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RESOLUTIONS - 01012004 - 2004-445
THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY,CALIFORNIA Adopted this Resolution on August 17, 2044, by the following vote: AYES: SUPERVISORS UILKEMA, GREENBERG, DESAUINIER AND GLOVER NOES: NONE ABSENT: SUPERVISOR JOHN GIOIA ABSTAIN: NONE REISOLUTION NO.2004/445 SUBJECT: Approval of Road Improvement Agreement for Japonica Way,RA 03-01148(cross- reference Subdivision 7984), being developed by Shapell Industries of Northern California, a division of Shapell Industries, Inc., a Delaware Corp., San Ramon (Dougherty Valley) area. (District III) The following document was presented for Board approval for Japonica Way, road acceptance file RA 03-01148(cross-reference Subdivision 7984)property located in the San Ramon (Dougherty Valley)area, Supervisorial District III. A Road Improvement Agreement with Shapell Industries ofNorthem California,a division of Shapell Industries,Inc.,a Delaware Corp.,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 of road 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 taken and entered on the minutes of the Board of Supervisors Originator: Public Works(ES) on the date shown. Contact: Teri Rie(313-2363) Jy rm c:\CxipDatatEngsvc\B012004t08-17-04\RA 1148 so-ls.doc ATTESTED: AUGUST 17, 2004 cc: Public Works-T.Bell,Construction Cott planning,Cora—ty Developinant JOHN SWEETEN,Clerk of the Board of Supervisors and T-Juno 17,2005(P1) Shapell Industries of Northern California County Administrator 100 N.Milpitas Blvd. Milpitas,CA 95035 Attn:Steve Savage,Sam Worden National Fire Insurance Company of Hartford 5820 Canoga Ave.,Suite 200 By r,' ,Deputy Woodland Hills,CA 91367 Attn:Pamela L.Stocks RESOLUTION NO.2004/ 445 SUBJECT: Approval of Road Improvement Agreement for Japonica Way,RA 03-01148 (cross-reference Subdivision 7984),being developed by Shapell Industries of Northern California,a division of Shapell Industries, Inc., a Delaware Corp.,San Ramon(Dougherty Valley)area.(District IIT) DATE: August 17, 2004 PAGE: 2 I. Cash Bond Performance Amount: $8,200.00 Auditor's Deposit Kermit No. DP 423931 Date: May 3,2004 Submitted by: Shapell Industries of Northern California Taxpayer identification number: 95-2578030 II. Surety Bond Bond Company: National Fire Insurance Company of Hartford Bond Number and Date: 929299742 April 20, 2004 Performance Amount: $814,700.00 Labor&Materials Amount: $411,450.00 Principal: Shapell Industries of Northern California, a Division of Shapell Industries,Inc., a Delaware Corp. NOW, THEREFORE, IT IS RESOLVED that said read improvement agreement is APPROVED. All deposit permits are on file with the Public Works Department. RESOLMON NO. 2004/445 ♦ s �s °! f •' s a . 1 � A � g w Wit 0 R W. ME 10110 - [IN �i� s ®■ IR � .� • MINErmlmm . � mv M 0 +..._.. r ICT E ` F I !� iv ♦. U ;4 4 j MIN MENcow and CUPMNCY S * MIEN No iiiii 1111F 1111111111111111!'lill O ♦ DEPOWS M ! ♦' • !, CftY Dwosff PERW DP- KUWSER -423931 � a ! i 828600-0800: 61138290, $125.00, WCC Traf Fee COLA, permit# 340971, Romi Mayder, 1331 Sierra Ave. San Jose,CA 95126 828600-0800: 61138291, $30.00, WCC Traf Fee COLA, permits# 351191 351192, Excelbuilt, Inc., 3150 Hilltop Mail Rd, Ste 10, Richmond, Ca 94806 0682-9755 / 819200: 61138281, $16,000.€ 0, Signal Design & Remodel, Shapell Industries of No. CA, 100 North Milpitas Blvd., Milpitas, CA 95035 0682-9755 1 819200: G1138282, $6,000.00, Signal Design, Shapell Industries of No. CA, 140 North Milpitas Blvd., Milpitas, CA 95035 0682-9755 1819200 61138283, $3,600.00, Signal Design, Contra Costa RE Investors, LLC, '4155 Blackhawk Plaza Circle, Suite # 201, Danville, CA 94506 0682.9755 / 819200: 61138284, $400.00, Signal Design, Ponderosa Homes II, Inc, 6671 Owens Dr., Pleasanton, CA 94588 819800-0800: G1138517, $8.200.00, RA 1148, Cash Bond, Shapell Industries of No. CA, 100 North Milpitas Blvd., Milpitas, CA 95035 819800-0800: 611385194t $14,000.04, Sub 8690, Cash Bond, Shapell Industries of No. CA, 100 North Milpitas Blvd., Milpitas, CA 95035 819800-0800: 61138527, $1.342.00, MS 02-0020, Cash Bond, Busby Construction, PO Box 1007, Martinez, CA 94553 0649-9665 1 831000: G1138527, $9.539.00, AAS 02-0020, Inspection Fee Deposit, Busby Construction, PO Box 1007, Martinez, CA 94553 0649-9665 1831{ 00: 61138518, $40,500.00, RA1148, toad Acceptance Inspection, Shapell Industries of No. CA, 100 North Milpitas Blvd., Milpitas, CA 95035 0649-9665 J 831000: G1138520, $66.400.00, Sub 8690, Major Sub Inspection, Shapell Industries of No. CA, 100 North Milpitas Blvd., Milpitas, CA 95035 _,......................................... COUNTY "'F CONTRA COSTA GENEPRECEIPT 211 ,2LGtI- THIS COPY IS G 113 8 51 7 DEPT: .20W NOT A RECEIPT 'T41iV �t�'hfT`�E7`> rr>tI-r, �ZS ��,ir, t%��c DOLLARS$ FOR -=tt 1=,i.N13F` /Jt9-Gt1 CASH ACCT. RECEIVED FROM BAL. CHECK PAID MONEY BAL. lou I'N . M 4 t 4 T� S `�y aFi ER CLUE BY: --- (dJ7 REV.7/99) /, , Bond No.: 929 299 742 Development: RA-1 148 .Gate Ranch 11 c� Premium: $6,110.00J� 1 IMPROVEMENT SECURITY BOND FOR ROAD IMPROVEMENT AGREEMENT (Performance,'Guarantee, and Payment) (California Government Code§§ 66499-66499.10) 1. RECITAL OF ROAD IMPROVEMENT AGREEMENT: The Developer(Principal)has executed an agreement (Road Improvement Agreement) with the County to install and pay for street, drainage and other improvements on, or along RA-1148,Gale Ranch li to 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: sha"fl industries of Northem Califomia,A Division of Shaaell Industries,Inc a Delaware Corp. ,as Principal and I f Hat al Harthsrd Fire'insurance m If pany ,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 follows: A. Performance: Eight Hundred Fourteen Thousand Seven Hundred No/100** Dollars $ 814,700.00** )for itself or an it y city assignee under the above County Road Improvement Agreement,plus B. Payment: Four Hundred Eleven Thousand Four Hundred Fifty No/100'* Dollars($411,450.00** )to secure the claims to which reference is made in Title 15 §§ et seq. of the Civil Coyle of the State of California. 3. CONDITION: A. The Condition of this.obligation as to Section (2.A.) above is such that if the above bonded Principal, or principal's 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 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 fob,~ted effect. I'` ........................ ......... ..................... ........... .........................................................__. ............................_........__.. . As part of the obligation secured hereby and in addition to the face amount specified therefore,there shall be included reasonable costs,expenses and fees,including reasonable attorney's fees,incurred by the County of Contra Costa 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 (2.13.) 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,labor of any kind,or for amounts due under the Unemployment Insurance Act with respect to such work or labor and that said undersigned surety will pay the same in an amount not exceeding the amount herein above set forth and also,incase suit is brought upon this bond,will pay, in addition to the fact amount thereof,reasonable costs,expenses and fees,including reasonable attorney's fees,incurred by the County of Contra Costa or city assignee,in successfully enforcing such obligation,to be awarded and fixed by the court,all 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 of the State of California, so as to give a right of action to them or their assigns in any suit brought upon this bond. Should the work under the conditions 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 Road Improvement Agreement or any plan or specification of said work agreed to by the Principal and the County shall relieve the Surety from liability on this bond and consent is hereby given to make such alteration without further notice to or consent by the 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. 4. SIGNED AND SEALED: The undersigned executed this document on April 20,2004 Shapell Industries of Northern California,A Division of PRINCIPAL: Shapell Industries, Inc.,a Delaware Corp, SURETY: National Fre Insurance Company of Hartford Address: 100 N.Milpitas Blvd. Address: 5820 Canoga Avenue,Suite 200 City: Mil s, A 95035 City: W d Hills,CA 31367 898-713-2031 B By: By: Print Name: Print Name: Pamela L.Stocks Title: Title:. Attorney-in-Pact; By: Yf + Print Name: rvrr +�L� ©lll/ Title: V'V' :mw G:tGinData\EngSvc\Fnnns\HN WORMBN-9.doc ..................... POWER OF A" "ORNEY APPOINTING INDIVIDUAL ATT^RNEY-IN-FACT Know All Men By These Presents,That ContinentalCasualty Company,an Illinois corporation,National Fire Insurance Company of Hartford,a Connecticut corporation,and American Casualty Company of Reading,Pennsylvania,a Pennsylvania corporation(herein called"the CNA 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 signatures and seals herein affixed hereby make,constitute and appoint Pamela L Stocks,Beverly A Hall,Sandra V Hamer,Individually of Sherman flaks,CA,their true and lawful Attorneys)-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 is hereby ratified and coriftrmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law and Resolutions,printed on the reverse hereof,duly adopted,as indicated,by the Boards of Directors of the corporations. In Witness Whereof,the CNA Companies have caused these presents to be signed by their Vice President and their corporate seals to be hereto affixed on this 9th day of July,2003. cA$u�tr Continental Casualty Company National Fire Insurance Company of Hartford American Casualty Company of Reading,Pennsylvania SEAL Michael Gengler S Vice President State of Illinois,County of Cook,as: On this 9th day of July,2003,before me personally came Michael Gengler 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 Senior Vice President of Continental Casualty Company,an Illinois corporation,National Fire Insurance Company of Hartford,a Connecticut corporation,and American Casualty Company of Reading,Pennsylvania,a Pennsylvania corporation described in and which executed the above instrument;that he knows the seals 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 tike authority,and acknowledges same to be the act and deed of said corporations. OFFICIAL SEAL • EL#ZA PRICE + I xhrousr runner.•r�r+e cs iu.urore w� :awrrks; My Commission Expires September 17,2006 )Mr, Price Notary Public CERTIFICATE I,Mary A.Ribikawskis,Assistant Secretary of Continental Casualty Company,an Illinois corporation,National Fire Insurance Company of Hartford,a Connecticut corporation,and American Casualty Company of Reading,Pennsylvania,a Pennsylvania corporation 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 the corporations printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporations this 20th day of April 2004 �" tr a* Continental Casualty Company National Fire Insurance Company of Hartford "` �°p"'e • +t,� American Casualty Company of Reading,Pennsylvania SEAL "r, � nUt�r, � tap'► � ►+ +r � - Mary A. ika kis Assistant Secretary Form F6853 ............................. .......................... ..............._ ............................ . .............................._......__.. ,uthorizing By-Laws and Resolutions ADOPTED BY THE BOARD OF DIRECTORS OF CONTINENTAL CASUALTY COMPANY.- This OMPANY: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 attorneys-in-fact to act in behalf of the ConVany in the execution of policies of insurance, bonds, undertakings and other obligatory instruments of tike 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 thererto. 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 ettomey-in-fact." This Power of Attorney is signed and sealed by€acsimile 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 1701 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 3 of Article IX of the By- any and fire 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 an 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" ADOPTER BY THE BOARD OF DIRECTORS OF AMERICAN CASUALTY COMPANY OF READING,PENNSYLVANIA: ty of the following By-Law duly adopted by the Board of Directors of This Power of Attorney is made and executed pursuant to and by authorithe Company. "Article VI---Execution of Obligations and Appointment of Attorney-In-Fact Section 2. Appointment of Attorney-in-fact. The Chairman of the Board of Directors,the President or any Executive,Senior or Group Vine time to time, appoint by written certificates attorneys-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 President may, from respective certificates of authority,shall have fait 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 timem 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 ata meeting duly called and held on the 170 day of February,1993, "Resolved,that the signatsrre 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 owe or certificate bearing r an Assistant u h Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and any p facsimile signature and seal shall be ed Arid certified by certificate so executed valid and binding on the Company. Any such power so executed and seat to which it is attached,continue to be valid and binding on the Company." and sealed shall,with respect to any bond or undertaking ADOPTED BY THE BOARD OF DIRECTORS OF NATIONAL FIRE INSURANCE COMPANY OF HARTFORD: FORD: This Power of Attorney is made and executed pursuant to and by authority of the following Resolution duty adopted on February 17>1993 by the Board of Directors of the Company. orporaion may, Om time to time, "RESOLVED: That the President,an Executive Vice President,or any Senior in the executionr Group tPr sident of policiesthe C of insurance,bonds,undertakings and appoint,by written certificates,Attorneys-in-Fact to act in behalf of the Corporation other obligatory instruments of like nature. Such Attonney-in-Fact,subject to the limitations set forth in their respective certificates of authority,shall ration b their signature and execution of any such instrument and to attach the seal of the Corporation thereto. The have full power to bind the Corpo Y time President or the Board of Directors may at any te revoke all power and authority President,an Executive Vice President,any Senior or Group previously given to any Attomey-itr Fact." der an This Power of Attorney is signed and sealed by facsimile und by the authority of alae fallowing Resolution adopted by the Board of Directors of the Company at a meeting duly called and held on the 170i day of February,1993. "RESOLVER: That the signature of the President, an Executive Vice President or any Senior or Groffup Board ofice sDirect Directors on February dent and the seal of 17, me Corporation may be affixed by facsimile on any pourer of attorney granted pursuant to the Resolution adopted by ary or an Assistant Secretary and the seal of the Corporation may be affixed by facsimile to any certificate of any such 1993 and the signature of a Secretand power, and any power or certificate bearing such facsimile signature and seal shall c to an bond or underrttak ng to which it is attached,continue to executed and sealed and certified by certificate so executed and sealed,shall with respec Y be valid and binding on the Corporation." ......................................................................................................................................I................................... .. ...................... ................. State of CALIFORNIA County of LOS ANGELES On April 20,2004 before me, Sandy Hanner-Notary Public Date NAME,TITLE OF OFFICES.,'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 person(x) whose nam**ishaimubscribed to the within instrument and acknowledged to me that MishelkM executed the same in hWher/ftllt authorized capacityoew, and that by NWher/#M signature(s)on the instrument the person(III), or the erytity upon behalf of which the person{aO acted, executed the instrument 7WtTNESS y hand and official seal. SAY MANNER Commission#1362W Notary Public-CIRMbrift Los Ang8*6 cizz I I SIGINATURE OF NOTARY mycom.=Jut2.--!1W 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 ATTORNEY-IN-FACT TRUSTEE(S) GUAR:DIAN/CONSERVATOR OTHER DATE OF DOCUMENT SIGNER IS>REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) National Fire Insurance Company of Hartford SIGNER(S)OTHER THAN NAMED ABOVE G-107426-8 ................I............................................I.................................................................................................. NOTICE In accordance with the Terrorism Risk Insurance Act of 2002, we are providing this disclosure notice for bonds and certain insurance policies on which one or more of the Writing Companies identified below is the surety or insurer. To principals on bonds and insureds on certain insurance policies written by any one or more of the following companies (collectively the"Writing Companies") as surety or insurer: Western Surety Company,Universal Surety of America, Surety Bonding Company of America, Continental Casualty Company, National Fire Insurance Company of Hartford,American Casualty Company of Reading, PA, The Firemen's Insurance Company of Newark, NJ, and The Continental Insurance Company. DISCLQSVRE OF-PREM The premium attributable to coverage for terrorist acts certified under the Act was Zero Dollars ($0.00). DISMOSURE OF FEDERAL PARTICIPAUON IN PA)MENT OF TERRORISM UQ88-Ea The United States will pay ninety percent (90'%) of covered terrorism losses exceeding the applicable surety/insurer deductible. Form F7310 r .�., .�.-✓,... v.U.F,",ice. .,�. ._ ..,., . ., .. ,_. _ , � CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT %s State of California County of Santa Clara On April 21,2004,before me,Janice T. Kruse,Notary Public personally appeared Robert D. Moore and Ken Cox known to me to be the persons whose name are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacities, and that by their signature on the instrument,the persons or >; the entity upon behalf of which the persons acted,executed the instrument. +•+ # t3� wT ITNESS my hand and official seal. comffosaonr ctownic Signature of Notary Public >? 5:. s Optional Information `> Title or Type of Document: In Bond for Read Improvement Agreement >` Gale Ranch II-RA 1148-Bond#929299742 >? Capacity Claimed by Signer: Assistant Vice President and Assistant Secretary of <s Shapell Industries,Inc. k ................................................. TO: BOARD OF SUPERVISORS FROM: MAUIRJCE M. SHIU,PUBLIC WORKS DIRECTOR DATE: August 17, 2004 SUBJECT: Approving Road improvement Agreement for Japonica Way,RA 03-01148 (cross-reference Subdivision 7984). NEXIMENNE"�--- ' ' SPECIFIC REQUEST(S)T RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONM: ADOPT Resolution No. 2004,/ 445 for RA 03-01148 (cross-reference Subdivision 7984), approving Road Improvement Agreement for Japonica Way,being developed by Shapell Industries ofNorthern California,a division of Shapell Industries,Inc., A Delaware Corp., San Ramon(Dougherty Valley) area. (District III) FISCAL IMPACT: None. BACKGROUND/REASON(S) FOR RECOMMENDATION(SI: Conditions of Approval for Subdivision 7984 (Gale Ranch Phase 11) require construction of certain road improvements. CONSEQUENCES OF NEGATIVE ACTION: If said road improvements are not built this w uld result in problems with traffic circulation. 44 Continued on Attachment_ Signature: �#ECOMMENDATIO;OF COUNTY ADMINISTRATtI —RyCOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURES ACTION OF B07 ON &tAjUQ1: J.I, 4W4 APPROVED AS RECOMMENDED XX OTHER VOTE OF SUPERVISORS xx UNANIMOUS(ABSEN'ID AYES: NOES; ABSENT- ABSTAIN: I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the SG:rm Board of Supervisors on the date shown. G:1GrpData\EngSvc\BO\2004108-17-04\RA 1148 Order.doc Originator: Public Works(ES) Contact: Teri Rie(313-2363) cc: Public Works-T.Bell,Construction ATTESTED: AUGUST 173 2004 Current Planning,Cormnunity Developtnent T-June 17,2005(PI) JOHN SWEETEN, Clerk of the Board of Supervisors Shapell Industries of Northern California 100 N.Milpitas Blvd, and County Administrator Milpitas,CA 95035 Attn:Steve Savage,Sam Worden National Fire Insurance Company of Hartford 5820 Camp Ave.,Suite 200 Woodland Ifills,CA 91367 Attn:Pamela L.Stocks By Deputy ..........I..,.................... ........