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10375 SW MCDONALD STREET FILE N0. �'-Y2 MCDONALD ST. - 10375 STR. OPN. PERMIT ® NOTICE OF BOND -CO NSURANCE COMPANY OF AMERICA CANCELLATION L IAL NSURANCE COMPANY OF AMERICA SAFECO0D FIS AMER�A L NSURANCE COMPANY HOME OFFICE: SAFECO PLAZA SEATTLE. WASHNGTON 98185 CC: OLESON & OLESON CONSTRUCTION 1 TRAUIMAN,PERRIN & RALE IJS 03- 1729 (OBLIGEE'S NAME/ADDRESS) TO: CITY OF TIGARD DEPT . OF PUBLIC WORKS TIGARD OR 91223 You are hereby notified that SAFECO INSURANCE COMPANY OF AMERICA Surety upon Type of Bond: ANNUAL STREET OPENING PERMIT PERFORMANCE BOND Bond No. 5343673 dated effective 02/20/ 199J (MONTH, DAY, YEAR) on behalf of (PRNCIPAL•S NAME/ADDRESS) OLESON & OI. ESON CONSTRUCTION RT . 1 BOX 904 BEAVERTON OR 97007 desires to cancel and does hereby cancel said bond in accordance with the cancellation provisions contained therein or in applicable laws or regulations. This notice is mailed to you on FE11R11ARY 16, ]0"') (MONTH, DAY, YEAR) and is effective In DAYS AFTFR RECETnT nF TVIS CANCELLATTON NOTTCE. SAFECO INSURANCE COMPANY OF AMERICA BY: ` 7 Shirley '^iil j q (W ORNEY-N-FACT) i Cancellation Acknowledged: (PLEASE SIGN ANIS RETURN •1'111^ DUPIA(:ATI; OF THIS NOTRT'iQat10E CCMPff� Gp0.PORgTf�O�, j ff (� (( SEAL TAY: �'-__ .. . \� k t'- �z. stzc {mil Jir 1953 d' Of WAS Dated: _ �(`�_ �t) � Lc.� \� Aec (MONTH, DAY, YEAR) CANCEL REASON: AGENT ' S REI�UEST . NON-PAYMENT 5 120911) Rd tvea A Y Reg stereo traaemark of SAFECO Corporetron. PRINTED IN U.S r.. P --T POWNALL, TAYLOR AND HAYS, INC. INSURANCE 4805 S.W. Griffith Drivc Suite 100 Beaverton, Oregon 97005 (503) 646-1131 February 24, 1.987 Oleson & Oleson Construction GRt 1 Box 904 Beaverton, Oreqon 97007 Re: StreE_t. Opening Permit (Bond) Location: 10375 S.W. McDonald Tigard, Oregon Dear Mr. Oleson: P1easE! find attached the Bond for the above listed location. The billing for this Bond will follow. The Bond for the other Tigard .location has been ordered. Thank you for your time and attention to this matter. Sincerely, / 9C- U� A 110 Linda L. Brogan 9 , Commercial Department t � F- ► �.� P(�1�ALL.TAYLOR AND HAYS. INC. V e\JCe1 I P t� r`�G 4805 S.W.GRIFFITH OR.,SUITE 100- BEA RTON,OREGON 97005 10 NCE Q�" c r 00 0� C' yy LA STREET OPENING PERMIT PERFORMANCE BOND BOND NO. :1343673 KNOW ALI, MEN BY 'THESE PRESENTS that we, OLESON & OL.ESON CONSTRUCTION as Principal, and SAFECO INSURANCP (OMPA*dy )F ANrrtICA as Surety, are ,jointly and severally held and bound unto the City of Tigard, Oregon, in the sum of ONE THOUSAND AND NO/100t.ls,,---_____-____-_,_ _ '- Dollars ( _ ,000._00-----) for the payment of which we jointly and severally bind ourselves, our heirs, executors, administrators, successors and assigns firmly by these presents. THE CONDITION OF THIS BOND IS SUCH: That whereas the Principal herein has made application to the City Engineer of. the City of Tigard for a permit to dig up, break into, excavates disturb, disc urider or undermine a public street or L,ar. iereo within the City of Tigard right-of.-way of _ 10375 SW Mcf)on rld Tigard, Oregon, under the provision of Ordinance No. 74-14 and 76-11 Coda of the City of Tigard, and whereas said application was approved by the City Engineer of said City and a permit therefor issued, subject to and upon certain conditions, directions, stipulations, terms, provisions %nd requirements provided for in said permit, a copy of which permit is attached hereto and hereby made a part of this bond to the same extent and effect as if written herein and specific reference now made to all the terms, provisions, specifications and requirements set out, declared and provided for in said permit; NOW THEREFORE, IF THE Principal herein shall faithfully and truly observe the terms, provisions, conditions, stipulations, directions and requirements of said permit and shall in all respects, whether the same be enumerated herein or not, faithfully comply with the same and shall assume the defense of, indemnify and save harmless the City of Tigard, its officers, agents and employees from all claims, 1;abilities, loss, damage or injury which may have been suffered or claimed to have been suffered to persons or property directly or indirectly resulting from or arising out of the operations or conduct of said Principal or any subcontractor in the performance of the work, under said permit and shall indemnify and make whole the City for any injury or damage to any street, highway, avenue or road or any part thereof, resulting from the operations or conduct of said Principal or any subcontractor in connection with performance or conduct of the work under said permit, and shall in all respects faithfully keep and observe all of said terms, provisions, conditions, stipulations, directions and requirements, then this obligation is void, otherwise it shall remain in full force and effect. WITNESS our hands and seals this day of rehrnary 19__,;/_ Oleson Oleson Calls tru . ,u B 'L: C) `--dam— (Seal) (Seal) Principal Countersigned by: Agent SAFECO INSURANCI? COMPANY OF P'IERICA Sandra L,�tfo Re y'in�-Fact (JH:bs/0916P) nlclns POWER SAFECO INSURANCE COMPANt ­-AMERICA I OF ATTORNEY ENERAL INSURANCE COMPANY OF AMERICA HOME OFFICE SAFECO PLAZA �AFECO SEATTLE,WASHINGTON 98185 No. _______7464 KNOW ALL BY THESE PRESENTS. That SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA,each a Washington corp(ration,does each hereby appoint -- -----------------------------SANDRA L. LAMPKINS------------------------------------ its true and lawful attorney(s)-in-fact, with full authority to execute on Its behalf fidelity and surety bonds or undertakings and other documents of a similar character Issued in the.course of Its business,and to bind the respective company thereby IN WITNESS WHEREOF, SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA have each executed and attested these presents -10th day of October 9 85 - CERTIFICATE Extract from the By-Laws of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA "Article V. Section 13 — FIDELITY AND SURETY BONDS the President, any Vice President, the Secretary. and any Assistant Vice President appointed for that purpose by the officer in charge of surety operations,shall each have authority to appoint Individuals as attorneys-In-fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company Ir he rourse of its business On any Instrument making or evidencing such appointment,the signatures may be afl.xed by ,>c:simile On any Instrument conferring such authority or on any bond or undertaking of the company, the seal,or a facsir)n- thereof,may be Impressed or affixed or in any other manner reproduced, provided, however, that the seal shill not he necessary to the validity of any such instrument or undertaking " Extract from a Resolution of the Board of Directors of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA adopted July 28 1970 "On am, certificate executed by the Secretary or an assistant secretary of the Company setting out, (i) The provisions of Article V, Section 13 of the By-Laws, and (III A copy of the power-of-attorney appointment, executed pursuant thereto, and (m) Certuying that said power-of-attorney appointment is in full force and effect, the signature of the certifying officer may he by facsimile, and the seal of the Company may be,a farsirndR thereof " I, Boh A Dickey. Secretary of SAFECO INSURANCE COMPANY OF AMERICA and of GFNERA.f. INSURANCr COMPANY OF AMERICA,do hereby certify that the foregoing extracts of the By-Laws and of a Aesolulion of the Board of Directors of these corporations,and of a Power of Attorney Issued pursuant thereto,are true and cnrrei t and that both the By-(aws, the Resolution and the Power of Attorney are still in full force and effect IN WITNESS WHEREOF, I have hereunto set my hand and affixed the facsimile seal of said corporation this 2Otil day of 914 PI1') ec PRINTED IN U S A APPLICATION - STREET IMPRC MENT/EXCAVATIONc PY ro: ORDINANCE NO. 14-14 cWLIITE)-FILE (YELLOW)-INSP. (INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY �yl(BLUE)-APPLICANT APPROVED Z--71 APPLICATION NO.: ! NOT APPROVED CII1' OF CIGARD, OREGON .r�d vd FEC AMT. S..., GG7�" PENDING FEL PMT. CITY HALL RECEIPT f . _ zoo?-3, PENDING SECURITY PUBL IC WORKS DEPA R TMEN T BY _ DATE Z_ lU -1 PENDING; AGENCY 'OK'' Application and Progress Record _ F Rr ord MAINTENANCE BOfyD PENDING INFORMATION FOR STREET IMPROVEMENT/EXCAVATION AS rNANC EBOF40 f ANNUAL () PENDING VARIANCE I EXPIRATION DAE: _L 44m, PERMIT NO Z Z''Q -�1 �D ( S _ BY, DATE ISSUED Z- (1) APPLICATION IS HEREBY MADE TC) EXCAVATE FOR AND INSTALL SG�Jd�A. _(.t -_ AS DESCRIBED HEREIN, IN PULL ACCORDANCE W!TH CITY REQUIREMENTS. APPLICANT dLA/ 0&)Ol•, R��8 x - -1 NAME ADDRESS • CITY � -- PHONE - - -- CONTRACTOR©46506M 4-UIQ,�a►, �'j2�'/�''p NnAME AD RE95 T CITU -__ --_—"-- PLANS BY � /NONE J V7ry1 _ - - _ — - -- NAME AbDRE99 ClTv__..'-'--_—_" ESTIMATED IMPROVEMENT 'TOTAL, VALUATION ( COST): s ?dos DOLLARS (2) EXCAVATION DATA: FOR OFVICK U�7Sc++ MIN, _ 0,04 X f STREET DESCRIPTION PROGRESS & INSPECTIONSTATUS NAME SURFACE CUT _ CUT- CUT' MATERIAL INSTALLED LENGTH WIDTH DEPTH ITEM A QUANIITV ITEM DATE REMARKS/TYPE BY /rr�t� A✓�f+t�l. !J k- STREET 1� L- Std✓wz )t 9 f� OPENED INSFEC R TION E -- Q �r U ESTIMATED STREET OPENING DATE, Z / /U / U 7 E .._ 3 ESTIMATED STREET CLOSING DATE: Z- / I! / p p 7 T - — - E 'vim' STREET (3) SECURITY NO. _ SECURITY AMT.: $_.�,Z_D�`''- CLOSED SURETY CO. __ FINAL CERTIFIEOCMECK _CASH q BOND ;NSPEC. A Cs' L1 r2cce t h I� NI NI (4) PLOT PLAN INDICATE SITE PERTINENT PHYSICAL FEATURES. EXCAVATION LOCATION AND EXTENT, SPECIAL PROVISIONS/CONDITIONS I - -.*4v CURa tA S NOTE THE CITY OF TIGARD DOES NOT, HEREBY. GRANT PERMISSION TO APPLICANTS 70 CONDUCT WORK. WHERE RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, 7'0 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 MAY RESULT FROM APPLICANTS ACTIONS. / '7 APPLICANTS SIGNATURE C l L 'l'� / �� t' -7 DAT arf OF TIGA RD No. 2 O n 2 3 13125 S.W. HALL BLVD P.0 BOX 23397 a1s — TIGARD,OR 97223 J Name Address Lot Block/Map Subdivision/Address Permit N's Bldg. Plumb Cash Check Sewer Other Other Rec. By I Acct. No. Description Amount 10.432 _ BUlldin Permit Fees 10-431-600 Plumbing Permit Fees 10-4314801 Mechanical "erml+. Fees 10.230-501 State Bldg. Tax 10-433 _ Plans Check Feb _ 30-443 Sewer Connection 30.444 Sewer Ins ectlon 51-448 Street SysL Dev. Charge 52.449-610 Parks I Syst, Dev. Charge i 52-449-620 Parks II Syst. Dev. Charge 31-450 Storm Drainage Syst. Dev. Charge 1 10-430 Business Tax j 10-434 Alarm Permit 10.227 Bail 10-455 Fines • Traffic/Misd/Parking — 10-230 CPTA TrafflclMisd/Vic. Asst. j 10.456 Indigent Defense 30 122401 Sewer Service/USA 30.122.402 Sewer Seivice/City 30% 30 123 Sewer SevlcelCity Maint. -1 5 _ Unmatched _ !-124 Corm Drainage antro t Py-mt. 4 -4 1 antro t Int. Pymt, _ xLKE TOTAL m, CUSTOMER i PLEASE .AKS THIS TO THE CASHIER FOR A RECEIPT NAME: �`c��v� D��.�oy► DATE: E=10 \C� ACCT. f DESCRIPTION AMOUNT 10-220 Refundable Performance Bond Deposit 10-435 Sign Permits HOP TU s_ 10-436 Public Sewer Plan Check/Inspection Fee = W_ 10-436 Public Storm Plan Check/Inspection Fee 10-436 Street Dedication/Public Improvement Fee 10-436 Street Upening Permit -ZA-Z 10-431 Subdivision Applications: 7690 OLSIION AND OLESON CONSTRUCTION, CO. I RT, 1, BOX 904 PH! 828-1880 24.201,1230 BEAVERTON, OR 07006 L--- 11o0o7p,goo L 01011-11TE7�11 OLESON AND OLESON CONSTRUCTION CO. PACVC 9575 SWSchdis Fnry Rrad 91005 1: L 2 300 20 L L1: 42 80 L09211' 10-430 Business Tax S TOTAL >1 •�` (1045P)