HomeMy WebLinkAboutMINUTES - 12182001 - C.7 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Resolution on December 18, 2001, by the following vote:
AYES: Supervisors Gioia, Gerber, DeSaulnier, Glover and Uilkema
NOES: None
ABSENT: None
ABSTAIN: None
RESOLUTION NO. 2001/ 593
SUBJECT: Approve the Drainage Improvement Agreement for restoration and establishment of
backwater channels and seasonal wetlands on West Branch Alamo Creek(DA 0003)
for Subdivision 7984,being developed by Shapell Industries of Northern California,
A Division of Shapell Industries, Inc., Dougherty Valley area(District III).
The following document was presented for Board approval this date for Subdivision 7984,Drainage
Improvement Agreement file DA 0003,property located in the Dougherty Valley area,Supervisorial
District III.
A Drainage Improvement Agreement with Shapell Industries of Northern California,
principal,whereby said principal agrees to complete all improvements,as required in said Drainage
Improvement Agreement,within one year from the date of said agreement. Improvements generally
consist of establishment of backwater channels and seasonal wetlands.
Said document was accompanied by security to guarantee the completion of drainage
improvements, as required by Title 9 of the County Ordinance Code, as follows:
I hereby certify that this is a true and correct copy of an action taken
and entered on the minutes of the Board of Supervisors on the date
Originator:Public Works(ES) shown.
Contact: Teri Rie(313-2363)
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G:\GrpDatatubic orksoolR.BrDAOOoJ traction ATTESTED: December 18, 2001
cc: Pubic Works- R.Bruno,Construction
T-9-4-02 JOHN SWEETEN Clerk of the Board of Supervisors and Count
Shapell
ll Industrics of Northern California � 1� y
Attn: Steve Savage&Sam Worden Administrator
100 North Milpitas Blvd.
Milpitas,CA 95035
By ,Deputy
RESOLUTION NO.2001/ 593
SUBJECT: Approve the Drainage Improvement Agreement for restoration and establishment
of backwater channels and seasonal wetlands on West Branch Alamo Creek (DA
0003) for Subdivision 7984, being developed by Shapell Industries of Northern
California, A Division of Shapell Industries, Inc., Dougherty Valley area(District
III).
DATE: December 18, 2001
PAGE: 2
I. Cash Bond
Performance Amount: $3,300.00
Auditor's Deposit Permit No. DP376598 Date: October 31, 2001
Submitted by: Shapell Industries of Northern California
Taxpayer identification number: 95-2578030
II. Surety Bond
Bond Company: American Casualty Company of Reading, Pennsylvania
Bond Number and Date: 190-724-121, September 4, 2001
Performance Amount: $331,500.00
Labor&Materials Amount: $167,400.00
Principal: Shapell Industries of Northern California
NOW, THEREFORE, IT IS RESOLVED that said Drainage Improvement Agreement is
APPROVED.
All deposit permits are on file with the Public Works Department.
RESOLUTION NO.2001/593
DRAINAGE IMPROVEMENT AGREEMENT
Subdivision: DA-0003 (x-ref. 7984) Effective Date:
Shapell Industries of Northern California,
Developer: a division of Shapell Industries, Inc. Completion Period: 1 year
THESE SIGNATURES ATTEST TO THE PARTIES'AGREEMENT HERETO:
CONTRA COSTA COUNTY DEVELOPER
Maurice M.Shiu,Public Works Direct
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By: � (Signature)By:
RECOMMENDED FOR APPROVAL (Print Name and'i ) C . T r u e b r dg e
Executive Vice President
Divis ' on Man ger
By: (Signature)By:_
Engineering rvices Division (Print 1Jame and Title)Ma r k Wes,t p h
Assistant S) ary
FORM APPROVED: Victor J. Westman,County Counsel
(NOTE: All signatures to be acknowledged.If Developer is incorporated,signatures must
conform with the designated representative groups pursuant to Corporations CodeS313.)
1. PARTIES&DATE. Effective on the above date,the County of Contra Costa,California,hereinafter called"County,"and the above-named
Developer,mutually promise and agree as follows concerning this acceptance:
2. IMPROVEMENTS.Developer.agrees to install certain off-tract drainage improvements and such other improvements(including appurtenant
equipment)as required in the improvement plans for this subdivision as reviewed and on file with the Contra Costa County Public Works Department
and in conformance with the Contra Costa County Ordinance Code(including future amendments thereto).
Developer shall complete said work and improvements(hereinafter called"work")within the above completion period from date hereof in a
good workmanlike manner, in accordance with accepted construction practices and in a manner equal or superior to the requirements of the County
Ordinance Code and rulings made thereunder;and where there is a conflict between the improvement plans and the County Ordinance Code,the stricter
requirements shall govern.
3. IMPROVEMENT SECURITY. Upon executing this Agreement,the Developer shall provide as security to the County:
A. For Performance and Guarantee: $ 3,300.00cash,plus additional security,in the amount of$'- 331-,500.00
together total one hundred percent(100%)of the estimated cost of the work. Such additional security is presented in the form of:
Cash,certified check,or cashier's check.
X Acceptable corporate surety bond.
Acceptable irrevocable letter of credit.
With this security,the Developer guarantees performance under this Agreement and maintenance of the work for one year after its completion
and acceptance against any defective workmanship or materials or any unsatisfactory performance.
B. For Payment: Security in the amount of$ 167,400.00 which is fifty percent(50%)of the estimated cost of the work.
Such security is presented in the form of:
Cash,certified check,or cashier's check
X Acceptable corporate surety bond.
Acceptable irrevocable letter of credit.
With this security,the Developer guarantees payment to the contractor,to his subcontractors,and to persons renting equipment or furnishing
labor or materials to them or to the Developer. Upon acceptance of the work as complete by the Board of Supervisors and upon request of the Developer,
the amount of the securities may be reduced in accordance with S94-4.406 and S94-4.408 of the Ordinance Code.
4. GUARANTEE AND WARRANTY OF WORK. Developer guarantees that said work shall be free from defects in material or workmanship
and shall perform satisfactorily for a period of one(1)year from and after the Board of Supervisors accepts the work as complete in accordance with
Article 96-4.6,"Acceptance,"of the Ordinance Code. Developer agrees to correct,repair,or replace,at his expense,any defects in said work.
5. IMPROVEMENT PLAN WARRANTY. Developer warrants the improvement plans for the work are adequate to accomplish the work as
promised in Section 2 and as required by the Conditions of Approval for the development. If,at any time before the Board of Supervisors accepts the
work as complete or during the one-year guarantee period,said improvement plans prove to be inadequate in any respect,Developer shall make whatever
changes are necessary to accomplish the work as promised.
6. NO WAIVER BY.COUNTY. Inspection of the work and/or materials,or approval of work and/or materials or statement by any officer,agent
or employee of the County indicating the work or any part thereof complies with the requirements of this Agreement,or acceptance of the whole,or any
part of said work and/or materials,or payments therefor,or any combination or all of these acts,shall not relieve the Developer of his obligation to fulfill
this agreement as prescribed;nor shall the County be thereby be stopped from bringing any action for damages arising from the failure to comply with
any of the terms and conditions hereof.
7. INDEMNITY: Developer'shall defend;hold harmless and indemnify the indemnities from the liabilities as defined in this section:
A. The indemnities benefitted and protected by this promise are the County and its special district,elective and appointive boards,
commissions,officers,agents and employees.
B. The liabilities protected against are any liability or claim for damage of any kind allegedly suffered,incurred or threatened because
of actions defined below,and including personal injury,death,property damage,inverse condemnation,or any combination of these,and regardless of
whether or not such liability,claim or damage was unforeseeable at any time before the County reviewed said improvement plans or accepted the work
as complete,and including the defense of any suit(s),action(s)or other proceeding(s)concerning said liabilities and claims.
C. The actions causing liability are any act or omission(negligent or non-negligent)in connection with the matters covered by this
Agreement and attributable to the Developer,contractor,subcontractor or any officer,agent or employee of one or more of them.
D.. Non-Conditions: The promise and agreement in this section are not conditioned or dependent on whether or not any indemnity has
prepared,supplied,or reviewed any plan(s)or specification(s)in connection with this work or subdivision,or has insurance or other indemnification
covering any of these matters,or that the alleged damage resulted partly from any negligent or willful misconduct of any Indemnity.
8. COSTS. Developer shall pay when due,all the costs of the work,including inspections thereof and relocating existing utilities required thereby.
9. NON-PERFORMANCE AND COSTS. If Developer fails to complete the work within the time specified in this Agreement,and subsequent
extensions,or fails to maintain the work,the County may proceed to complete and/or maintain the work by contract or otherwise,and Developer agrees
to pay all costs and charges incurred by the County(including,but not limited to:Engineering,.inspection,surveys,contract,overhead,etc.)immediately
upon demand.
Once action is taken by County to complete or maintain the work,Developer agrees to pay all costs incurred by the County,even if Developer
subsequently proceeds to complete the work.
Should County sue to compel performance under this Agreement or to recover costs incurred in completing or maintaining the work,Developer
agrees to pay all attorney's fees,and all other expenses of litigation incurred by County in connection therewith,even if Developer subsequently proceeds
to complete the work.
10.. ASSIGNMENT. If,before the Board of Supervisors accepts the work as complete,the development is annexed to a city,the County may assign
to.that city the County's rights under this Agreement and/or any deposit,.bond or letter of credit securing said rights.
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\TWS4\SHARDATA\GrpData\EngSvc\Fomis\AG WORD\AG-17.doc
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
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Back Water Channel and Created Wetlands
Development No: DA-0003 (X—Ref 7984)
Bond: 190 724 121
Premium: $1160.00
HAPROVEMENT SECURITY BOND
FOR DRAINAGE IMPROVEMENT AGREEMENT
(faithful performance &maintenance,AND labor and materials)
1. OBLIGATION• Shapell Industries of Northern California, a Division of Shapell Industries, Inc.(principal), as
Principal, and American Casualty Company of Reading, Pennsylvania a
corporation organized and existing under the laws of the State of PA
and organized and existing under the laws of the State of California,as Surety,hereby jointly and severally
bind ourselves, our heirs,executors,administrators, successors and assigns to the County of Contra Costa,
California to pay it;
A. Faithful Performance, &Maintenance:Three Hundred Thirty One Thousand Five Hundred Dollar $
$2q!,500.00 )for itself or any city-assignee under the below-cited Drainage
Improvement Agreement,plus
B. Labor&Materials: One Hundred Sixty Seven Thousand Four Hundred Dollars ($
$167,400.00 )for the benefit of persons protected under Title 15§et seq.of
the California Civil Code.
2. RECITAL OF CONTRACT: The principal contracted with the County to install and pay for drainage and
other improvements in DA-0003 , as specified in the Drainage
Improvements Agreement,and to complete said work within the time specified in the Drainage Improvement
Agreement for completion, all in accordance with State and local laws and rulings thereunder in order to
satisfy the conditions of approval for SC0 —419-4-'
3. CONDITION: If the principal faithfully performs all things required according to the terms'and conditions
of said contract and improvement plan and improvements agreed on by the principal and the County,then
this obligation as to Section 1-(A) above shall become null and void, except that the guarantee of
maintenance continues for the one-year period; and if principal fully pays the contractors, subcontractors,
and persons renting equipment or furnishing labor or materials to them for said work and improvement,and
protects the premises from claims of such liens,then this obligation as to Section 1-(B)above shall become
null and void; otherwise,this obligation remains.in full force and effect'.
No alteration of said contract or any plans or specifications of said work agreed to by the Principal and the
county shall relieve any surety from liability on this bond; and consent is hereby given to make such
alterations without further notice to or consent by Surety; and the Surety hereby waives the provision of
California Civil Code § 2819, and holds itself bound without regard to and independently of any action
against Principal whenever taken, and agrees that if County sues on this bond, Surety will pay reasonable
attorney fees fixed by court to be taxed as costs and included in the judgement.
C. . .
3. CONDITION:
A. The Condition of this obligation as to Section 2.(A) above is such that if the above bounded
Principal,his or its heirs,executors,administrators,successors or assigns,shall in all things stand to
and abide by, and well and truly keep and perform the covenants,conditions and provisions in the
said agreement and any alteration thereof made as therein provided,on is or its part,to be kept and
performed at the time and in the manner therein specified,and in all respects according to their true
intent and meaning, and shall indemnify and save harmless the County of Contra Costa (or city
assignee),its officers,agents and employees,as therein stipulated,then this obligation shall become
null and void; otherwise it shall be and remain in full force and effect.
As part of the obligation secured hereby and in addition to the face amount specified therefore,there
shall be included costs and reasonable expenses and fees, including reasonable attorney's fees,
incurred by County (or city assignee) in successfully enforcing such obligation, all to be taxed as
costs and included in any judgement rendered.
B. The condition of this obligation as to Section 2.(B) above is such that said Principal and the
undersigned as corporate surety are held firmly bound unto the County of Contra Costa and all
contractors,subcontractors,laborers,material men and other persons employed in the performance of
the aforesaid agreement and referred to in the aforesaid Civil Code for materials furnished or labor
thereon of any kind,or for amounts due under the Unemployment Insurance Act with respect to such
work or labor, that said surety will pay the same in an amount not exceeding the amount herein
above set forth, and also in case suit is brought upon this bond, will pay, in addition to the fact
amount thereof, costs and reasonable expenses and fees, including reasonable attorney's fees,
incurred by County(or city assignee)in successfully enforcing such obligation,to be awarded and
fixed by the court, and to be taxed as costs and to be included in the judgement therein rendered.
It is hereby expressly stipulated and agreed that this bond shall inure to the benefit of any and all
persons,companies and corporations entitled to.file claims under Title 15(commencing with Section
3082)of Part 4 of Division 3 of the Civil Code,so as to give a right of action to them or their assigns
in any suit brought upon this bond.
Should the condition of this bond be fully performed then this obligation shall become null and void,
otherwise it shall be and remain in full force and effect.
C. No alteration of said subdivision agreement or any plan or specification of said work agreed to by the
Principal and the County shall relieve any Surety from liability on=this bond;and consent is hereby
given to make such alteration without further notice to or consent by Surety;and the Surety hereby
waives the provisions of California Civil Code Section 2819,and holds itself bound without regard
to and independently of any action against Principal whenever taken.
SIGNED AND SEALED on September 4, 2001
PRINCIPAL U
RETer n Casualty Company of Reading,Pennsylvania .
By I
M a r I.e A. Cook Stocks,Attorney-in-Fact
Address Address 21650 Oxnard Street, Woodland Hills,CA 91367
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
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Dale Name end Title of Officer(e.g.,`Jane Doe,Notary Pu is")
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personally known to me
❑ proved to me. on the basis of satisfactory
evidence
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subscribed to the within instrument and
acknowledged to me that he/she/they executed
OWComANTOINETTE BRUMFIELD the same in his/her/their authorized
commission IL13168Z3 capacity(ies), and that by his/her/their
Notary Publle-Calftmia signature(s) on the instrument the person(s), or
Santa Clan County
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Wres Jul 30,20M the entity upon behalf of which the person(s)
acted, executed the instrument.
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WITNESS my hand aanndd official seal.
Place Notary Seal Above Signature of Notary Public
OPTIONAL
` Though the information below is not required by law, it may prove valuable to persons relying on the document
I. and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document �� �
( Title or Type of Document:
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Signer(s)Other Than Named Above:
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❑ Guardian or Conservator
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Signer Is Representing: _
01999 National Notary Association•9350 De Solo Ave.,P.O.Box 2402•Chatsworth,CA 91313-2402•www.nationalnotary.org Prod.No.5907 Reorder:Call Td)-Free 1-800-876-M7
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT
Know All Men By These Presents,That CONTINENTAL CASUALTY COMPANY,an Illinois corporation, NATIONAL FIRE
INSURANCE COMPANY OF HARTFORD,a Connecticut corporation,AMERICAN CASUALTY COMPANY OF READING,
PENNSYLVANIA,a Pennsylvania corporation(herein collectively called"the CCC Surety Companies'), are duly organized and existing
corporations having their principal offices in the City of Chicago,and State of Illinois,and that they do by virtue of the signature and seals
herein affixed hereby make,constitute and appoint
Pamela L. Stocks, Beverly A Hall, Sandra V. Hanner, Individually
of Sherman Oaks,California
their true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on their behalf
bonds,undertakings and other obligatory instruments of similar nature
-In Unlimited Amounts-
and to bind them thereby as fully.and to the same extent as.if such instruments were signed by-a duly authorized officer of their corporations
and all the.acts of said Attorney,pursuant to the authority hereby given are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By-Laws and Resolutions,.printed on the reverse
hereof, duly adopted,as indicated, by the Boards of Directors of the corporations:.
In Witness Whereof,the CCC Surety Companies have caused these presents to be signed by their Group Vice President and their
corporate seals to be hereto affixed on this 7th day of January 2000
CONTINENTAL CASUALTY COMPANY
sF �c> �� NATIONAL FIRE INSURANCE COMPANY OF HARTFORD
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AMERICAN CASUALTY COMPANY OF READING,PENNSYLVANIA
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Marvin J..Cashion Group Vice President
State of Illinois, County of Cook,ss:
On this 7th day of January 2000. ,before me personally.came
Marvin J. Cashion,to me known,who, being by me duly sworn,did-depose and say:that he..resides in the City of Chicago, State of Illinois;
that he is a Group Vice President of CONTINENTAL CASUALTY COMPANY, NATIONAL FIRE INSURANCE COMPANY OF HARTFORD,
and AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA described in and which executed the above instrument;that he
knows the seals of said corporations;that the seals affixed to the.said iristrOment are such corporate seals;:that they were so affixed ..
pursuant to authority given by the Boards of Directors of said corporations and that he signed his name thereto pursuant to like authority,
and acknowledges same to be the act and deed of said corporations.
OFFICIAL SEAL" >;
• DIANE FAULKNER �
No"Publie.$ate of Illinois • .
• My Conrniabe bpirsa 9/17/01 �.
My Commission Expires September 17,2001 Diane Faulkner Notary Public-,_
CERTIFICATE
1,Mary A.Ribikawskis,Assistant Secretary of CONTINENTAL CASUALTY COMPANY,NATIONAL FIRE INSURANCE COMPANY OF
HARTFORD, and AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA do hereby certify that the Power of Attorney herein
above set forth is still in force,and further certify that the By-Law and Resolution of the Board of Directors of each corporation printed on the
reverse hereof are still in force. In testimony whereof I have hereunto sum�,cc bed my name and affixed the seals of the
said corporations this 4th day of September — 2UU�
W5CONTINENTAL CASUALTY COMPANY
��o �Oe� NATIONAL FIRE INSURANCE COMPANY OF HARTFORD
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AMERICAN CASUALTY COMPANY OF READING,PENNSYLVANIA
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Mary A Ribikawskis Assistant Secretary
(Rev.10/1/97)
Authorizing By-Laws and Resolutions
ADOPTED BY THE BOARD OF DIRECTORS.OF CONTINENTAL CASUALTY.COMPANY:
This Power of Attorney is made and executed pursuant to and by authority of the following By-Law.duly adopted by the Board of
Directors of the Company.
"Article IX—Execution of Documents
Section 3.Appointment of Attorney-in-fact.The Chairman of the Board of Directors,the President or;any Executive,Senior or
Group Vice President may,from time to time, appoint by written certificates attomeys-in-fact to act in behalf of the Company in the
execution of policies of insurance, bonds,undertakings and other obligatory instruments of like-nature. Such attorneys-in-fact,subject to
the limitations set forth in their respective certificates of authority,shall have full power to bind the Company by their signature and
execution of any such instruments and to attach the seal of the Company thereto.-The Chairman of the Board of Directors,the
President.or any Executive;Senior or Group Vice President or the-Board of Directors,may, at any time,revoke all power and authority
previously given to any attorney-in-fact.'. .
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of
Directors of the Company at a.meeting duly called and held on the 17th day of February, 1993.
'Resolved,that the signature of the President or any Executive,Senior.or Group..Vice President and the seal of the Company may
be affixed by facsimile on any power of attorney granted pursuant to Section 8-of Article IX of the By-Laws, and the signature'of the
Secretary or an Assistant Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and
any power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company.Any such power so
executed and sealed and certified by certificate so executed and sealed shall,with respect to any bond or unde.rtaking.to which it is
attached,continue to be valid and binding on the Company."
ADOPTED BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA:
This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the Board of
Directors of the Company.
"Article Vt—Execution of Obligations and Appointment of Attorney4n-Fact
Section 2.Appointment,of Attorney-in-fact The.Chairman of the.Board of Directors,the President or any Executive,Senior or
Group Vice President ri ay;from time to time, appoint'by written certificates.attomeys-in-fact to act in behalf of the Company in the
execution of policies of insurance, bonds,undertakings and other obligatory instruments of like nature. Such attomeys-in-fact,.subject to
the limitations set forth in their respective certificates of authority,shall have full power to bind the Company by their signature and
execution of any such instruments and to attach the seal of the Company thereto.The President or any Executive, Senior or Group Vice
President may'at any time revoke all power and authority previously given to any attorney-in-fact" .
'This'Power of Attorney is signed and.sealed by facsimile under and.by the authority of the following Resolution.adopted by the.Board of
Directors.&the Coinpany'at'a meeting duly.called and held on the 17thday of February,1993. .
'Resolved,that the signature of the President or any Executive,Senior or Group Vice President and the seal of the Company.may
be affixed by facsimile on'any.power of attorney granted pursuant to Section 2 of Article VI of the By-Laws,and the.signature of the
....Secretary or an Assistarit Secretary and the seal of the Company may be affixed by.facsimile to any certificate of:any.such power.and.
any power or certificate bearing such facsimile signature and seal shall be valid and binding.on the Company.Any such power so
executed and sealed and certified by certificate so executed and sealed shall,with respect to any bond or undertaking to which it is
attached,continue.to be valid and binding on the Company."
ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD:
This Power of Attorney is made.and:executed pursuant to and by authority of the.following Resolution duly adopted on February 17,
1993,16y, the BOard of Directors of the Company.
"RESOLVED:That the President,an Executive Vice President, or any Senior or Group Vice.President of the Corporation may,from,
time to time, appoint,by written certificates,Attomeys-in-Fact to act in behalf of the Corporation in-the execution of policies of..insurance,
bonds,undertakings and other obligatory instruments of like nature..Such Attorney-in-Fact,subject to the limitations set forth in their
respective certificates of authority,shall have.full power to.bind the Corporation by their signature and execution of:any such instrument
and to attach the seal of the Corporation thereto.The President,an.Executive.Vice President,any Senior-or Group.Vice President or
the Board of Directors may of any time revoke all power and authority previously..given to any Attorney-in-Fact"
This Power of Attorney is signed and sealed by facsimile under and by the.authority of the following.Resolutio`adopted by.the Board of
Directors of the.Company.at a meeting duly called.and held on the 17th day of February, 1993.
'RESOLVED:That the signature of the President, an Executive Vice President-or any Senior or•.Group.Vice President and the seal
of the Corporation may be affixed.by facsimile on any power of attorney granted pursuant to the Resolution adopted;by this Board of
Directors on February. 93 17,19and the signature of a Secretary or•an Assistant Secretary and.the seal of the Corporation may be
affixed by facsimile to any certificate of any such power,and any power or certificate bearing such facsimile signature and seal shall be
valid and binding on the Corporation.Any such power so executed and sealed and certified by certficate so executed and sealed,shall
with respect to any bond or undertaking to which it is attached;continue to be valid and binding on the Corporation."
State of CALIFORNIA
County of LOS ANGELES
On September 4, 2001 before. me, Sandy Iianner - Notary Public
Date NAME, TITLE OF OFFICER.. 'JANE DOE. NOTARY PUBLIC-
personally appeared Pamela L. Stocks
NAME(S)OF SIGNER(S)
(X) personally known to me - OR- (_) proved to me on the basis of satisfactory evidence to be
the persona) whose name(#is/At subscribed to the within instrument and acknowledged to me that
Wshe/kx*executed the same in bds/her/ftakr authorized capac(ty(iea} and that by R twher/
signatures) on the instrument the person(g), or the entity upon behalf of which the person(s) acted,
executed the instrument.
SANDY MANNER WITNE y hand and I seal.
Comrn-wkn#1188693
.m Notary Public-Car'�fomia
Los Angeles County SIGNA RE OF NOTARY
my comm.Expkes Jul 2,20M
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 DESCRIPTION OF ATTACHED DOCUMENT
(�) INDIVIDUAL
(_) CORPORATE OFFICER
TITLE(S) TITLE OR TYPE OF DOCUMENT
(_) PARTNER(S) LIMITED
(_) GENERAL
NUMBER OF PAGES
(X) ATTORNEY IN-FACT
(�) TRUSTEE(S)
(�) GUARDIAN/CONSERVATOR
(_} OTHER
DATE OF DOCUMENT
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES)
American Casualty Company
of Reading, Pennsylvania SIGNER(S) OTHER THAN NAMED ABOVE
G-107428-8
DEPOSIT PERMIT
OFFICE OF COUNTY AUDITOR-CONTROLLER
-
TO THE TREASURER: MARTINEZ,CALIFORNIA
RECEIVED FROM J/
ORGANIZATION NUMBER
(Orwrd-fi-)
(For Cash Collection Procedures see County Administrator's Bulletin 105.)
DESCRIPTION FUND/ORG.
SUB.,CT TASK OPTION ACTIVITY AMOUNT
i� L L :� "f r k 101)3c)o 0637
H Y�
,Q T's 9931 '
F P&I
�pv�5f LDo7
04
Q)1 i2 � H (� L 088 do goo
GSL', r�t1 FrE UU 7: �; �:��o �� y4/�vo
A `
A- l. 4ii lttE I I I I I t I t I Dt;75417 1.5 Ls q L Avo
W4 1
/7 4' yo9� Sao
6 0,0 0,0
i
i
i
i
EXPLANATION: rr it1(l j V(�rj ; C-t I U`� C 3� C 6 3 g `9 TOTAL $ �
t C l Lc�i2 i2 5 i L'40 U 63 E4, — f D U$ (a 3 DEPOSIT 3
1 j Q f=.l C-1 10(e I L4.5— 61 .10402 Deposit consists of the following items
COIN and CURRENCY $ V ��
CHECKS,MO.ETC. $ 511t943. 1°
BANK DEPOSITS $
FOR AUDffOR-CONTROLLER USE ONLY.
- DEPOSIT.
PERMIT. DP'
NUMBER
DATE 37659 CT 3 'Q1
ASSIGNED
The amountof money described above is for Treasurer's receipt of above amount is pro d Receipt of above amount is hereby
deposit into the County Treasury. �� acknowledged.
J
/L' 1 p
Signed:L;� =, " 6"'�i Date / /
Signed: t Signed: Y''`
Deputy County Auditor uty County Treasurer
Title:De fiOLT('41 EXT. 3 rs
)-34 REV.(7-93) -
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