOLOGY DRIVE, SUITE 300 SAN JOSE, CA 95110 (408) 298-1810 COMPANIES AFFORDING COVERAGE COMPANY A LETTER LIBERTY MUTUAL INSURANCE COMPANY INSURED COMPANY B LETTER COMPANY C LETTER RECEIVED C. V. E., INC. P. O. BOX 610220 SAN JOSE, CA 95161-0220 COMPANY D LETTER THIS IS TO CERTIFY THAT 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 CONDI- TIONS OF SUCH POLICIES. CO TYPE OF INSURANCE POLICY NUMBER POLICY EffECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS LTR DATE (MM/DDIYY) DATE (MM/DDIYY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000, COMMERCIAL GENERAL LIABILITY PRODUCTS.COMP/OPS AGGREGATE $1,000, CLAIMS MAOE [i] OCCURRENCE PERSONAL & ADVERTISING INJURY $1 000, OWNER'S & CONTRACTORS PROTECTIVE *TB1 161 030808 019 01/01/89 01/01/90 EACH OCCURRENCE $1,000 fiRE DAMAGE (ANY ONE fiRE) $ 50, MEOICAL EXPENSE (ANY ONE PERSON) $ 5 AUTOMOBILE LIABILITY ANY AUTO CSL $ 1,000, X ALL OWNED AUTOS BeDIL Y AS1 161 030808 029 01/01/89 01/01/90 INJURY SCHEDULED AUTOS (PER PERSON) $ X HIRED AUTOS BeDIL Y INJURY X NON-OWNED AUTOS tER $ CCIDENn X GARAGE LIABILITY PROPERTY DAMAGE EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM WORKERS' COMPENSATION 10/01/88 10/01/89 $ 500, lEACH ACCIDENT) AND WC2 161 030808 078 $ 500, (DISEASE.POLICY LIMIT) EMPLOYERS' LIABILITY $ 500, (DISEASE.EACH EMPLOYEE) OTHER DESCRIPTION OF OPERA TIONSI LOCA TIONS/VEHICLES I RESTRICTIONS I SPECIAL ITEMS *ADDITIONAL INSURED: THE CITY OF CAMPBELL AND ITS RESPECTIVE OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED FROM AND AGAINST ANY CLAIMS, LOSS LIABILITY, COST OF OR IN ANY WAY CONNECTED WITH THE CONSTRUCTION OF THE PROJECT. "THIS COVERAGE SHALL BE PRIMARY AND ANY COVERAGE CARRIED BY ADDITIONAL INSURED SHALL BE EXCESS INSURANCE ONLY." CITY OF CAMPBELL ATTN: CRUZ S. GOMEZ 70 NORTH FIRST STREET CAMPBELL, CA 95008 AUTHORIZED REPRESENTATIVE TB1 161 030808 019 POLICY NUMBER: c. V. E., INC. C1.246 U 1-15) THI,S ENDORSEMENT CHANGES THE POLICY. PlEASE READ n CAREFUllY. CG 20 10 11 85 ADDITIONAL INSUREB-OWNERS, LESSEES OR CONTRACTORS (FORM B) This endor$ement modifies insurance provided under the following: COMMERCIAL GENERAL liABILITY COVERAGE PART SCHEDULE Name of ',rson or Orlanlzatlon: THE CITY OF CAMPBELL AND ITS RESPECTIVE OFFICERS,AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED FROM AND AGAINST ANY CLAIMS, LOSS LIABILITY, COST OF OR IN ANY WAY CONNECTED WITH THE CONSTRUCTION PROJECT (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endor$emenl.) WHO IS AN INSURED (Section II) is ~mended 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. ,-'-. OA~NTICO ..... - .... ~ ----,~. Copyrighl, 'n!.uranc~ S~rvic~~ Oll,cr Inr 19R4 I CALIFORNIA PRELIMINARY NOTICE YOUR ATTENTION IS DIRECTED TO SECTIONS 3097, 3098 AND 3111, CALIFORNIA CIVIL CODE WHICH REQUIRES US TO NOTIFY YOU "THAT IF BILLS ARE NOT PAID IN FULL FOR LABOR, SERVICES, EQUIPMENT OR MATERIALS FURNISHED, OR TO BE FURNISHED, THE IMPROVED PROPERTY (WHICH IS DESCRIBED HEREON) MAY BE SUBJECT TO MECHANICS' LIENS," (THIS STATEMENT IS APPLICABLE TO PRIVATE WORK ONLY,) 4954 THIS IS NOT A LIEN. THIS IS NOT A REFLECTION ON THE INTEGRITY OF ANY CONTRACTOR OR SUBCONTRACTOR, G.~C""r YOU ARE HEREBY NOTIFIED: DATE l/Lb/ a0 THAT THE UNDERSIGNED HAS FURNISHED OR WILL FURNISH LABOR, SERVICES, EQUIPMENT OR MATERIAL OF THE FOLLOWING DESCRIPTION: INDIVIDUAL OR FIRM CUDL Lal hl'Jil,g 111<: f\spllal t Pav illg (DESCRIPTION OF MATERIAL) (NAME) 'ci T/ N. KlIlg Hcl (ADDRESS) [i t'. (;1 Li.iIlJ[JUEd 1 :..:idll J use, U\ {I c- ..., '; -, ,")\)J......JJ ~:G5 DiJ lun (CITY) BY cf rt--+ (SIGNATURE) , SeC/l'n;b (STATE) (ZIP) eli ff Heaps LCIlillJbell , CA 86008 (ADDRESS Of BUILDING, STRUCTURE, WORK Of IMPROVEMENT) 1/2:':i/b~ (STATE) (ZIP) (TITLE) (DATE) (CITY) THE NAME AND ADDRESS OF THE PERSON WHO CONTRACTED FOR THE PURCHASE OF SUCH LABOR, SERVICE, EQUIPMENT OR MATERIAL IS TO: OWNER, REPUTED OWNER OR ' PUBLIC AGENCY TO: CONSTRUCTION lENDER OR REPUTED CONSTRUCTION LENDER Dii:l1iJOIl i)evcluumOll t NOTICE TO PROPERTY OWNER If bills are not paid in full far the labar, services, equipment, or mater. ials furnished or to be furnished, a mechanic's lien leading to the loss, through court foreclosure proceedings, of all or part of your property being so improved may be placed against the property even though you have paid your contractor in full. You may wish to protect yourself against this consequence by (l) requiring your ,ontractor to furnish a signed release by the person or firm giving you this notice before making payment to your contractor or (2) any other method or device which is appropria!e under the circumstances. 11-)8 Cameu iJr. l~i.lIr Jbell u\ ~5(jLI8 I; i tv 0 f L,Wi11Jl)t.d 1 TRUST FUNDS TO WHICH SUPPLEMENTAL FRINGE BENEFITS ARE PAYABLE ;u N. First St NAME L<.Jmpbell. U:.. ~SuUo ADDRESS NAME Ui dlaunci LJuve 1 U}"LiOl1 t ADDRESS 'I i :1H (:m'iP( I 1;r. NAME C81:qll,f'II, (J\ 1,lfJlil,H RECEIVED ADDRESS (MATERIAL MEN NOT REQUIRED TO FURNISH THE ABOVE) N( iN!': fdJ1 iRTl'J) N01lN:iBLlC WORKS TO CONSTRUCTIO(NI*EllaNGf ESTIMATED TOTAL PRICE OF THE LABOR, SERVICES, EQUIPMENT O~MATERIAL? DESCRIBED HEREON, I, Kathy Leaps (a) D By personally delivering copies to PROOF OF SERVICE AFFIDAVIT (SECTION 3097,1, CALIfORNIA CIVIL CODE) , declare that I served copies of the above PREliMINARY NOTICE (check appropriate box), at (date) (time) (b) E2l By First Class Certified or Registered Mail service, postage prepaid, addressed to each of the parties at the addresses shown above on 'I /2~i , 191LL-, I declare under penalty of, ,P!;rjurY that ,'h; f,?rtgo~n~ is tr,~e, and correct. S' d t all N. K1->15 hu 0<1nduuc C I'f ' Igne a , a I ornla, on (name(s) and title(s) of person served) (address) on 19 .m. , at l/~~b d0 ,19 [ATTACH RECEIPTS OF CERTIFIED OR REGISTERED MAIL WHEN RETURNED] ~~, 45449 POLY PAK (50 SETS) 4P449 B-B5 OWNER COPY n ~ f':::: :L 4 -:-:J3...a....J.o.LJ;.,.p..-.. .9: 24 P~0:2 VALLEY OAKS INSURANCE 8391 AUBURN BLVD., aTE. #1 CITRUS HEIGHTS, CA 95610 f . ",., ISSUE OATf (MM/OOIYY) 12/12/88ml THIS CERTIFICATE IS ISSUEg AS A MAnER QF INFORMATION ONl.V AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOlDE-R. THIS Cf;ATIFICATE DOES NOT AMEND, EXTEND OFt AL Tf;R THE COVERAGE AFFOFlPED BY 1I1E POLICIES IlElOW. PRODUCER I . ~ . " , .' COMPANIES AFFORDING COVERAGE COMPANY A LETTER NEW HAMPSHIRE-1NSURANCE co. INSUREO COM~ANY 8 lETTER NEW HAMPSHIRE INSURANCE co. Coastal Paving, Inc. 877 North King Road San Jose CA COMPANY C LETTER NEW HAMPSHIR! INSURANCE CO. 95133 COMPANY D I.ErH;A COMPANY E l.ETTER FREMO.N.':t'. !NDEMNI'I'Y THIS IS TO CERTIFY THAT POLICIES OF INSURANCE I.lSTiD BELOW HAVE BiEN ISSUED TO THE INSURED NAMED ABOve: FOA THE POLICY PERIOO INDICAilO, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TIo1IS CEATIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCAIBeD HEAl!IN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI. TlONS OF SUCH POLICIIiS, CO LTR TYPE OF INSURANCE POLICy NUMOE~ POliCY [ffECTIVE OA TF (MMIOOfYY) POLICY EXPIRATION OA IE (MMiDDiYYl ALL LIMITS IN THOUSANDS GENERAL LIABILITY CPO 6 4 9 7 1 97 - COMMERCIAL G(NERAL ~IABI~ITY ] CLAIMS MADE DOCCURRtNCE OWNER"S & CONTRACTORS PROTECTIVE 9/30/8 9/30Te'" r,rNtRAL AGCREGATE $ PRODUCTS.COMPIOPS AGGRrG^ TE $ PERSONAL 3 ADV[RTISING INJURy $ EAC~ OCCURRENCE $ FIRE DAMAGE (ANY ONr FIRE) $ M[OICAL ExPENSE (ANY ONf ~EHSON) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHWULED AUTOS HIRED AUTOS NON.OWNED AuraS GARAGE LIABIliTY BA849087 4/03/8 4/03/.89 CSL $ 100 QOOI~ y INJURY IPER PERSON) $ BODILY _. . 0"- INJURV IPE~ $ ACCIDENT) PROPERTY DAMAGE ~_._._. 10/01/8 . . ~~... $ EXCESS LIABILITY UMBRELLA FORM. OTHCR THAN UMBRELLA FORM WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY UL5112757 ---9730/8 9/ 3 0/89:, .~\. : EACH OCCURAE:NCt 100 WP8S45684502 1 0/01 /ag S'i'~~lJT2~.v'-'--- $ $ $ 2 0 0 O~ACH .tCCiDfNT) 2 0 0 l)OISfASf.POlICY LIMIT) 2 0 0 OIOIS[AStEACH EMrLOYEEl OTti~R DESCRIPTION O~ OPEAA TIONS IlOCA TIONS /VEHICLES I RESTRICTIONS I SPECIAL ITEM S DIAMOND DeVELOPMENT POLICY * CP01405164 iCir~;"I.i~ & CI'I'Y OF CAMPBELL ARE ADDITIONAL INSUREDS UNDER AS RESPECTS OPERATIONS or THE NAMED INSURED P'1!I ON: ..\ 0 ...DA i--Irefii~ ~~'l~' " .eH _....."...". .~.?I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCEllED BEFORE THE EX. PIRATION gATE THeREOF, THE ISSUING COM~ANY WilL ENDEAVOR TO MAil 3 (pAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDeR NAMED TO THE lEFT, BUT FAilURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OEII.IOATIO"l OR L.IAl!IILlTV OF ANY KINO UPON THE COMPANY, ITS AGENTS OR REPRi;S~NTATIVE$. AUTHORIZED R9ZE 8. ~-~_._..-- DIAMOND DEVELOPMENT 1138 CAMEO DRIVE CAMPBELL CA 95008 ATTN: DAVE DIBENDETTO --D,E C -..1. 4 .~8 W.E D. 1 121 : :3 6 P.12I2 ... .. POLICY NUMBER: CP06497197 COMMERCIAL. GENERAL LIABILITY .- THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFUlL V. , . . , ,~ ' . ' . . -. .... .:~:~: .;~;. 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 Organl:zatlon: SCHEDULE City of Campbell and its respective officers agents & employees (If no entry appears above, information required to complete this endorsement will be shown in the. Declarations as applicable to this ~ndorsement.) . 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. The City of Campbell and its respoctive officers. agents and employees are named as additional insureds from am against any claims, loss liability. cost or expense arising out of or in any way connected with the construction of the project. This coverage shall be primary and any coverage carried by additional insured shall be exce.ss insurance only. I;. :~:~~);:':> CG 20 10 11 85 Copyright. Insurance ~ervices Office, Inc., 1984 o PRODUCER 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. LIBERTY MUTUAL INSURANCE COMPANY KOLL CENTER IV 1735 TECHNOLOGY DRIVE, SUITE 300 SAN JOSE, CA 95110 (408) 298-1810 COMPANIES AFFORDING COVERAGE COMPANY A LEITER LIBERTY MUTUAL INSURANCE COMPANY INSURED COMPANY B LEITER COMPANY C LEITER C. V. E., INC. P. O. BOX 610220 SAN JOSE, CA 95161-0220 COMPANY D LEITER THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT, 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 CONDI- TIONS OF SUCH POLICIES. CO TYPE OF INSURANCE POLICY NUMBER POLICY EffECTIVE POLICY EXPiRATION LTR OA TE (MM/OOIYY) DATE (MM/DDIYYI GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY C,AIMS MADE [i] OCCURRENCE A OWNERS & CONTRACTORS PROTECTIVE *TBl 161 030808 018 01/01/88 01/01/89 ALL LIMITS IN THOUSANDS GENERAL AGGREGATE $ 2,000, PROOUCTSCOMPIOPS AGGREGATE $1,000, PERSONA, & ADVERTISING INJURY $ 1 , 000 , EACH OCCURRENCE $ 1 , 000 , fiRE DAMAGE IANY ONE flREI $ 50, MEOICAl EXPENSE (ANY ONE PERSONI $ 5 AUTOMOBILE LIABILITY X ANY AUTO ALL OWr,ED AUTOS A SCHEDULED AUTOS X HIRED AUTOS X NONOWI,EO AUTOS X GARAGE LIABILITY CSL $ 1,000, AS1 161 030808 028 01/01/88 01/01/89 BODIL Y INJURY (PER PERSONI $ BODIL Y iNJURY ~CE~DENT) $ PROPERTl DAMAGE $ EACH OCCURRENCE $ $ OTHER THAN UMBRELLA FORM AND EMPLOYERS' LIABILITY I ~. W~ 161.0308=1:01/88 L_ ___ .___1_._ STATUTORY 10/01/89 $ 500, $ 500, $ 500, lEACH ACC!DE~HI ID'SEf.SE.POLlCY LIMIT) luiSi-ASF-EAU" EMPLOYEE) OTHER '_l nL DESCRIPTION OF OPERA liONS i LOCATIONS I VEHICLES / RESTRICTIONS / SPECiAL ITEMS *ADDITIONAL INSURED: "THE CITY OF CAMPBELL AND ITS RESPECTIVE OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSUREDS FROM AND AGAINST ANY CLAIMS,LOSS LIABILITY, COST OF OR IN ANY WAY CONNECTED WITH THE CONSTRUCTION OF THE PROJECT. THIS COVERAGE SHALL BE PRIMARY AND ANY COVERAGE CARRIED BY ADDITIONAL INSURED SHALL BE EXCESS INSURANCE ONLY." CITY OF CAMPBELL ATTN: CRUZ S. GOMEZ 70 NORTH FIRST STREET CAMPBELL, CA 95008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX. PIRATION DATE THEREOF, THE ISSUING COMPANY WILL X~.xiKX~ MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NArtED TO THE LEFT.Xi<IX)toX~XQ{ ~Kx.xXu{){MJ(iX9EX~j(J~~~ A=:==~X m:K"L!rl!r I o ~; g ~ 4) :f b I' .... -1} ~ II 0 ? ~ o \- (( '5 ; c) /J P , j ~ ~ ; -v~ 0:1 ^ J ;: 1 I ~ (1 1{1 UJ J J J ~ .9 I) III ~ ~1 J (lu.." :> ;\ '), ~ r,. l.. f!. ;; /\ \) ~ 1 .i ~ .c' rc, ~ (}.J r W IL?',J :i ~ UJ ill Cl 11 ~ Q.. '1, ~ ~ ~ i~ t ~ ; 0 r oJ t~ i f i~& ~ - \ c:>---:: CONSTRUCTION COST ESTIMATE rOi PERMIT NO. By/Date ~- 4- - ~~ .)O\~~ \~\ \~6-t.'E-Ll~.,....,-("":> Name" Address ~z.. <.o~.... ,. ..' ,1.:\c:I.:..., \__\ \.-\...OC) Surface Construction Clearing and Grubbing LUlllp SUIII Eatiaate - $ '-(~O - Sawcut Concrete --- L.F. @ $ 4.00 - $ Concrete Ilemoval -- S.F. @ 3.00 - $ Curb" Gutter Ilemoval L.F. @ 5.00 - $ Inlot Drain with Pipe \ EA. @ 500.00 - $ ~::{::,- Curb and Gutter -\ ~ L.F. @ 15.00 - $ l \, c>- Sidewalk ~\9 S.F. @ 3.50 - $ \ \ \,- Driveway Approach ~\4- S.F.@ 5.50 -$\'"'\"2.,- Sandicap Ramp EA. @ 1000.00 - $ Extruded Curb L.F. @ 6.00 - $ Barricat ') ~16 <e.. - L.F. @ 50.00 - $ <.s~V:t~E;t~t;;n (S.F.)x($O.IS)x(,lL") - $~~'~- (~~)a<V~~r= \4a~ ( S.F.)x($0.45)x(.ll..") _'$~oe-~- Adjuat Manhole to Grade EA. @ 300.00 - $ Adjust Bandhole to Grade - EA. @ 200.00 - $ - Honu.ent Box v Monument EA. @ 500.00 - $ Street Tree (15 lallon) -z... EA. @ 200.00 - $ 4-00- Pavement Striping ($100 min) --- L.F.@ 0.65 · $ Pavement Legends (S100 min) EA. @ 40.00 - $ Stop.Street Name or Other SigD --- EA. @ 120.00 . $ Pave.ent Markers EA. @ 15.00 - $ Pavement Key Cut L.F.@ 8.00 - $ Z::.C ~FOt~~\G1td'~"TO - $ ~t2b\~ L~ - $ +~- Surface Subtotal "SIt - $ \1,"" ~C1, ~\\~_ Adjuat. for .he: S<$30.000 add 20%. S,> $100.000 .ubtract 10% Street Lighting Electrolier Conduit Conductor. pair Pull Box \ "]b .,~ \ EA. , 3000.00 L.r.@ i2.00 L.'-o@ 4.00 EA.' 200.00 - $ ",).,,, ClC:>O - - $ ~~c.,.- - $ ~'I: - $ -z...~- - $ Storm Drainage 12" or IS" lCP 18" or 21" Rep L.F.@ 60.00 L.F.@ 65.00 EA. , 1800.00 EA. , 2000.00 EA.' 600.00 -$ - - $ - $ - $ - $ - $ Street lnlet Manhole Break aDd Enter Manhole - TOTAL ESTIMATE OSE rOR BOND $ ",<;\,~<4- $ -.z..~. \ OD . Ilevised 6/85 t?~.~\-r- b~- \e~ '7.. U> ~ - 7...., ~ t::1LLO t-\ /' :J-. -( ~-- 8 '( RECEIVED MAY 9198B PUBLIC WORKS ~~GINEERING _~. ~\.~-,-=. ^.~ rhc-~ ~~LO 60 (=>WC f..-.:>~. . ~.. .~~L0 ~S~.lb-.....?Gar Kc:;~L)~<s ~~ ~O- /";;;>,-L~e-UT. e... ~ UrC:::> L.L) ~ '-- ~ E1L t~ ~ ll1-:)Cs; "-'T \. Ll ~--; ~ \U~ 6k-) \::>~~ '-L\c:: u......) Wt~ (Z)~.~T \.:)~\J1~~~'-b~ @-Q..O<lL{ ~. ~ ~LG U~\.'-l'1-( ~^\L) ~\.~~ ~,s~~ h\.......J'-- n~"~~\LJc,. UT"lLl'('( ~ ~'--t \ ~ u....?~\.G~ /';:)~ '\fC::J ~ ~ ~ ~t:::. s.-)fX:J U~ ~C"2- U-r\..'-\'"'L~.~ . ~~L0 ~Ll- ~EL0 ~r-=-~ UT\.L.\.1"-( ~e::s-Q-'-ll~. h. L-L- ~e-T~o2-~ ~ r-.)\:::) t1SO~~ ~::::'t ~ p. ~ ~C#-~ I Se n-'-fl c....e- ,13Df:~l c..~'2~Uc)0~\ ~~~ &~ Tb ~~ \.l.)~\rA.L.L-~ ~<i 8.~tU~ c:-r~ ~C' t<".. 0\'2.. ~t De-v0I""::>L-'L- 0l""'L ~l~~ OF- u.J~~ L-l U ~ . " c~~\-\l:. ,~. ~~'-0 ~~~ \\J\\P>~O'-L~\M.,~ \_ \0 ~\.~l'-- .~~L(E-. ~. ~. ~.~L0 ~,-,0 /~~~~ \~f>~- I ~~ G:;r \ LL- '-( he.- e u~ ~e- - c.. olu...) l'~ ~ ~L~ ') . J\ , L=t. ~~LU Ptl..DPb~~ c;.T~ 'l. \.... \.C3:q~\ l'0<::sr ~'-{~\~~ ~ t ~~~~,~ I "POLL BD)'-~, CJ::J 0 Du \\ uJ~w- c-a0C::>OU\O\5:2-~~ -~c:r:~L ~' ~C-n..'-lL<:-E- POlVr LO~~DU u..Jl~ Pl)l..L ~C)~ \ ~40 '-.COL-~ S~'-l{(' F=:. !) U-, .~~~ ~~~\l....)~ ~F--JD p~<;\. --- D _ ~TQ \ \=>"- t.-)<q . . <\2e-- ~\rL-\pe- -\ 0 ~D' ~~'-{01--.J~ ~t2-0~~ e::;~~~. r ..:r:. ~ <:O~L..0 .~l7L-OPC>~~ ~ ~ v~T . \~~. ~~L0 "0 ~~ \ r:z....ru<::srlO T~~ ~ ~ (2) U -~ \. ;- c- \t2-t2.\~hT\.O \-) ~'-eS~\-1. / ~. .c::::;;.~ .c:::;\~~lo0\.L.::)~ OF-~ ~ ~ ~'-...i ~ \..h L)'~ \ ~ - CL -a:.- O+C:>o -rC:> c:.o"-.)<2- '\ ~~ ~ \. ~ Tt";2., ,. .~ ~4-. <:[;~ hL~ ~'" ?~ .~~ tvt j I' 4-~. '-eO\0t":L ~U~ Lt1L)'\.::.~ C:S~t..9L~ ~.~ <.o+~~. 0~\ ~U~ \-.)0 tL.- '1\4 '- 1 ~ \:. -- ~ -\- ~ c::;: . 0""2- -r: . ''\ ~ C>~ '- l b-:) ~ e p 1l72.. ~ -"\ '2.04..--. ~~4,6.D \C...- . \t~~ ~&-.:) '~\,c:::;.TL k-'CQ- h.~ Dn..\'-l~L0~'-( ~"-6d- (!:)\<==- \bt1~ t:::>~e~-e-~ q;~u..:::> ~,~. D\~TA-L::>C'~ ^k-....)~ ~~ <\lC~~ . ~ ~ \,J-b LA....:) ~ T PtLo~~~ r:::; ~\u~ . ~~f":)C'~ C>b- ~'-b~~ I'o~ ~ GOl~ TO e.-~L~ ~ '~~~'-.:\.~~\>---\ ~ 0 ~ ~h '\ toDJ'~ P~\2...~ -' ~~~ 'Pt2-e::::>\?D<;'~ .~\J.....t:::.\ U~~ ~'\...0D\. c- ~ ktC:)~ \U D\rvl h~h ~ ~~: ~ ""\U-h>' ~() l.) ~ ~ \-0\ - ~~~~ -r--D' ~~ 'bL)u-\~lL:)Ccr LA..J~ ~ \ l.) 'to Pt2-\ '-f~'\ t =-:'" "tO~~~T'-( \D ~ kDf2;\~ . T~\.c~ ~ .~\L- ~\ ~ ~. \:::>\'-l ~L..::> '\ 0 C::S~~ tJ....)~ ~I ~~ ~D ~a U6~ 0re- ~rL ~~~~ ~ 0 ~~u:: y /~ ;'\ \-r- .D~\k)~ W~ ~~L.:)"r TO <P'~.~ Tt4-~<\ ~\f--'\ ~~\~ \-\-e~ . L, P~\R:::>c:s..~~ ~<T'. <;'"T~\U~L- ~C-TlC:> k) .~ll2...t\ ~ C- CL) \~\ c...J,,-.~ b~ /QQP~~~r2.-S ~\::::>e-q>U~'\ ~, ~l-\.~ 1-0 ~ ':-; ~O ~ \. \J.....D ~.. ~ . C. LA- '} \.~~ CJYt= 1 U .woD-~ \. ~b\.J~ A I'- )I~_- ~^"~~ -:-~~~ '(b~ \'"L.'t=o\.~:::)-C-~--- \ ~ t?P D-'\..te ~~~+~-~Ei:)p ..., U L)\. \e:cJ ~~ ~-\-'F\.er~~~'-"~~.~~,....~~L- ~ '- J_~~Qf;;;.'-{ Il\.....)t"',., "" --\ \ ~ . '-{o'-1 t"1- ~\2.c)\?~ ~... 0 k) ~ l '\ ~ -rc..., <:E::r~Qe.a~ 0U ~~ ~OU'fl;+ ~~ \<;,; \ \ t-\-\<4~ ~k..:) ~ w\~cq-t~ P{1..DPe-~ \D /~+-e- ~(:L) ~ ; / . ~_On- P\~\?c)c:;..~~. (5l..:>-~l\C::--- ~~~ / \. -t"'C- '- ."~ \ ~L~ '~h> L:> ~lt.e)~t"2-'"\{ '\0 ~ UOF-+. ~~ ~\L.,r.;:,u._.9c". ~,,'-.( \ ~~U~\"'\\t' \~ eO~<:-\5~~~ ~~Q.J....:)~ ~\~. / \ ! /1 r . CONDITIONS OF APPROVA~ FILE SITE ADDRESS: 265 DILLON AVE APPLICANT: DIBENEDETTO, D. PC MTG DATE: 6-23-87 I PO 87-03 e EXHIBIT D The applicant is hereby notified, as part of this application, that he/she ~s !:.~3u..~litC t;.,9'>>Pttt .t.~ tpl.l~;l.r!? j::~nd.it.umEi..r ACCO~ .witi1.~ ..:.c~:'",,""1C4!:S ::L ~.e- =-_:::i' :L -~.<-.!"~:.. ~ ~ ~ z ~ ~ % ~ \"'\\"\'t"\~. \..~~\~h........:i~.. t~~ A:~~h~",~<: ..E .~~'f .~"lCi.ti..": ~ oM-. ~~ ~~ 1, ,,;-i.U.J,..:"" I.... ..:......~.i'........:.. ,,~i .afilJ..:.....:>l.:- ..:v-J~~ ~:. ~,JJ.,"l4."l.......,6 gf C.. C1cj (j( Campbell and the State of Californ1a which perta1n to this devel~nt and are not herein specified. 1. Property to be fenced and landscaped as indicated and/or added in red on the plans. Landscaping and fencing shall be maintained in accordance with the approved plans. 2. Landscaping plan indicating type and size of plant material, and locatlon of irrigation system to be submitted to the Plann1ng Department and approved by the Site and Architectural Review Committee and/or Planning Commission prior to issuance of a building permit. 3. Fencing plan indicating location and design details of fencing to be sUOa1tted to the Planning Department and approved by the Plann1ng Director prior to issuance of a building per.it. 4. Applicant to either (1) post a faithful performance bond in the amount of $3,000.00 to insure landscaping, fencing, and striping of parking ueas V1.thl.n 3 ao.nt.h.s of a:.pIet.1.on of con.strllction: or 12.) file "'~:.t~~ Jlr;;t:~ tc c::c.Ja?let.e ''''.......::..-a.r.uu;. f~, &Oti &tI1.1;a..:IIl; c.f ~~:lns C~. ~ 0:: ASI~ to oe flIed V1.tt.. the Pla.n.n1.DS Department prlor to appllcatlon for a build1ng permit. 5. Applicant to submit a plan to the Planning Department, prior to lnstallation of PG.E utility (transforaer) bozes, indicating tbe locatlon of tbe Oozes and screening (If Oozes are above ground) for approval of the Planning Director. 6. Applicant to submit a letter to the Planning Department, satisfactory to the City Attorney, prior to application for building permit, limiting the use of the property as follows: 1,560 sq.ft. of office use; 1,560 sq.ft. of warehouse/industrial use. 7. All mechanlcal equipment on roofs and all ut1lity meters to be screened as approved by the Planning Director. 8. Building occupancy wlll not be allowed until publiC irn~lUVeme"l8 ale installed. 9. All park1ng and driveway areas to be developed 1n compliance with Chapter 21.50 of the Campbell Municipal Code. All parking spaces to be prOVided with appropriate concrete curbs or bumper guards. ),0. Underground utilities to be prOVided as required by Section 20.16.070 of the Campbell Municipal Code. 11. Plans submitted to the Building Department for plan check shall indicate clearly the location of all connections for underground utilities including water, sewer, electric, telephone and television cables, etc. CONDITIONS OF APPROVAL~ FILE SITE ADDRESS: 265 DILLON AVE APPLICANT: DIBENEDETTO, D. PC MTG DATE: 6-23-87 PAGE 2. # PD 87-03 r0\LLD0 '- 4~ M '::::. 12. SIgn appllcatlon to be submItted In accordance wIth prOVISIOnS of the Slgn Ordlnance for all slgns. No slgn to be installed until appllcation is approved and permlt issued by Planning and BUIldIng Departments (Sectlon 21.68.030 of the Campbell Munlclpal Code1. 13. Ordlnance No. 782 of the Campbell Mun1cIpal Code stipulates that any contract for the .collectlon and dIsposal of refuse, garbage, wet garbage and rubbish produced w1thln the limits of the C1ty of Campbell shall be made wlth Green Valley DIsposal Company. This requlre~ent applIes to all single-famlly dwelllngs, multIple apartment units, to all commercial, business, industr1al, manufacturIng, and constructIon establ1shments~ 14. Trash contalner(s) of a Slze and quantIty necessary to serve the development shall be located in area(s) approved by the Flre Department. Unless otherwise noted, enclosure(s) shall conslst of a concrete floor surrounded by a SOlld wall or fence and have self-clOSIng doors of a SIze specifIed by the Fire Department. All enclosures to be constructed at grade level and have a level area adjacent to the trash enclosure area to serVIce these contalners. 15. ApplIcant shall comply with all appropriate State and City reqUIrements for the handIcapped. 16. The applIcant 1S hereby notIfied that the property is to be malntalned free of any. combustIble trash, debrls and weeds, untIl the tIme that actual constructIon commences. All eXlsting structures shall be secured by haVIng wlndows boarded up and doors sealed shut, or be demolIshed or removed from the property. Sect. 11.201 & 11.414, 1979 Ed. Unlform Flre Code. BUILDING DEPARTMENT 17. Retainlng walls at property lines are llmlted to a helght of 15 Inches If constructed of wood. PUBLIC WO~KS DEPARTMENT 18. Flle a parcel map to combine the two lots. 19. Install street Improvements In Dillon Ave. 20. Obtaln an excavatlon permlt, pay fees, and post surety for all work In the publlc street. 21. Pay storm draln area fee of $438.00. FIRE DEPARTMENT No comments at thlS time. Permit No. 88-- \ DS :;LLo?:' ~ d -::r ~ b \ LLO \\) l\Ua-. Tract No. or Address IMPROVE!~ENT PLAN CHECK LIST DEVELOPtlENTS CHECKED: ITEH: ~~ 1) Permit number and prop- erty address on plan? C---~ 2) Si te review completed? c:.<;.6lr 3) Applicable standard notes ~~~ 4) Engineer's Stamp, Signa- ture and Expiration Date ~~~ 5) Conformance with City standard specifications and details ~~ 6) Street geometries ~~ 7) Street grading plan con- fornity with overall street grades and/or official grading plan C:~~ 8) Approved roadway structural section ~~ 9) Street lighting requirements C::;~Gr C-SUp 10) Storm sewer design 11) All relevant conditions of approval have been met 0:Si!A C~c:v 12) Traffic review 13) Service Center review CO:',I1E!JTS: Plan check cOr:lpleted by ~~~ ~ - 14- .e,a. Recommeded for approval Send originals for signing Bill M. Helms Date Engineering Hanager Donald C. Wimberly Date _ ___,--,,:, _ 1'."__ve ..., e ~'i~ I:::, ;- Cl'(" rn ':::H) f'~E2C'Cf'; ,"" f () U, 'r"'jC~ ;ecc~rc! 564 on screer'l ~-'E:'Y"r{;:1. 1'.: i\il...ln:~ E}E~"''':1 it~:~; ~:::;t: f-'ei':':~T 1".;C:l" ~ 1.-::: 1 ':j stt~ee'c [)irectic!y, i'l. ao::)licable) Street Name:Dlllon r'~c!s~~ St~'~eet:Saln [~ava ;::i E' j.... rfl :i. t: t (:? e:: P (3 8.: E: :".. '::) c' E\ t: i () il'! ;:;:: '~:3 ~:,:I:; 'j ::::; ./ l.J ~::j a rn C: c'\ \/ a .-.. .'!. A. :! ~...; ./ c::~ ~,.: !_. (Di_star)(:~e ft~orn Drooertv lines/iY'ltersection) ":'V1P o"F W01~~{:~lec.tr:i.c~al Sel~Vl(~e :l ..... F~~ E:;::' ~ T' r'" r.?. c. t: i3tatus: Is-s-uecJ PE'j---rn 3. t ~ EL:::('(ld ~::irfj()U.r"(t::: b-::;'nc 'fl-. c::: r.~ ~:. ("j I) E~'~:' c! ~:;. i t ~ ~~ctiC!YI Date:(:)4/C)1/B9 1"+:11-; E' 5 : ;,::~:C'C:'f.? f:',lt: fI l)E:{ t.: t:.' ~ ,/ :LveaY~ !~aiYltenaYt(:'e Pc~ceDta~sce Date: i ...t' l=;?E!~TER F3VIEW F4EXIT F5FOj;~1 Ct_R F6F'LD CL.,.!~ F'7DELE1'E F8MOD1:FY F9REP[:)R-~" F:J,O;~UL.."rJ: E~ rn ',:' i:::' () 'f'" rn i:':} () t:~{ E:! C. () '(" c:i 'f () u -~t'f C F~~ E:' C' () 1.... ci E)-; J. ':::<"(1 c.;;Cy--een ....;...:::..,....;.1 '\ .,.. ,--, "J.i. .... ...... n. m' .., i\, ()" ~ :~:~e, ..... ~:: ._,',~; ~::;' ~:~t: 'r"'eE~t: \,!...l..:~ ;::;~{::,:I ~~:,:; :::;t: Y"eE~t: :U 1 'l'-.ec.t: :;. (:~.~:'! ... . ,.. (l'r- c'tDC).i. :J.!'::".:3J::j.te) :: St)~ee.t: ~ame:UJ.2~oy~ .... ; ". ~_ .." {" (:\ :::;. ~:::. ;::)'r, '{". E~ E.;! 'l:.: ~ :'::) a {(i L" c~ \i i:t ;~~: E. '(" rl'; :f. of:,: t: e e ~ \:J ~:::i (~. E: ~_,(::(::~a~.il~Y! ~'iLt(::)~ SIC ~al'l' ~~dYd -. N/~ (;')JS'talrlce f)~clm orooertv l~,nes/j.ntel~sectii:)~) ";'V;:1E cif WCi~~k~Gas se~~~v:tce .. .... .-. .... .;l. -~. j"; ~::.~'" ; .!.... E~'{ C'T.: i\!:Cf'l f) t r.:'~ t u ~~. ;: I ~::. ~~. U EICi ~"~E~'t"rl': J, -r.: ;: ',", t ...., . ,t5()'nC HrnCIU"r":T.: ~ Bonej :j:!:: [:i:;{ sh [>E' CjC!~::; it; ~4[~tiC'YI Da~e:l0;'()1/89 ;\;CIT: f25. ~ ~:::! c:. c:- 'c:~ D t: . r) l:t t: E' : ,/ ./ lveat~ i~';aiy.~'tenance Acceotance Date: ,. I i F2EN'fER F3VIEW F4EXI'1" F5F'ORM Ct,..R F6!:~L,.D E:LR F'7DEL.ETE F8MODIFY F9REPOR"'" FIOj~Ut_T1" :';j!'J CITY OF CAMPBELL '-.'~BERLY 70 NORTH FIRST STREET C AMP BEL L, C A L I FOR N I A 9 5 0 0 8 (408) 866-2100 FAX # (408) 379-2572 ~,;S Gl Public Works (En Department: April 19, 1989 Mr. John DiBenedetto 1138 Cameo Drive Campbell, CA 95008 RE: Final Inspection and Acceptance Permit No.: 88-105 Location: 265 Dillon Avenue Maintenance Bond Amount: $6,425.00 We have made a Final Inspection of subject public works construction and find it acceptable and in conformance with City standards. Accordingly, the work is hereby accepted subject to the one-year maintenance requirement indicated below. You are responsible for the maintenance , repair and/or replacement of all work done should any failures occur within one (1) year of this date. To guarantee this, you must either post a maintenance bond in the amount indicated above, or maintain your existing faithful performance bond. If you post a separate maintenance bond, your current bond will be released by a separate action. We will inspect the work in one year and advise you whether or not maintenance is needed. Please feel free to call the undersigned if you have any questions. Sincerely, Carlos M. Jocson Associate Civil Enginneer CMJ:p cc: G. Eaton, P.W. Inspector Suspense - 1 year ---- REFUNDABLE DEPOSIT CHECK REQUEST TO: FINANCE DIRECTOR CITY OF CAMPBELL Please issue check payable to: DIAMOND DEVELOPMENT Address: Line 1: 1138 CAMEO DRIVE (30 spaces) (30 spaces) (30 spaces) Line 2: Exact City : spaces) PURPOSE: SEE RECEIPTS NO. 17002 OF NO. 19226 OF 6/2/88 FOR ./ P) FAITHFUL PERFORMANCE DEPOSIT /' ,./ Requested by: Approved by: Verified by: Title: P. W. INSP. Date: 4/19/89 Title: DIR. OF PUB WKS Date: ~ Accounts Receivable Date: ~..... ~G. _ ATON D ~w~ " . SPECIAL INSTRUCTIONS FOR HANDLING CHECK: Mail as is x Mail in attached envelope Return to: (Department) (Name) Other: 08/24/88 4/tUr,1 Address ~ 5' - b I L..UO to Type of work: Street ~torm Other (describe) PUBLIC WORKS INSPECTION REPORT Date Permit or Project No. ~7~~ Sanitary Electrical ,--' o PRELIMINARY INSPECTION WITH DEFICIENCY LIST (attached) OF~INSPECTION WITH DEFICIENCY LIST (attached) ~INAL INSPE~TION - ACCEPT~E Signed plans? Y ~ (If signed, Council acceptance.) Charges against deposit? y OVertime I hrs. @ $ Date 5 reason: ~. . $ Barricade rental (attach invoice)? Y Date 5 reason: @ $ Other? $ $ $ · Refund $ ISll~ ck. req.) Total charges deducted from deposit: (Cash Deposit $:j;". less charges $ DONE YEAR MAINTENANCE WITH DEFICIENCY LIST (attached) (JONE YEAR MAINTENANCE - ACCEPTANCE (Release'maintenance bond. Check Request if cash.) IE' pf &;C;;lP/ /7 () ~ ~ 19 dla b OF 0f/ff b~ DO E1)9ine~,r 6/07/t"? <1/0;( f /) 0 , .------- C/OIJ J. (5":20 ~ J()n-J hi ~C..6C::710 //3! ~ lJ/Z. MPt i/8a c. I M f$boB LOS ANGELES, CALIFORNIA A AM WEST SURETY INSURANCE COMPANY BOND NO. PUBLIC WORKS - LABOR & MATERIAL BOND 1150208 KNOW ALL MEN BY THESE PRESENTS, Diamond Development Company That we, , as Principal, and AMWEST SURETY INSURANCE COMPANY, a Corporation organized and existing under the laws of the State of Califor- nia, and authorized to transact a general surety business in the State of California, as Surety, are held and firmly bound unto: City of Campbell , as Obligee, in the sum of **Twenty Five Thousand Seven Hundred*******************************~~ DOLLARS ($ 25,700.00 ), lawful money of the United States of America, for the payment whereof, well and truly to be ma(i we hereby bind ourselves, our heirs, executors, administrators, jointly and severally, firmly by these presents. THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH, that WHEREAS, the above bounden Principal has been awarded and has entered into a contract dated with the Obligee to do and perform the following, to wit: June 2, 1988 Site grading and drainage, CG & S/W, street reconstruction 263 & 273 Dillon Avenue NOW, THEREFORE, if the above-bounden Principal or his subcontractors fail to pay any of the persons named in Section 3181 of the Civil Code of the State of California, or amounts due under the Unemployment Insurance Code with repeet to work or labor performed by any such claimant, the Surety will pay for the same, in an amount not exceeding the sum specified in this bond, and also, in case suit is brought upon this bond, a reasonable attorney's fee, to be fixed by the court. This bond shall insure to the benefit of any and all persons, companies or corporations entitled to file claims under Section 3181 of the Civil Code of the State of California so as to give a right of action to th.em or their assigns in any suit brought upon this bond. SIGNED, SEALED AND DATED this 2nd day of June 19 88 Diamond Development Company Principal BY ~~ETY INSURA:CE COMPANY A t-t-o~ne'Y~-=-F-act--~ Rochelle P. Woessner C.'03 (7/78) A AM WEST SURETY INSURANCE COMPANY WOOOLA:.JO HILLS. CALIFORi\IA BOND NO. 1150208 I'RE:\!Il:\! $514.00 PUBLIC WORKS - PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: That we, Diamond D~velopmeIlt ~mpaIlr___ , as Principal, and A:\!\\'EST SCRETY INSURANCE COMPANY. a Corporation organized and existing under the laws of the State of California. and authorized to transact a general surety husiness m the State of California , as Surety, are held and firmly hound unto: City of Campbell , as Ohligee, miliesumof**Twentv Five Thousand Seven Hundred*********************************DOLLARS, ($ 25,700.00 ), lawful money of the United States of America, for the payment whereof, well and truly to be made, we hereby bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents, THE CONDITIONS OF THIS OBLIGATION IS SUCH, that WHEREAS, ilie above-bounden Prmcipal entered into a contract dated the wiili said Obligee to do and perform the following work, to wit: June 2, 1988 Site grading and drainage, CG & S/W, street reconstruction 263 & 273 Dillon Avenue NOW, THEREFORE, if the above-bounden Principal shall well and truly perform or cause to be performed, each and all of the requirements and obligations of said contract set forth, then this bond shall be null and void; otherwise it shall remain in force and effect. SIGNED, SEALED AND DATED this 2nd day of June 19~~ Diamond Development Company PRiNCiPAL BY ~~~TYINSURANCECOMPANY ATTORNEY-iN-FACT Rochelle P. Woessner REV 7/86 AMWEST SURETY INSURANCE CO. P.O. Box 4500 Woodland Hills, CA 91365 (818) 704-1111 KNOW ALL MEN BY THESE PRESENTS does hereby make, constitute and appoint CORPORA TION its true and lawful Attorney{s)-in-Fact, deliver and affix the seal of the comp tions in the nature thereof, as folio Cant and to bind AMWEST SURETY presents, are hereby ratified a Laws of the company, whlc Article III, Section This Power of At the board of director ce-president and attested and sealed (if a seal be required) by any sec- ny vice-president or s authorized attorney-in-fa if a seal be required) by one or ced by the power of attorney issue he signature of any authorized officer a ney or certification thereof authorizing the ex uretyship obligations of the company; and such t as though manually affixed. d IN WITNESS WHEREOF, AMWEST SURETY INSURANCE COMPANY has caused these presents to be signed by its proper of- ficer, and its corporate seal to be hereunto affixed this 1st day of April 19 85 AMWEST SURETY INSURANCE COMPANY ~/f. ~""o, p",,,,,, -1~ A/. ~~ Karen G. Cohen, Secretary STATE OF CALIFORNIA, COUNTY OF LOS ANGELES - ss On this 1st day of April A.D., 19~, personally came before me Gary R. Peterson and Karen G. Cohen to me known to be the individuals and officers of AMWEST SURETY INSURANCE COM. PANY, CALIFORNIA who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say: that they are the said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. 8) OFFICIAL SEAL JANICE DRUEZ NOTARY PUBLIC - CALIFORNIA LOS ANGELES COUNTY My comm. expires MAY 1, 1989 (SEAL) STATE OF CALIFORNIA. COUNTY OF LOS ANGELES - ss CERTIFICATE I, the undersigned, secretary of the AMWEST SURETY INSURANCE COMPANY, a California corporation, DO HEREBY CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked, and further- more, that the provisions of the By-Laws of the company and the Resolutions of the board of directors set forth in the Power of Attorney, are now in force. Signed and sealed at San Jose. CA. this 2nd day of June 19~8 V~w..,...; .H ~CO"" s"".,,> - ~ J1 I t ~ ~ ~ .(S ~i 'tJi ~~ ~ f' a l #~ ~ ~. '* ~ ~& ~ vCi" ~ '~J~~~ V/A't c} ~ r\t)~, ~ ~. ~ Af)T .1-' ~ ~ c,. ll:> ~ -s9 1t5" .~~ 'Q ~(j' -~ q ~ .~Q, l~' ~Q rS: Cf 0 ~ ..... . ~ ~ tV c,:j c.,Ci t....'- ~ ~ ~. ~ ... CITY OF CAMPBELL DEPT. OF PUBLIC WORKS 70 NORTH FIRST STREET CAMPBELL, CALIFORNIA 95008 FEB 0 1 1989 RECEIVED FEB 02 1989 PUBLIC WORKS ENGINEERING Bond No.: 1150208 Subdivider: DIAMOND DEVELOPMENT COMPANY Tract No.: * . Amount: 25,700.00 Description of Improvements: SITE GRADING AND DRAINAGE, CG & S/W STREET RECONSTRUCTION AMWEST SURETY INSURANCE COMPANY is Surety on the above captioned bond. We would appreciate your cooperation in providing the information requested below. Please return the form to us so that we may have current status information on the above captioned improvements. A postage-paid envelope is provided. Thank you very much for your assistance. 1. Have the improvements been completed? Yes __ No 2. If not, what percentage has been completed? 98 , Is the work progressing satisfactorily? 3. 4. 5. V'Yes No Has this work been accepted? Yes ___ No If not, what is the anticipated date of acceptance? 2-/~ '9 I Comments: __~AJI) TO . K:e-n?~1 AI /;'1../ ~~ Above information provided by: Name 6~-z;~ E"~ Title ~J3.(,/~ Joa~ ..-.-- 1J'J5l> . I Phone No. (~~C. r; - 2/50 Date 0~' F30 6/87 /) . d- f"e;7VJ?/1 88-/05 r _ ~se:~-~ t! /L-LOA! r- .r_. .. , . , 4. -...-.-.._.._....,-- . J ." :'. P~~T:tl: S8 -'t 05 t ~i ~ ~ ~"'uo/~ ~ ,,~ ~&~ u~ ~$ t/s ~o '(;:J~' (}I/O ~ ~~<f~~ ~~ .ff ~ ~ .~Q, ~ ~!r~ ~ ~ cV V,s u(j ~ ~o RECEIVED MAR 03 1989 PUBLIC WORKS ENGINEERING A CITY OF CAMPBELL MARCH 1, 1989 DEPT. OF PUBLIC WORKS 70 NORTH FIRST STREET CAMPBELL, CA. 95008 ATTN: GREGG EATON Bond No.: 1150208 Principal: DIAMOND DEVELOPMENT COMPANY Amount: 25,700.00 Description: SITE GRADING AND DRAINAGE, CG & S/W STREET RECONSTRUCTION AMWEST SURETY INSURANCE COMPANY is Surety on the above bond. We vlould appreciate your cooperation in providing the information requested below. Please return this form to us so that we may have current status information on the above captioned job. A postage-paid envelope is provided. Thank you for your assistance, PLEASE COMPLETE ONE SECTION ONLY 1. IF THE CONTRACT HAS BEEN COMPLETED: What was the completion date? Date of acceptance? What was the final contract price? Was the work satisfactory? Have all labor and material bills been paid? 2. IF THE CONTRACT HAS NOT BEEN COMPLETED: What percent of work has been completed to date? Total amount paid to Contractor to date? What is amount of retainage? What is anticipated date of completion? Is the Contractor paying labor and material bills? Is the work progressing satisfactorily? ~~ / ?'~% .3$9 , Comments: ~l) 70 ZGnA/~ /~ E/"FGZT #m;e A~~ce 7?h~ '&'~-D ~;::3~ ~t-/JU"""7\ t,.J/7?-/ r1 25% MAI^-'rrAJAIYc-e ,vJ> FIRM: ~ I b o~ C,.,....,...to.'3c:L-I.- AD'DRESS: 7o,Jo . F,k~,. BY: ~~~ c.:.. ~~ ~/.Jd€'- i- , DATE: diBle, PHONE: (~) B" - 2/5"0 , , 29 6/87 t~~1 I ~I t ~ # f<I c9 ~ l ...,.b ~ ~ i<J 0 f- ~ ~,,11 ~~ ~ ':) 0 ~ 0 '. €I b'S '> VA C}; c-. {\c~- o~"~. t' ~+ .1-' ~~ ~ -" ~::g- ~ CIS .f::o~ "'Q ~d" _~ q ~.# ~lJ. ~Q.~. ~ o. f::o ~. ~ tV,,~ C,J' ,,-" ~ ~r;:j ~. ~ .. CITY OF CAMPBELL DEPT. OF PUBLIC WORKS 70 NORTH FIRST STREET CAMPBELL, CALIFORNIA 95008 RECEIVED APR 07 1989 PUBLIC WORKS ENGiHWUlhKj APR 0 5 1989 Bond No.: 1150208 $~bdivider: DIAMOND DEVELOPMENT COMPANY Tract No.: -.-- . Amount: 25,700.00 Description of Improvements: SITE GRADING ~p DRAINAGE, CG , S/W STREET RECONSTRUCTION -p<,rm 17\- jt:. ~ - JOB AMWEST SURETY INSURANCE COMPANY is Surety on the above captioned bond. We would appreciate your cooperation in providing the information requested below. Please return the form to us so that we may have current status information on the above captioned improvements. A postage-paid envelope is provided. Thank you very much for your assistance. z,GO ~ b (-l..Go r..l 3. Have the improvements been completed? If not, what percentage has been completed? Is the work progressing satisfactorily? Has this work been accepted? ~Yes , No 1. 2. ./ Yes No - 4. Yes ~No 5. If not, what is the anticipated date of acceptance? 4/~1 . Comments: .~eb ~ IGEfY1A~ ~ i",..J E.FFEL-r Above info'rmation provided by: G~-z;.~ --- Name t::: ~ Phone No. ( 408) 8~~ ~2/SD Title (2.,18(,1''- c.0b~?.s ~f; Date .4fo,/eC] F30 6/87 ~- -- .- ... . . rr ,.... ." ~..:~...... .. . -, " : l.". ". 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 FAX # (408) 379-2572 Department: Public Works April 25, 1989 Mr. John DiBenedetto ~' 1138 Cameo Drive Campbell, CA 95008 RE: Public Works - Labor and Material Bond Permit No.: 88-105 Location: 265 Dillon Avenue Bonding Company: Amwest Surety Insurance Company Bond No.: 1150208 $25,700.00 Public Works construction at 265 Dillon Avenue, Campbell, California, under permit No. 88-105 has been satisfactorily completed and accepted. Accordingly, subject bond is hereby released. Please feel free to call the undersigned if you have any questions. Sincerely, Carlos M. Jocson Associate Civil Enginneer CMJ:p cc: G. Eaton, P.W. Inspector Amwest Surety Ins. Co. 88-105 DAte!) //0" /10 I I Addre:u. d &5' PUBLIC WORKS INSPECTION REPORT .?~--I05" Permit or Project No. b/I/Oh Hu-enu.L/ Type of work z Street X Storm Other (de$cribe) SAnitAry ElectricAl (JPRELIHINARY INSPECTION WITH DEFICIENCY LIST (AttAched) [JFINAL XNSPECTION WITH DEFICIENCY LIST (AttAched) o FINAL INSPECTION - ACCEPTANCE Signed plAn~'? Y N (If uigned, Council AcceptAnce.) ChArge& AgAinst deposit? Y Overtimez hrli. @ $ DAte " re~lI.on. N /hr. - $ B4rricAde rentAl (AttACh invoice)? Y N DAte " reAson. $ Other? $ $ TotAl chArgea deducted from depositz $ (CAsh Depo:d t $ lea Ii chArge.. $ - Refund $ ck. req.) [JONE YEAR MAINTENANCE WITH DEFICIENCY LIST (AttAched) ~ONE YEAR MAINTENANCE - ACCEPTANCE (ReleAae'mAinten~nce bond. Check Reque6t if CAsh.) Engineer ~ ~