9725 SW DURHAM ROAD FILE NO.
DURHAM ROAD-9725 STR. OPN. PERMIT
AP�:L_ICATION - STREET IMPRG MENVEXCAVATION COPY •170:
❑ (WHITE)-FILE
ORDINANCE NO 74-14 ❑ (BLUE)-INSP.
(INSTRUCTIONS ON SEPARATESHEET) ❑ (YELLOW)-OTHER AGENCY
[] (PINK)-APPLICANT
APPROVED ❑ APP(,ICATION NO.:
NOT APPROVED ❑ CITY OF TIGARD, OREGON FEL AMT.: s t 71-- -V' �—
PENDING FEE. PMT. Q CITY HALL RECEIPT NO.: —
PENDINGSECURITY ❑ PUBLICWORKS OEPARTMENT BY,'l L I DATE 'Z l = Z
PENDING AGENCY "OK" ❑ Application and Progress Record — • — — — — — _ _ e — e
MAINTENANCE BOND M
PENDING NFCIRMATION Q FOR STREET IMPROVEMENT/EXCAVATION ASREQUIRED
ANNUAL
PENDING VpIZ1ANCE ❑ _ EXPIRATION DATES
PERMIT NO.: 1�l fj. DATE IS�;UED: '3'_L_s.1��'� , By: __
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL. _
AS DESCRIBED HEREIN, IN FULL <.CCORDANCE WITH CITY RtOLil 2E�M NTS.
APPLICANT _�:1 t�+,�t , ;;.,0__
-SME ---'ATi t sss IiTi vrTon'E
C0NTF?ACT0R �) /�.,
PLANS B1' y(�f�;,� /,� 1VA 1
Abf�I�E gF__._._�—�_ - �..�..._._r---•G.. �. _.F14�N '_!
ESTIMATED IMPROVEMENT TOTAL V.AL,UATION ( COST): $ SIT—Y—
_---__ DOLLARS
(2) EXCAVATION DATA: FOUR 0 FICK USE. _oINiN;
tx
STREET _DESCRIPTION____ PROGRESS & INSPECTION STATUS _
NAME SURFACE I CIJT CI• F TI.UT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
—TYPE LENGTH ";tp'fH DF.i'TH ITIP.i 9 QUANTITY
—_ — STREET
P N D
IN'JP C• �—'—
_. R Y I O N
ESTIMATED STREET OPENING DATE:
T
ESTIMATED STREET CL 381 NG DATE: ______��[—__L_ E
IG STREET
(3) SECURITY NO.J'� _.�_ SECURITY AMT: $ �d. CLOSEDI ~
SURETY CO.: L dt-�r. _ --
I' �____ FINAL
CER7IFIFDCH7fK CASH U BOND 1NSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT f HY 41CAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES; EXCAVATION LOCATION AND 4XTENT.
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(5) NOTE: THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO Apr_lt-ANTS TO CONDUCT WORK WHFRE
RIGHT-OF-WAY JURISDIrTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SEr-URITIES, TO COMPLY WITH ALL. PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MA% RESULT FROM APPLICANTS ACTIONS.
APPLICANTS SIGNATURE: _. DATE / /
eerforfndnce Bond
Private Work-General
HEREINAFTER CALLED THE SURE) r
HOME OFFICE
Bond No. YT 855-1671
Premium $
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENT..
That We, Southwest Church of Christ
9725 SW Durham Road
Tigard, Oregon 97223
of
(hereinafter called the Principal), as Principal, and.,_ Industrial Indemnity a lf(lpany
(hereinafter called the Surety),as Surety, are held and firmly bound unto
City of Tigard
of
(hereinafter called the Obligee), in the sum of *TWELVE THOUSAND FIVE HUNDRED AND NO/100**----------
----------------- ---------------------------------- Dollars($ *l2,500.00*------.__
for the payment whereof said Principal and Surety bind themselves firstly by these presentc.
THE CONDITION OF THIS OBLIGATION IS SUCH, THAT
Whereas,the Principal has entered into a written contract dated DecettUer 5, 19 83 ,
with the Obligee, for half-street improvements located on 98th street near Durham Road
in Tigard.
III copy of which is hereto annexed;
Now,Therefore,If the Principal shall faithfully perform the work contracted to be pelformeu under said contract, then
this obligation shall he void; otherwise to remain In full force and effect.
SUBJECT,HOWEVER, 7'0 THE FOLLOWING CONDITIONS:
Firslt That In tee event of any default o,t the part of the Principal,written nottce thereof shall be given to the Surety am promptly
as possible,and in any event within ten(10),.rya after such default shall have'ecome known to the Obliges or to an re r Y
a Y lr by rem tar a of
the Obligee authorized to supervise the perlormanee of maid contract.4a id not.'e to the Surety effete be addressed to it by rearetered
United States mall, or served upon It at Its office at at Colifornia Street, San -rancisco, Colifomis. If the Principal r:hail abandon
said contrect,orbecompelledby the Obligee to creme operations rhnreunder, the Surety Rhall have the right to proceed orl rucure others
to proreed with the performance of such contract,ono all reserve%,deferred payments,and other moneys provided by said r,mtract to be
paid to the Principal,shall he paid to the Surely, of the some times and under the same conditions as b, the terms of amid t mtract such
moneys would have been paid to the Principal had the contract been performed by the Principal,sr,d the Surety shall be ant led thereto
In preference to any asmignee of the Principal,or any adverse clalmont;but If the Obligor shall complete or to-let the said c mtract,all
reserve,,deferred payments,or other moneys remaining after payment for such completion shall be paid to the Furety In orde to Indem-
nify It 29ainmt any loss it may suffer or sustain by reason of the esecuti•m of thin bond or any other bond In connection will said con-
tract, or shaii be applied as the Surety may direct toward the settlement of any obligations or liability Incurred hereunder or rider any
bond at obligation Incurred by It In connection with said contract.
Beeotldt That the Obligee shall faithfully Perform all of the terms,covenants and conditions of used contract on the poet of the
Obligee contracted to be performed; and shall also retain the last payment and all reserves of deferred payments until the complete
performance of said contract,and until the expiration at the time within which nolicas of claim or clolms of lion by persons performing
work or furnishing:^nteNols under said contract may be filed,and until oil such claims have been paid,un rias the Surety rholl consent.
in writing,to the payment of sold las;payment,reserves, or deferred payments.
Thirdt That the Surety shall not be liable for any damages resulting from strikes or labor difficulties,or from mobs,riots,civil
commouon, public Pastry, fire,the elements,acts or Got, or defect or(null in the plana or specifications referred to in sold contract,
of for repair, or reconstruction of any work or motorists tlamoged ter destroyed by any of■oi,cause%,at for damages or injury to,or for
the death of any person; at under or by virtue of any slchrnnry provision for damages or c,,,,ron.etion for Injury to or the death of any
employee. This bond does not cover any provision of the contract,or specificstinno respecting twarantees of efficiency,or wearing
qualities; or fur maintenance or repairs,nor does it obligate the Surety to furnish a v bond, policy It obligation other than this inslru-
meet.
Foartht That no suit, action, or proceedln by the Obligee to recover on this bond shall be sustained unless the some be earn•
manced within six months from the completion ootid structure or work of Improvement,nor shall recovery be had for damages accruing
after that date; that service or writ or process commencing any such suit or action shall be made on at before that date;that the Princi-
pal shall be made a party to any such suit or action and be served+Pith procesa commencing the same, If the Princlpa,can with reason•
able diligence be found.
SIGNED,SEALED.AND DATED, this 5th day of December y 1q 83
Southwweejsltt Church of Christ
---!r`--`–���c-�IF>a-r<-�--•—'----,--' Principal
Industrial Indgnllity Cc>t 42kt y (Seal)
-----. .ift.._.
tvate am it rs� f1t'��7J� jlY� J��1
,,,,
II" -__......\..n. --
1 , •Farn
�fnr<r of #1644 ♦Industrial Indemnity
Ca cnrn aria Fant"aryanuat"
_ffinlafn nil men bg tljrse presents: "OMEOsrrCESAN F.ANC:SCO
That INIr US'"RIAL INDEMNITY COMPANY, a corporation organized and existing under the laws of the State of California,
and having its,mindo-1 o1 ice in the City of San Francisco,State of California,does hereby make, constitute and appoint
----------------------------------DAYONNA WILLIAHS-------------------------------------
its true and lawful attorney-in-fact for it and in its name, place and stead to execute on its behalf as surety,bonds, undertakings,stipu-
lations, consents and all contracts of suretyship and to attach its corporate seal to such obligations in favor of all obligees,provided
that the liability of the Company as surety under his authority in no one instance shall exceed the sum of
-------------------------------------------UNLI`IITED---------
-------------------------------
and reserving to itself full power of substitution and revocation.
This Power of Attorney is made and executed in accordance with the resolution adopted by unanimous consent of the Executive
Committee of the Board of Directors of INDUSTRIAL INDEMNITY COMPANY on January 3, 1983, reading as follows:
"RESOLVED, that the Chairman of the Board or President or Execntive Vice President or Senior Vice President or Vice President
of the Company, in conjunction with the Secretary or an Assistant Secretary of this Compwry,or the Secretary's designee,be,and he
hereby is, authorized to execute, acknowledge or verify Powers of Attorney qualifying selected attorneys-in-fact to act under such
Powers of Attorney to execute on behalf of Industrial Indemnity Company bonds, undertaking, stipulations, consents and all contracts
of suretyship,and to attach the corporate seal thereto;
"RESOLVED, FURTHER, that the signatures of said officers so authorized b•r this Cvmpany may be printed facsimile, litho-
graphed or otherwise reproduced, and that the facsimile signature of any person who shall have been such officer of this Company at
the time of such execution, acknowledgment or verification may continue to be used for the purpose hereinabove stated and will be
binding on this Company, notwithstanding the fact that he may have ceased to be such officer at the time when such instruments shall
be issued."
In witness whereof,INDUSTRIAL INDEMNITY COMPANY has caused these presents to be signed and its corporate seal to be
affixed by its proper officers,at the Citv of San Francisco,California, this 27th day of Septemt,er Lod
Qom• c�4. Attest: INDUSTRIAL 1N Eh1N1TY COMPANY
: wcaaroiurto
'I
UUr,tt 12M
�'� c•+ ar *luelle Designate Secret
*''eisco.c�`s y i ya ____�'ic, rest... en
State of_ California On September 27, 1983
SS.
,before me,
County of San Francisco C. H. Brown
the undersigned Notary Public,personally appeared
Kenneth N. Ryan and Mary dueller
lannnrrrrrnrrrrrrrrrrrr„rr,r,r,nrnnrnunnnnn• '
tC-- C. H. BROWN personally known to me
N01ARY PUBLIC •CALIFORNIA
proved to me on the basis of satisfactory evidenceCOUNTY OF 2r CI1Y 6 SAN FNAHCISCp 3
to be the person(s) who executed the within instrument as
My Comnwrrion hpire July 7, 1987
■ssmrrrgritrnoil rruurrlisle nurr,u,uurnurr.0
ice President and Desirynated Secretary
or on behalf of the corporation therein named, and acknowledged to me that the corporation executed it, and that the resolution
referred to in the preceding instrument is a true and correct copy of the resolution adopted by unanimous consent of the Executive
Committee of the Board of Directors of INDUSTRIAL INDEMNITY COMPANY on,January 3, 1983 and that the same is in full force
and effect.
Witness my hand and official seal.
Notary's Signature
I. Dlary Mueller, Desig ated Secretary
do hereby rectify that 1 have r orrlpar�the Power of Attorney granted herein and the resolutioof n recited hereIAL inDwith the originals EMNITY naw
on file in the principal c ffire of said Company, and that the same are correct transcripts therefrom and of the whole of the said
originals,and that said Power o,'AttomeN, has riot been revoked I,ut is still in full force and effect.
In witness whereof, 1 have hereunto subscribed my name as such officer and affixed the seal of INDUSTRIAL INDEMNITY
COMPANY at the City of San Francisco,C#Iifornia, this
day of
December , i9 83
SEAL
rro.r wat4iasl
Diary . ue ail j� es gna a Secretary
r