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HomeMy WebLinkAboutRESOLUTIONS - 01012002 - 2002-555 THF BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adapted this Resolution on September 17, 2002,by the following vote: AYES: Supervisors Gerber, Uillcema, DeSaulni.er, Glover, and Gioia NOES: None ABSENT: None - ABSTAIN: None RESOLUTION NO. 20021 555 SUBJECT: Approval of Road Improvement Agreement for Bollinger Canyon Road,RA 1114, (cross-reference subdivision 7984) being developed by Shapell Industries of Northern California, San Ramon(Dougherty Valley) area. (District III) The following document was presented for Board approval for Bollinger Canyon Road,road acceptance file RA 1114 (cross-reference Subdivision 7984) property located in the San Ramon (Dougherty Valley)area;Supervisorial District III. A Road Improvement Agreement with Shapell Industries of Northern California,principal, whereby said principal agrees to complete all improvements, as required in said road improvement agreement,within one year from the date of said agreement.Improvements generally consist ofroad and drainage improvements. Said document was accompanied by security to guarantee the completion of road 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 SO-rw taken and entered on the minutes of the Board of Supervisors on G,,\GipDatalEngsvclBOU 10219-17-o2\RA 1114 BO-IS.doc the date shown. Originator. Public Works(ES) Contact. Teri Ric(313-2363) ATTESTED: September 17, 2002 cc: Pubic Works- T.Bell,Construction JOHN SWEETEN,Clerk of the Board of supervisors and County Current Planning,Coiarrainity Development T—July 2003 Administrator Shapell Industries ofNorthern California P.O.Box 361169 too lZrth Milpitas Blvd. Milpitas,CA 95035 Deputy ATT.Sam Worden&Steve Savage Bepy ty National Fire Insurance Co.of Hartford 21650 Oxnard Street,#640 Woodland Hills,CA 91367 RESOLUTION NO. 200215 5 5 SUBJECT: Approval of Road Improvement Agreement for Bollinger Canyon Road,RA 1114, (cross-reference Subdivision 7984) being developed by Shapell Industries of Northern California, San Ramon(Dougherty Valley) area. (District III) DATE: September 17, 2002 PAGE: 2 I. Casb Bond Performance Amount: $21,300.00 Auditor's Deposit Permit No. DP 391840 Date: August 22, 2002 Submitted by: Shapell Industries of Northern California Taxpayer identification number: 95-2578030 H. Surety Bond .Bond Company:National Fire Insurance Company of Hartford Bond Number and Date: 929247988,August 14, 2002 Performance Amount: $2,106,500.00 Labor&Materials Amount: $1,063,900.00 Principal: Shapell Industries of Northern California NOW, THEREFORE, IT IS RESOLVED that said road improvement agreement is APPROVED. All deposit permits are on file with the Public Works Department. RESOLUTION N0. 2002/555 ROAD IMPROVEMENT AGREEMENT Dew 1a er. ell Industries of Northern California Effective Date: '"" 1 p Shap ell Devic opment: RA 1114(cross-reference SUB 7984) Completion Period: 1 year Roar€; Bollinger Canyon Road THL3E SIGNATURES ATTEST TO THE PARTIES'AGREEMENT HERETO: CONl~RA COSTA COUNTY DEVELOPER Maur ice M.Shiu,Public Works Director Shapedlndustries of Northern California Y By: 3 (aipatue) (prints ItiPer I J C. Truebrid REC:)MMENDED FOR APPROVAL Exec. V.P. 10 000 By: {9igrratuse) Engine ng ee sion (peintnarrre& e) Mark W@:3 7h3 FOR.:t1 APPROVED_: Victor J. stman,County Counsel Asst. S e C t'Y (NOTE:All signatures to be acknowledged.If Subdivider is incorporated signatures must conform with the designated representative groups pursuant to Corporations Code S313) I. PARTIES &.DATE.Effective on the above date, the County of Contra Costa,California,hereinafter called "County," and the above-mentioned Devel 29,mutually promise and agree as follows concerning this development: 2. 1MPROVEMENTS. Developer agrees to install certain road improvements(both public and private),drainage improvements,signs,street lights,fire hydrates,landscaping,and such other improvements(including appurtenant equipment)as required in the improvement plans for this development 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 workrr nlike manner,in accordance with accepted construction practices and in a manner equal or superior to the requirements of the County Ordinance Codahn ruling-.?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,pursuant to the County Ordinance Code,provide as security to the County: A. For Performance and Guarantee: $21,300 cash,plus additional security,in the amount of$2,106,504,which 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 cashiers check. 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 acceptr;nce against any defective workmanship or materials or any unsatisfactory performance. E. For Payment: Security in the amount of 51,063,900,which is fifty percent(50"l0}of the estimated cost of the warkSueh security is presented in the f<)tm of: Cash,certified check,or cashier's check K 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 securitir s may be reduced in accordance with S94-4.406 and 5944.408 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-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. The guarantee period does not apply to road improvements for private roads which are not to be accepted into the County road system. 5. "CANT ESTABLISHMENT AORK. Developer agrees to perform establishment work for landscaping installed under this agreement. Said plant establishrlt snt work shall consist of adequately watering plants,replacing unsuitable plants,doing weed,rodent and other pest control and other work determined by, the Public Works Department to be necessary to insure establishment of plants. Said plant establishment work shall be performed for a period of ompar from and after the Board of Supervisors accepts the work as complete. 6. IMPROVEMENT PLAN WARRANTY. Developer warrants the improvement plans for the work are adequate to accomplish the work as promised in Section 2 ltd 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 me-year guarantee period,said improvement plans prove to be inadequate in any respect,Developer shall make whatever changes are necessary to accomplist the work as promised. 7. 3,40 WAIVER BY COUNTY. Inspection of the work and/or materials,or approval of work and/or materials ontatement by any officer,agent or employee r f 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 andl6r 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 d:¢onditions hereof. 8. 1,qEMNITY: Developer shall hold harmless and indemnify the indemnitees from the liabilities as defined in this section: '. The indemnities benefitted and protected by this promise are the County,and its special district,electivand appointive boards,commissions, officers,ag tuts,and employees. (;. The liabilities protected against are any liability or claim for damage of any kind allegedly suffered,incurred or threatened because of actions defined bef,,)w,and including personal injury,death,property damage,inverse condemnation,or any combination of these,and regardless of whether or not such liability,cls im 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 my suit(s),action(s),or other proceeding(s)concerning said liabilities and claims. C. The actions causingliability are any actor omission(negligent or nomegligent)in connection with the matters covered by th Agreement and attributabl+k to the Developer,contractor,subcontractor,or any officer,agent,or employee of one or more of them, Non-Conditi_o_ns: The promise and agreement in this section are not conditioned or dependent on whether or not any Indwitee has prepared, supplied,0 approved any plan(s)or specification(s)in connection with this work,or has insurance or other indemnification covering any of these matters,or that the alleged;damage resulted partly form any negligent or willful misconduct of any Indemnity. 9. COSTS: Developer shall pay when due,all the costs of the work,including inspections thereof and relocating existing utilities required thereby. 10. :ON-PERFORMANCE AND COSTS:IfDeveloper fails to complete the work within the time specified in this Agreement,and subsequent extensions, or fails to rr aintain 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 in6irred by the County(including,but not limited to: engineering,inspection,surveys,contract,overhead,etc.)immediately upon demand. l eveloper hereby consents to entry on the development property by the County and its forces,including contractors,in the event the Courpyoceeds to complete afd1or maintain the work, to nce action is taken by County to complete or maintain the work,Developer agrees to pay all costs incurred by the County, even if Developer subsequentf+completes the work. :s`2ould County sue to compel performance under this Agreement or to recover costs incurred in completing or maintaining the work,Developer agues 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. 11. INCORPORATION/ANNEXATION. If,before the Board of Supervisors accepts the work as complete,the development is included in territory incorporate;;as a city or is annexed to an existing city,the County's rights under thisgreement and/or any deposit,bond,or letter of credit securing said rights shall be transferred to the new or annexing city. Such city shall have all the rights of a third party beneficiary against Developer,who shall fulfill all the terms of this agreement 84 though Developer had contracted with the city originally. 12. C':)NSIDERATION. In consideration hereof: ((;heck applicable section(s)) County shall allow Developer to obtain building permits for said development,assuming it fully complies with other applicable regulations. County agrees to accept the road(s)into the County-maintained road system,after the improvements are complete. Other(requires County Counsel approval ci.:tap G:\GrpData\E:11:lSvc\Chris\Pmjects\Gale RanchtRA 11 MRA 1114 Aid-24.doc Rev.April 6,;�,$Oo CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California •--- County of ss._.�1 ►l On before me, Q�V,r 064 -an) Date IName and a at Officer(e.g.,"Jana Doe,Notary Public") personally appearedt' f NarnetprOvecl (s)of Signer(s) L onally known to me to me on the basis of satisfactory evidence to be the person(s) whose name(s) i re PANDORA LUI CRAM subscribed to the within instnt and Commission#1338611 acknowledged to me that he/s a xecuted tar Nay Public-Califomis Z the same in his/h he' authoriz Santa Clara County capacity(ies), and that by his/he eir Ml'Comm.6Pitea Jan 10,20oe signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. (�ITNES-Sqny hand and pftlal seal. Signature of Notary Public OPTIONAL Though the Information below is not required by law,it may prove valuable to persons relying on ft document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Ca C ek' 42,rvre-i"4 ,A+ 10, - X11 1A ops- 5Lu3 +,I%1f Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(les) Claimed by Signer Signer's Name: ❑ Individual Top of thumb here ❑ Corporate Officer—Title(s): ❑ Partner—❑Limited ❑General ❑ Attomey-in-Fact 11 Trustee • Guardian or Conservator ❑ Other: Signer Is Representing: 01999 National Notary Association•9380 De Soto Ave.,P.O.Box 2402•Chatawarth,CA 91313-2402 r www.natlonainotary.org Prod.Na 5907 Reorder.Call Toil-Free 1.800.878=8827 COUNTY OF Ct(FoWrCollectioh TA DEPOSIT k —)OFFICE OF COUNTY NTROLLER TO THE TREASURER: MARTINEZ, RECEIVED FROM ANIZATION NUMBER t ii-) procedures see CVnfy Administrator's Bulletin 105.) _ DESCRIPTIht FUND/ORG. ACC. TASK OPTION ACTIVITY AMOUNT a --- ` : C $ { r . i !*✓01 W F � 1 `s. It 1 t. i1 t i 1. 3 i t > EXPLANATIt TOTAL i DEPOSIT 1 Deposit concis#s.ot the folbwir►g e M COIN and CURRENCY $ ' CHECKS,M.O.ETC. $ BANK DEPOSITS $ FOR AUDITOR-CONTROLLER USE.ONLY DEPOSIT PERMIT DP NUMBERDATE r ASSIGN ` r '`f The amount of,money described above is for Treasurer's receipt of above amount is approved. Receipt of above amount is hereby dep sit> #o Caurtty T► ury. acknowledged d Signe . //__ r Signed't �C,.nty Signed. [?epu�ouiity Treasurer Vt, EXT -34 REV.(7-93j::,'._ 000649-9665 / 831000: G1093910, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 $49.920.00, DA 0004 Plan Check $44,000.00, DA 0004 Improvement Inspection 819800-0800: 61093897, $8,200.00, RA 1103 Cash Bond, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 819800-0800: 61093898, $1,000.00, RA 1104 Cash Bond, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 819800-0800: 61093899, 6 600.00, RA 1105 Cash Bond, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 819800-0800: G1093900, 11,200.00,.RA 1116 Cash Bond., Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 819800-0800: 61093901, $2,300.00, RA 1117 Cash Bond, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 819800-0800: 61093902, $19,800.00, RA 1122 Cash Bond, Shapell Industries of Norther California, 100 North Milpitas Blvd. Milpitas, CA 95035 819800-0800: G1093903, $1,800.00, RA 1125 Cash Bond, Shapell Industries of Northern. California, 100 North Milpitas Blvd. Milpitas, CA 95035 819800-0800: G1093904, $26,900.00, SUB 7984 Cash Bond, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 819800-0800: G1093905, $5,500.00, PA 0003 Cash Bond, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 819800-0800: 61093906, $77.600.00, RA 1122 (SUB 7984) Cash Performance Bond, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 819800-0800: G1093907, $54,800.00, SUB 7984 (Neighborhood #1) Cash Performance Bond, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 819800-0800: 61093908, $21!300.00, RA 1114 Cash Performance Bond, Shapell Industries of_Nor4hern California, 100 North Milpitas Blvd. Milpitas, CA 95035 819800-0800: 61093909, $16,400.00, RA 1125 Cash Bond, Shapell Industries of Northern/ California, 100 North Milpitas Blvd. Milpitas, CA 95035 000649-9665 / 831000: 61093888, 500.00, RS 2698 Record of Survey Map Check Fee, DeBolt Civil Engineering, 811 Sam Ramon Valley Blvd., Danville, CA 94526 , 000649-9665 / 831000: 61093889, $500.00, RS 2699 Record of Survey Map Check Fee, Real Estate Engineering, Inc., 1760 Halford Avenue, Ste 360, Santa Clara, CA 95051 000649-9665 / 831000: 61093897, $20,166.00, RA 1103 Landscape Inspection, Shapell Industries of Northern California, 100 North Milpitas Blvd, Milpitas, CA 95035 000649-9665 / 831000: 61093898, $8,000.00, RA 1104 Landscape Inspection, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 000649-9665 / 831000: 61093899, $33,295.00, RA 1105 Landscape Inspection, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 000649-9665 / 831000: 61093900, $8,968.00, RA 1116 Landscape Inspection, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 000649-9665 / 831000: 61093901, $14.034.50, RA 1117 Landscape Inspection, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 000649-9665 / 831000: 61093902, $46,219.00, RA 1122 Landscape Inspection, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 000649-9665 / 831000: 61093903, $11,388.50, RA 1125 Landscape Inspection, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 000649-9665 / 831000: 61093904, $62,178.25, SUB 7984 Landscape Inspection, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 000649-9665 / 831000: 61093905, $28,147.00, PA 0003 Landscape Inspection, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 000649-9665 / 831000:1 61093908, $48,554.89, RA 1114 Plan Check, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas,CA 95035 000649-9665 / 831000: 61093909, Shapell Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 $18.834.00, RA 1125 Plan Check $27.345.00, RA 1125 Improvement Inspection $13.563.00, RA 1125 Landscape Inspection 819800-0800: 61093910, $9,000.00, DA 0004 Cash Band, Shapel! Industries of Northern California, 100 North Milpitas Blvd. Milpitas, CA 95035 Bond No.: 929247988 RA-1114,Bollinger Development: Canyon Road,Gala Ranch 11 Premium: $10,533.00 5Ltl3' 9 , IMPROVEMENT SECURITY BOND FOR ROAD IMPROVEMENT AGREEMENT (Performance, Guarantee, and Payment) (California Government Code §§ 66499 0 66499.10) 1. RECITAL OF ROAD IMPROVEMENT AGREEMENT: The Developer(Principal) has executed an agreement (Road Improvement Agre wAth the Count install and pay for street, drainage and other 1 Boi inger improvements on, or along +Cannon Road.Gale Ranch n (2uo complete said work within the time specified for completion in the Road Improvement Agreement, all in accordance with State and local laws and rulings. 2. OBLIGATION: Shapell Industries of Northern California, A Division of Shapell Industries, Inc. ashkicipalmd National Fire Insurance Comnanv of Hanford , a corporation organized under the laws of the State of_ CT and authorized to transact surety business in California, as Surety,hereby jointly and severally bind ourselves, our heirs, executors, administrators, successors and assigns to the County of Contra Costa,California to pay as fbllows: A. performance: Two Million One Hundred Six Thousand Five Hundred Dollars and 00/100 Dollars($ 2,106,500.00 }for itself or any city assignee under the above County Load Improvement Agreement, plus B. payment: One Million Sixty Three Thousand Nine Hundred Dollars and 00/100 Dollars($ 1,063,900.00 )to secure the claims to which reference is made in Tit1cl 15 §§ et seq. of the Civil Code of the State of California. 3. Commom A. The Condition of this obligation as to Section(2.A.) above is such that if the above bonded Principal, heirs, executors, ailministrators, successors or assigns, shall in all things stand to and abide by and well and truly keep andd perform the covenants, conditions and provisions in the said agreement and any alteration thereof made as therein provided on it 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. != • 1," •! * 3 • 1 :# !.' / SII t It S#N _ # 1 • - 3.11.• I) r' '! !.'. 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' t 00 1- 4 fill 11101116. w a �I is # • • • • - • r^ • • a tow to �I#' POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-PACT Know{111 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 Margret Leong, Individually of Beverly Hills,California than-r,r true and lawful Attorney(s)4n-Fact with full power and authority hereby conferred to sign,seal and execute for and on their behalf bonds, unrertakings and other obligatory instruments of similar nature In Unlimited Amounts- anc 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 tie 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, du[,,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 Viae President and their corpora to seats to be hereto affixed on this 18th day of June 1998 CONTINENTAL CASUALTY COMPANY !S' °" NATIONAL FIRE INSURANCE COMPANY OF HARTFORD �p. ys AMERICAN CASUALTY COMPANY OF READING,PENNSYLVANIA pt > ` JNtY 71, t3EAL Isu V 1897 Marvin J.Cashion Group Vice President Stage of Illinois, County of Cook,ss: On this 18th day of June , 1998 ,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 4 a Group Vice President of CONTINENTAL CASUALTY COMPANY, NATIONAL FIRE INSURANCE COMPANY OF HARTFORD,and AWeRICAN CASUALTY COMPANY OF READING,PENNSYLVANIA described in and which the above Instrument;that he knows the seg s of said corporations;that the seals affixed to the said instrument 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 tie act and deed of said corporations. CB� tally My Commission Expires March 6,2000 Mary Jo Abel Notary Public CERTIFICATE I,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 abo»e 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 Lh 5 are still in force. In testimony whereof i have hereunto subscribed my name and affixed the seals of the said corporations this: / t`i day of _A u--Q QL s-f , tr pl CONTINENTAL CASUALTY COMPANY ruMros NATIONAL FIRE INSURANCE COMPANY OF HARTFORD AMERICAN CASUALTY COMPANY OF READING,PENNSYLVANIA • I5 t3M1 o t 7 ♦ („�. Mary A.Ribikawskis Assistant Secretary (RevA C11l97) State of California County of Los Angeles On �w ` before me, oars NAme. TITLE OF OFFICEA..VANE OOE,NLS AIRY PUBLIC personalty appeared Margaret F. Leong NAME(S)OF SIGNER(S) (__,Q personally known to me -OR - (—) proved to me on the basis of satisfactory evidence to be the person(,t whose name(x) is/x"subscribed to the within instrument and acknowledged to me that hldtshe/ZWexecuftid the .same in hWher/xxWauthorized capacity".and that byzwherlttMK signature(iKj on the instrument the person(g), or the entity upon behalf of which the person(*) ,acted, executed the instrument. WITNESS my hand and.official seal, C­ "JAAa S1G9_A11JRE OF NOTARY Los Ange4es Cruurliy" Mfrcam.5#esr�rvl7.� GPTIQNAL .tee 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 (_X_) ATT`OANEY4N-FACT NUMBER OF PAGES (�..) TRUSTEE(5) {� ) GUARDIAN1CONSERVATOR { _. ) OTHER DATE OF DOCUMENT SIGNER IS REPRESENTING: NAME OF PERSONS) OR ENTITY(IES) Na#io►na( Fire Insurance Company o r R art fo-r-d SIGNER(S) OTHER THAN NAMED A80VE o.rar.za-e CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of Califomia County of Los Angeles ss. On August 1.4, 2002 before me, Ann Pel 1 ant, Notary Public , Date Nam*and ntle of 06ker(a,g.,"Jana Doe,Notary Publk) personally appeared .Name(a gner(e} impersonally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose names)4iWare subscribed to the within instrument and acknowledged to me that ftrlf~hey executed the same in �fherfthelr authorized capacity(ies), and that by --Ns!#e hheir ANN PELLANT signature(s)on the instrument the person(s),or Commls�,-ion#12a4332 the entity upon behalf of which the person(s) s No` m+pG, ;C_C ;.;'rot to y acted, executed the instrument. Los Anc)6; Cf unty MyCamrr 67,*�SNov 17,2Mt WITNFS y hand and official seat. slonaluta of Notary Pubk OPTIONAL Though the information below is not required by law,It may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: - Signer(s)Other Than Named Above: Capacity(les)Claimed by Signer Signer's Name: ❑ Individual Top of thumb here ❑ Corporate Officer—Title(s): ❑ Partner--©Limited ❑General ❑ Attomey-in-Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 0 7999 Nation!Not"AawetaW•9360 the Soto Ave.,P.O.Box 2402•Chatawoeth,CA 91313-2402•www.nationainotary.org Prod.No.007 Raordar.Call Toll-Free 1-600.978.8827