HomeMy WebLinkAboutRESOLUTIONS - 01012003 - 2003-203 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNT C I eeq
Y, AL FORMA
Adopted this Resolution on April 1,2003,by the following vote:
AYES. SUPERVISORS GIOIA, UILREMA, GLOVER AND DESAULNIER
NOES: NONE
ABSENT; NONE
ABSTAIN; NONE
DISTRICT III SEAT VACANT RESOLUTION NO. 2003/ 203
SUBJECT; Approve Subdivision Agreement (Right-of-Way Landscaping) for
PA 0011 (cross-reference Subdivision 7984), San Ramon (Dougherty Valley)
area. (District M)
The following document was presented for Board approval this date for PA 0011 (cross-
reference Subdivision 7984) located in the San Ramon(Dougherty'Walley)area.
A Subdivision Agreement (Right-of-Way Landscaping) with Shapell Industries of
Northern California, a Division of Shapell Industries, Inc., developer, whereby said developer
agrees to complete all improvements as required in said Subdivision Agreement (Right-of-Way
Landscaping) within one year from the date of said agreement. Improvements generally consist
of landscaping.
sG.cw I hereby certify that this is a true and correct copy of an
fiEnlc Works t U31PA OUl i BO-16.docOriator, Pu action taken and entered on the minutes of the Board of
Contact: Teri Ric(313-2363) Supervisors on the date shown.
CC. Public Works- T.Bell,Construction
Current Planning,Community Development
T-2-1-ca ATTESTED:_ APRIL 01, 2003
ShapellIndustries of Northern CaliforniafoCaliforniaSam Clerk of the Board of Supervisors and
Sam Worden&Jim Goldld JOHN SWEETEl�,
100 North Milpitas Blvd. County Administrator
Milpitas,CA 95035
National Fire Istsurance Company of Hartford
Pamela L.stocks
5820 Canoga Avenue,Suite 200
Woodland Hills,CA 91367 By ,Deputy
RESOLUTION NO.2003/ 203
SUBJECT: Approve Subdivision Agreement (Right-of-Way Landscaping) for
PA 0011 (cross-reference Subdivision 7984), San Ramon (Dougherty Valley)
area. (District III)
DATE: April 1,2003
PAGE 2
Said document was accompanied by the following:
Security to guarantee the completion of right-of-way landscaping as required by 'Title 8
and 9 of the County Ordinance Code, as follows:
I. Cash Deposit
Deposit Amount: $5,500.00
Deposit made by: Shapell Industries of Northern California.
Auditor's Deposit Permit No. and Date: DP398256, December 3l,2002
II. Surety Bond
Bond Company: National Fire Insurance Company of Dartford
Bond Number and Date: 190775327,December 19, 2002
Performance Amount: $546,200.00
Labor&Materials Amount: $275,850.00
Principal: Shapell Industries of Northern California, a Division of Shapell
Industries, Inc., a Delaware Corp.
NOW THEREFORE BE IT RESOLVED that said Subdivision Agreement (Right-of-
Way Landscaping)is APPROVED.
All deposit permits are on file with the Public Works Department.
RESOLUTION NO. 2003/203
SUBDIVISION AGREEMENT
(Right of Way Landscapin )
(Government Code§66462 and 166463)
r
Subdivision: _ PA QQ11 (X-REF SUB 7984) Effective Date:
Parcel BB—NBHD 2,AM Open Space
Subdivider: Shapell Industries of Northern alif rnia Completion Period: 1 year
A Division of Shapell Industries, Inc.
THESE SIGNATURES ATTEST TO THE PARTIES'AGREEMENT HERETO:
CONTRA COSTA COUNTY SUBDIVIDER:
Maurice M. Shiu, Public Works Direr Sha ll Industries of North2m California,
A Division of Shapell Industries, Inc.
y: ( t)
(print
Rrintnanam d i rLA"I— bi t
RECOMMENDED FOR APPR V L: ��C .V i> bi(I S111)1 -
By: (signature)
Engineering ServiZes Divi i (Rrintname&tl e)
FORM APPROVED: Victor J.Westman,County Counsel `
(NOTE:All signatures to be acknowledged. If Subdivider Is Incorporated,
signatures must conform with the designated representative groups
pursuant to Corporations Code§313.)
1. PARTIES A T Effective on the above date,the City of County of Contra Costa,California,hereinafter called" oun ,"and
the above-mentioned Subdivider,mutually promise and agree as follows concerning this subdivision:
2. MP VEMEN, S. Subdivider agrees to install certain road Improvements(both public and private), drainage improvements,
signs, street 11 ghis, re ydrants, landscaping, 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).
Subdivider shall complate said work and Improvements(hereinafter called"work")within the above completion period from date
hereof as required by the California Subdivision Map act(Government Code§§66410 and following),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. IME `V CURIIX. Upon executing this Agreement,the Subdivider shall,pursuant to government Code§66499,and
the CountyOrdinance Code,provide as security to the County:
A. For Performance and Guarani w. $ cash,plus additional security,in the amount of$54 2 which together
total one hundred percent(100%)of the estimated cost the work. Such additional security is presented in the orm o
Cash,certified check or cashiers check.
_-X.._ Acceptable corporate surety bond.
Acceptable Irrevocable letter of credit.
With this security,the Subdivider 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 Pay{mment: Security in the amount of$275,05.0,which is fifty percent(500%)of the estimated cost of the work. Such
security is presented In the form of:
Cash,certified check,or cashler's check
X Acceptable corporate surety bond.
- Acceptable Irrevocable letter of credit.
With this security,the Subdivider guarantees payment to the contractor,to his subcontractors,and to persons renting equipment
or furnishing labor or materials to them or to the Subdivider.
C. Upon acceptance of the work as complete by the Hoard of Supervisors and upon request of the Subdivider,the amount
securities may be reduced in accordance with§94-4.406 and§94-4.408 of the Ordinance Code.
4. GUARANTEE AND WAQRANTY OF WORK, Subdivider guarantees that said work shall be free from defects In material or
workmanship andshall 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. Subdivider 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. PLANT ESTABLIS Subdivider agrees to perform establishment work for landscaping installed under this
agreement. Said plant establishment work consist of adequately watering plants,replacing unsuitable plants,doing weed,rodent
and other pest control and other work determined by the Public Works t�epartment to be necessary to Irmure establishment of plants.Said
plant establishment work shall be performed for a period of one-year from and after the Board of Supervisors aooepts the work as complete.
At the discretion of the County,bids may be released after final acceptance of landscaping improvements by the County.
6. IMPROVEMENT PLAN W4RF . Subdivider warrants the Improvement plans for the work are adequate to accomplish the
work as promised In Section 2 a required by the Conditions of Approval for the Subdivision. 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,Subdivider shall make whatever changes are necessary to accomplish the work as promised.
7. NO WA1V R Y N 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 dsr any part of said work andvor materials,or payments,therefor,or any combination or all of these acts,shall not
relieve the Subdivider 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.
8. INDEMNITY: Subdivider shall hold harmless and Indemnify the Indemnitees from the liabilities as defined In this section:
A. The I benefitted and protected by this promise are the County,and its special district,elective and appointive
boards,commissions,o kers,agents,and employees.
B. Thel protected against are any liability or claim for damage of any kind allegedly suffered,Incurred or threatened
because of actions de In a ow,and Including personal injury,death,property damnge,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 suif(s),action(s),or other proceeding(s)concerning
said liabilities and claims.
C. The actions causing It' are any act or omission(negligent or non-negligent)In connection with the matters covered
by this Agreement and attributable to the ubdivlder,contractor,subcontractor,or any officer,agent,or employee of one or more of them;
D. No - i The promise and agreement in this section are not conditioned or dependent on whether or not any
Indemnitee has prepared,supplied,or approved any plan(%)thor specification(s)in connection with this work or subdivision,or has Insurance
or other Indemnification covering any of these matters,or at the alleged damage resulted partly form any negligent or wailful misconduct
of any Indemnity.
9. : Subdivider shall pay when due,all the costs of the work,Including Inspections thereof and relocating existing utilities
required thereby.
10. . Subdivider shall set and establish survey monuments In accordance with the filed wrap and to the satisfaction of the
County RoadCommissioner-Surveyor before acceptance of any work as complete by the Board of Supervisors.
11. NON•PERFOEIMANCE 6ND,�Q.STS: If Subdivider fails to complete the work within the time specified In this Agreement,and
subsequent extensions, or falls to maintain the work, the County may proceed to complete and/or maintain the work by contract or
otherwise,and Subdividder agroes to pay all costs and charges incurred by the County(including,but not limited to: engineering,Inspection,
surveys,contract,overhead,etc.)Immediately upon demand.
Subdivider hereby consents to entry on the subdivision property by the County and its forces,Including contractors,in the event
the County proceeds to complete and/or maintain the work.
{ince action is taken by County to complete or maintain the work,Subdivider agrees to pay all costs Incurred by the County,even
If Subdivider subsequently completes a work.
Should County sue to compel performance under this Agreement or to recover costs Incurred In completing or maintaining the
work,Subdivider agrees to pay all attorney's fees,and all other expenses of litigation incurred by County In connection therewith,even If
Subdivider subsequently proceeds to complete the work.
12. INC REQ j am, ION. If,before the Board of Supervisors accepts the work as complete,the subdivision Is Included
in territory Incorporated as a city or Is annexed to an existing city,the County's rights under this agreement and/or any deposit,bond,or
letter of credit securing said rights shall be transferred to the new or annesdng city. Such oily shall have all the d hts of a third party
beneficiary against Subdivider,who shall fulfill all the terms of this agreement as though Subdivld�r had contracted with the city originally.
13. REQ_QR,D_ In consideration hereof,County shall allow Subdivider to file and record the Final Map or Parcel Map for said
Subdivision.
;kw.1ap
Ci: :trnp:AlvsVaals Raech+PAOoit\PAOd111 Ada-30Adx
Rw�y 18.2001
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
ss.
County ofS�(V P,
On__12/a3l 02-_ before me, .� .5+
Ba Nerve end Tale d Officer(e.g.,'Jena Doo,Nclmny Public')
s
NP
personally appeared- � _Lt3�� �,p ( 1 ' L4' 4`r}t' t3rL,
Name($)d Signer{a)
personally known to me
El proved to me on the basis of satisfactory
evidence
to be the person(s) whose name(s) -Ware
subscribed to the within instrument and
'NI_ acknowledged to me that elthey executed
3ANlCET'K131WRUSE the same in hisfheTi sir authorized
tiQr{tiTiliiiCrf�'t$'{l�7
Notary Public-Catilorrtia capacity(ies), and that by .hlefiseNtheir
Sar to Clare County I signature(s)on the instrument the person(s), or
MyCztrrmeolmAuia the entity upon behalf of which the person(s)
acted, executed the instrument.
TNESS my hand and offic I seal.
Slgnatura of Notary NMI:
OPTIONAL
Though the Information below is not required by taw,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: �� D l V is 4 � +� ��}�.�?{�j6�+�t,�T�-- s►i -7
Document Date: Number of Pages: _ -
Signer(s)Other Than Named Above:
Capacity(les)Claimed by Signer
Signer's Name:
Ci Individual T of thump here
Corporate Officer--Title(s):._PIsr
® Partner--0 Limited 0 General
Cl Affomey-in-Pact
O Trustee
® Guardian or Conservator
Ci Other:
Signer Is Representing:. 1"�t
C
1999 Nat"Notary Asaociaifart•9350 Cie Soto Ave.,P.O.Box 2402+Chatsworth,CA 91313-2402=W w.nasfonatnotery.m Prod.No.5907 Reorder;Cali ToRl 1.800478.6827
......,,�„ v, ..v,•,nnti.v.yrn
DEPOSIT PERMIT
OFFICE OF COUNTY AUDITOR-CONTROLLER
TO THE TREASURER; MARTINEZ,CALIFORNIA
RECEIVED FROM
ORGANIZATION NUMBER
64b-a- r-
(For Cash Conedion Procedures see County Administrator's BJI*tin 105.)
DESCRIPTION FUNDJORG UB, TASK TION ACTIVITY AMOUNT
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De posit cormists of the fo -
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CHECKS,Mme,ETC. s
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BANK DEPOSITS s
FOR AUDITOR-CONTROLLER USE ONLY
DEPOSIT
0 ,► Ll 9C f 'f PERMIT DP
! � _ .. . DATE
ER 39825 EC 31 '0
y C)5 ASSIGNED
The amount of money described above is for Treasurer's receipt of above amount is approved. Receipt o#above amount is hereby
dlemait into County T sury. f ackrrovrladged j
Signed, � .-` f ) A
Signor: t. Signed
Title: 3 !XL au" Deputy County Treasurer
-3��,,4 REV.(7-43)'
000649-9665 I 831000: G1108980, $25.000400, SUB 8507 Major Subdivision
Improvement Pian Review Deposit, Windemere SLC Land Company, LLC, 3130 Crow Canyon
Place#310, San Ramon, CA 94583
000649-9665 / 831000: G1108982, $500,00, RS 2742 Record of Survey Map Check Fee,
DeSolt Civil Engineering, 811 San Ramon Valley Blvd., Danville,CA 94526
000649-9665 / 831000: G1108984, #16.300.00, SUB 8563 Landscape Improvement
Inspection, Shapell Industries of Northern California, 100 North Milpitas Blvd., PO Box
361169, Milpitas, CA 95035
000649-9665 / 831000: 61108985, Shapell Industries of Northern California, 100 North
Milpitas Blvd.,PO Box 361169,Milpitas,CA 95035
$14.300.00, SUB 8564 Landscape Improvement Plan Review
6.600.00, SUB 8564 Landscape Improvement Inspection
000649-9665 / 831000: 61108986, S-32,400,00, SUB 8631 Landscape Improvement
Inspection, Shopell Industries of Northern California, 100 North Milpitas Blvd., PO Box
361169, Milpitas; CA 95035
000649-9665 I 831000: G1108987, $28,300.00, PA 0011 Landscape Improvement
Inspection, Shapell Industries of Northern California, 100 North Milpitas Blvd., PO Box
361169, Milpitas, CA 95035
000649-9665 / 831000: 61108989, =.00, RS 2743 Record of Survey Map Check Fee,
Sellecci & Associates, Inc., 2290 Diamond Blvd., Suite 100,Concord, CA 94520
819800-0800: 61108983, $3,100,00, SUB 7744 Cash Bond Guarantee of Performance,
DeSilva Gates Construction,PO Box 2909, Dublin,CA 94568
819800-0800: G1108984, JgqOO.00, SUB 8563 Cash Bond, Shapell Industries of
Northern California, 100 North Milpitas Blvd.,PO Sox 361169, Milpitas,CA 95035
819800-0800: 61108985, 5 100.00, SUB 8564 Cash Bond, Shapell Industries of Northern
California, 100 North Milpitas Blvd.,PO Box 361169, Milpitas, CA 95035
819800-0800: G1108986, A6.400.00, SUB 8631 Cash Bond, Shapell Industries of Northern
California, 100 North Milpitas Blvd,PO Box 361169, Milpitas, CA 95035
819800-0800: G1108987, $5,500,0 , PA 0011 Cash Bond, Shapell Industries of Northern
California, 100 North Milpitas Blvd.,PO Box 361169, Milpitas, CA 95035
PA-0011 (x-ref Sub 7984)
Subdivision: Parcel B13-N 2 Alb Open Space
Bond No.: 190775327
Premium: $2,731.00
Gale Punch II
ImylaoVEMENT SECURITY BOND
FoR PUBLIC RIGirr of WAY LANDSCAPE AGREEMENT
(Performance, Guarantee, and Payment)
(California Goverment Code Sections 66462 and 66463)
1. RBQTAL OF R7Bprgs (&ACREEIYffiNr: The Principal has executed an agreement with the County to install
and vay for�ublic right of way landscaping, and.other related improvements in Subdivision
,�
� -0 1 Tx-ref S t aso as specified in the Subdivision Agreement (Right of Way Landscaping), and. to
complete said work within the time specified for completion in the Subdivision Agreement (Right of Way
Landscaping), all in accordance with State and local laws and rulings thereunder in order to satisfy conditions
for filing of the Final Map or Parcel Map for said Subdivision.
Shapell Industries of Northern California,A
2. OBLI ATIONP : Division of Shapell Industries, Inc., a Delaware Corp. ,as Prrncipal,and
National Fire-f 13suraCompany of Hartford ,a corporation organized existing under the laws
of the State of CT _ ,and authorized to transact surety business in California,
as Surety,hereby jointly and severally bind ourselves, our heirs, executors, administrators, successors, and
assigns to the County of Contra Costa, California to pay it:
A. Performance and Guarantee: Five Hundred Forty Six Thousand Two Hundred Dollars and 00/100
Dollars($ 546,200.00 }for itself or any city assignee under the above Couunty
Subdivision Agreement,plus
B. Payment: Two Hundred Sevent
y Five Thousand Eight Hundred Fifty Dollars and 00/100
Dollars($ 275,850.00 )to secure the claims to which reference is made in Title
XV (commencing with Section 3082) of Part 4 of Division III of the Civil Code of the State of
California.
3. Crrn. I,?5 :
A. The Condition of this obligation as to Section 2.(A) above is such that if the above bounded Principal,
his or its firs, executors,administrators, successors or assigns, shall in all tbings 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)m 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 bind,or for amounts due under the Unemployment Iusuraince 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 s 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 IS(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 witbout 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 December 19,2002
Shapell Industries of Northam California,A
PRMCEPAL'.Division of Shapeli industries,Inc.,a Delaware Corp. SUR "jTy; National Fire Insurance Company!of Hartford
Address: 100 North Milpitas Boulevard Ad . 5820 Canoga Avenue, Suite 200
City: Milpitas Zip: 95035 City:Woodland ills Zip: 91367
By: 1 ,
Print ane: 17C- 7F vC E512 �6 Print Name: Pamela !. Stacks
Title: i< x ' P I v l`S r o r,1 M 6(Z- Title. Attorney-In-Fact
By::
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State of CALIFORNIA
County of LOS ANGELES
On December 19 2002 before me, Sandy Danner - Notary Public
Date NAME,TITLE OF OFFICER,. "JANE DOE.NOTARY PUS-LIC-1
personally appeared Pamela L. Stacks
NAME(S)OF SIGNER(S)
(x) personalty known to me-OR- (_,-._.) proved to me on the basis of satisfactory evidence to be
the person(s) whose name(#islAnaubscrlbed to the within Instrument and acknowledged to me that
Wshe/jbW executed the same in bis/her/WW authorized capacityoww and that by #Ther/tl
signature(s) on the instrument the person(g), or the entity upon behalf of which the person{s► acted,
executed the instrument.
SANDY WITNESS y hand and o l seal.
.,` .� Comm9aaion t1 t`362157 ,
4My
resNotaryPublic-Caftmis
Los A vel"C"* SIGNATURE OF NOTARY ComM.ExpiJu!2,1'00!1
C?P71ONAL.
Though the data below Is not required by taw, It may prove valuable to personal 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
{ )
ATTORNEY-IN-FACT NUMBED OF PAGES
TRUSTEE(S)
{ } GUARDIAN/CONSERVATOR
{ ,} OTHER
DATE OF DOCUMENT
SIGNER 15 REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES)
National Fire Insuranc2 Company
of Hartford SIGNER(S) OTHER THAN NAMED ABOVE
o•ti ax+se-e
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
ss.
County of —N=ft-
On 2,1 0 -�-- before me,
.8 Name and Trda of Officer(e.g.,"Jeno Doe,Notary PublIal
personally appeared
Name(a)of Slilm(a)
personally known to me
❑ proved to me on the basis of satisfactory
evidence
to be the person(s) whose name(s)-ftlare
subscribed to the within instrument and
"° acknowledged to me that 4ekAelithey executed
JANICE T K RUSE the same in hi~heir authorized
_ Comrnission#1318697 capacity(ies), and that by SWheWtheir
Notary Public-California signature(s)on the instrument the person(s), or
Sa�Clara county the entity upon behalf of which the person(s)
&UYCoffMB0wALQ24,2W51PWWacted, executed the instrument.
W ESS my hand and offici seal.
Signature of Notiry Public
Q
Though the information below is not required by law,it may prove valvabie to persons rely V 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: f i 1 Cc C� 'C cti nr.✓J t 1
Document Date: Number of Pages:
Signer(s)Other Than Named Above:
Capacity(les)Claimed by Signer
Signer's Name:
0 Individual Top of thumb here
orporate Officer–•-Title(s):
❑ Partner--❑limited ❑General
❑ Attorney-in-Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is representing: _ _ L -- 1+' c
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