PFI2017-00191 CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT
• COMMUNITY DEVELOPMENT Permit#: PF12017-00191
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 09/27/2017
Parcel: SEG678
Jurisdiction: Tigard
Site address:
Subdivision: Lot:
Project: Alpha Environmental
Project Description: Trenching in street for area of pooling
Owner: FEES
Description Date Amount
PFI Permit Fee 09/27/2017 $600.00
PHONE:
Contractor:
PHONE:
FAX:
Applicant:
CHRISTIAN TROTMAN
11080 SW ALLEN BLVD
SUITE 100
BEAVERTON, OR 97005
PHONE: 503-292-5346
Total $600.00
Please sign below to indicate acceptance of conditions and return a copy with the proposed work schedule along with names and contact
information of responsible parties before beginning work.
Permittee/Applicant
Signature: A �J 12
Issued By:
Special Conditions(See Attached)
Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY
Conditions for PF12017-00191
Type: Condition Name: Status: Severity:
PFI_Sidewalk/[ 01 -WORK SITE REQUIREMENTS Applied Notice
Applicant must comply with all applicable provisions of federal and state law, the Tigard Municipal Code, and the terms of
any agreement with the City of Tigard regarding work to be done pursuant to this permit-
PFI—Sidewalk/1 02-WORK SITE AREA Applied Notice
The work area and approach roads shall be maintained in a clean condition, free from obstructions and hazards. The
spreading of mud or debris or storage of materials or equipment of any kind upon any public roadway is strictly prohibited
and violation shall be cause for immediate cancellation of the permit. The City may at any time order immediate clean-up
and suspension of work to accomplish clean-up.
PFI—Sidewalk/1 03-WORK SITE EROSION CONTROL Applied Notice
Prior to starting work, effective and approved erosion control devices must be installed and maintained meeting the Clean
Water Services and DEQ requirements. The City may at any time order corrective action and suspension of work to
accomplish effective erosion control.
PFI_Sidewalk/[ 04-WORK SITE REPAIRS Applied Notice
Disturbed landscaped areas shall be restored or replaced. Existing signs, pavement markings, mailboxes, etc. shall be
reinstalled or replaced,with like kind of material. Obtain City approval of restoration work.
PFI_Sidewalk/[ 05-PRECONSTRUCTION MEETING Applied Notice
Before initiating any construction activity, the applicant shall coordinate with the City's inspector. <Insert Name>at<Insert
Phone#>, to establish a preconstruction meeting.
PFI_Sidewalk/[ 06-NOTICE TO COMMENCE WORK Applied Notice
The applicant shall notify the City's Inspector twenty-four(24) hours prior to commencing work, prior to any staged
inspection, and after completing work covered by the permit. call Jonny Gish 971-713-0281 or Jonny@tigard-or.gov
PFI—Sidewalk/1 07-PERMIT/PLAN ON SITE Applied Notice
A copy of the permit including a Certificate of Insurance, and all attachments, and a copy of the approved construction plan
and all amendments shall be readily available at the work area. All work shall conform to the permit terms, conditions and
provisions and to the City approved permit plans, and approved plan amendments and to the City's standards and
specifications and to these General Conditions. Changes to any of these must be approved by the City, in advance of work
performance.
PFI_Sidewalk/[ 08-EMERGENCY CONTACTS Applied Notice
Provide to the City inspector, in writing,the names and 24 hour emergency telephone number of two(2)persons who have
authority to resolve problems, take corrective action and, in general, will be responsible in case of any emergency. The
applicant shall notify the City Inspector, in writing, of any/all assignment changes.
PFI_Sidewalk/[ 09-OTHER Applied Notice
RECEIVED
City of Tigard SEP 0 7 2017
PUBLIC WORDS —ENGINEERING (71TY Of:TIGARD
Public F ad 'ty Improv-ement PFI PMifSI FFRING
� . .,�. �_
TYPE OF WORK
DESCRIPTION OF WORK(in the right-of-way)
■ TYPE 1-Franchise Utility Work
Check one: ■ Utilities ■ Sidewalk/driveway approach Street improvements performed by NWN, PGE
Detailed description: ` and/or utility agency.
Ts�v,c1,4hy to JTr��-T" �o� ice� �'� y
x■ TYPE 2-Sidewallc/Driveway/Sewer
c,r, ,►n
��e`� T Work performed for the purpose of:
• Sidewalk installation or repair.
�y- • Driveway approach installation
Property address/locadon(s): �1 y�/Z S-*.s /�nl �-'T and/or repair
CX • Sanitary sewer lateral installation
and/or main line tap
■ TYPE 3---Full scale Development
Applicant: Work performed with Land use
Address: approval which includes any of
City/state: Zip: the following
Phone: Email: • Subdivisions or Partitions
Contact name: Phone: • Street widening
• Mainline installation for Sanitary
sewer, Storm sewer,Tigard water
Contractor: ���4� 2.t1 U 1 r�N 1�-+�.�f�. r and/or Tigard Water Service Area
CCB#: 1� 1 Z 5' Expixation:
Address: H04(-' S-z,> . L-o V d S-A--11- 16 y SUBMIT COMPLETED APPLICATION TO:
City/state: Leo-VQ-C' 10G-, (Z_ Zip: `L7c�o�- City of Tigard
Phone:S�� ZYZ S T tiL Email:CT'c-C-Tn„.--vye hk th I;et`c ii 4",A'tC4�� ' Planning/Engineering
i 13125 SW Hall Blvd.
Contact name: d1 c- J c CLv-,, Phone: S-'>$4/1 Tigard,OR 97223
Applications for"minor work in right-of-way"
Engineer: only may be emailed to:
EQHpermitsna.tigard-or.gov
Address: i
FOR STAFFUSE' ON[.)
I
City/state: Zip: P
/Phone: Email: Case No.: E1�-or_�L– LD19/
Contact name: Application submittal fee: ;
Additional fees:$
Estimated value of work is required(if over$5,000):$ y Application accepted:
(within the public right-of-way) By: Date:
,
Is work related to a LAND-USE DECISION? ■ Yes ■ No Application reviewed: 611.7&h
By: v Date:
If so,please specify(MLP,SDR,SUB,etc.) case#:
Applicant notified: n 21
Is work related to a BUILDING PERMIT? ■ 1'es ■ No By: Date:
%I 1 0
If so,please specify(BUILDING PERMIT)case#: I:\ENG\PermftApplicadons\pri_application Rev.12/16/2016 I
i
City of Tigard 13125 SW Hall Blvd. Tigard,Oregon 97223 • www.tigard-or.gov 503-718-2421 Page 1 of 4
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APPLICANTS
NOTE: Person specified as"Applicant"shall be designated"Permittee"and shall provide financial assurance for work,if
required by the city pursuant to TMC 15.041.140.
* With tine exception of a utility operating pursuant to a valid franchise with the City of Tigard,when the owner and the applicant are different
people,the applicant must be the purchaser of record or a lessee in possession with written authorization from die owner or an agent of the
owner. The owner(s)must sign this application in the space provided or submit a written authorization with this application. Franchised
Utilities are not required to obtain the owner's signature on the application
BY SIGNING BELOW,THE APPLICANT(S) SHALL CERTIFY THAT:
• The above request does not violate any recorded deed restrictions that may be attached to or imposed upon the subject
12ropem.
• If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the
conditions and limitations of the approval.
• All of the above statements and the statements in any plot plan,attachments,and exhibits transmitted herewith,are true;and
the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such
statements are false.
i
• The applicant has read the entire contents of the application,including the policies and criteria,and understands the
requir ments for approving or denying the application.
Applicant/Authorized Agent's signature Print name Date j
SIGNATURES of each owner of the subject property,if required.
Owner's signature Print name Date
Owner's signature Print name Date
Owner's signature Print name Date
PUBLIC FACILITY IMPROVEMENT PERMIT !
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City of Tigard 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov 503-718-2421 Page 2 of 4
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THE AMERICAN INSTITUTE OF ARCHITECTS
G#
Bond No. 10062965 Premium:$250.00
AIA Document A312
Performance Bond
Any singular reference to Contractor,Surety,Owner or other party shall be considered plural where applicable
CONTRACTOR(Name and Address): SURETY(Name and Principal Place of Business):
Alpha Environmental Services,Inc. Hudson Insurance Company
19630 Shaw St. 1035 Greenwood Blvd,Suite 265
Aloha,OR 97007 Lake Mary,FL 32746
OWNER (Name and Address):
Tim Coleman
9942 SW Scott Ct
Tigard,OR
CONSTRUCTION CONTRACT
Date., 09/21/2017
Amount: $ 8,580
Description (Name and Location):
Sewer Repair,Sewer Repair,
BOND
Date(Not earlier than Construction Contract Date): 09/21/2017
Amount: $ 8,580
Modifications to this Bond: [X] None See Page 3
CONTRACTOR AS PRINCIPAL COMPANY: SURETY COMPANY:
Alpha Environmental Services,Inc. Hudson Insurance Company
(Corporate Seal)
Corporate Seal)
Signature: Sign�tu
Name and Title: ��c�s r;��� ��o� � Name and Titl
5� �a�i��er Kristine Ya s 4rney-in-Fact
(Any additional signatures appear on page 3)
FOR INFORMATION ONLY-Name, Address and Telephone OWNER'S REPRESENTATIVE (Architect,
AGENT OR BROKER: Engineer or other party):
BOND EXPERTS II-CONTRACT
4850 SW SCHOLLS FERRY ROAD,SUITE 204
PORTLAND,OR 97225
AIA DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED.,AIA A 312-1984 1
THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON D.C.20006
THIRD PRINTING-MARCH 1987
1. The Contractor and the Surety,jointly and severally, 1. After investigation, determine the amount for which it may
bind themselves,their heirs, executors, administrators, be liable to the Owner and, as soon as practicable after
successors, and assigns to the Owner for the performance the amount is determined, tender payment therefor to the
of the Construction Contract,which is incorporated herein Owner; or
by reference. 2. Deny liability in whole or in part and notify the Owner
citing reasons therefor.
2. If the Contractor performs the Construction Contract,
the Surety and the Contractor shall have no obligation 5. If the Surety does not proceed as provided in Paragraph
under this Bond, except to participate in conferences as 4 with reasonable promptness, the Surety shall be deemed
provided in Subparagraph 3.1. to be in default on this Bond fifteen days after receipt of an
additional written notice from the Owner to the Surety
3. If there is no Owner Default,the Surety's obligation demanding that the Surety perform its obligations under
under this Bond shall arise after: this Bond, and the Owner shall be entitled to enforce any
remedy available to the Owner. If the Surety proceeds as
3.1 The Owner has notified the Contractor and the provided in Subparagraph 4.4, and the Owner refuses the
Surety at its address described in Paragraph 10 below payment tendered or the Surety has denied liability, in
that the Owner is considering declaring a Contractor whole or in part,without further notice the Owner shall be
Default and has requested and attempted to arrange a entitled to enforce any remedy available to the Owner.
conference with the Contractor and the Surety to be
held not later than fifteen days after receipt of such 6. After the Owner has terminated the Contractor's right
notice to discuss methods of performing the Construc- to complete the Construction Contract, and if the Surety
tion Contract. If the Owner,the Contractor and the elects to act under Subparagraph 4.1,4.2, or 4.3 above,
Surety agree,the Contractor shall be allowed a reason- then the responsibilities of the Surety to the Owner shall
able time to perform the Construction Contract, but not be greater than those of the Contractor under the
such an agreement shall not waive the Owner's right, if Construction Contract, and the responsibilities of the
any, subsequently to declare a Contractor Default; and Owner to the Surety shall not be greater than those of the
Owner under the Construction Contract. To the limit of the
3.2 The Owner has declared a Contractor Default and amount of this Bond, but subject to commitment by the
formally terminated the Contractor's right to complete Owner of the Balance of the Contract Price to mitigation of
the contract. Such Contractor Default shall not be de- costs and damages on the Construction Contract,the Sure-
clared earlier than twenty days after the Contractor and ty is obligated without duplication for:
the Surety have received notice as provided in Sub-
paragraph 3.1; and 6.1 The responsibilities of the Contractor for correc-
tion of defective work and completion of the Construc-
3.3 The Owner has agreed to pay the Balance of the tion Contract;
Contract Price to the Surety in accordance with the
terms of the Construction Contract or to a contractor 6.2 Additional legal, design professional and delay
selected to perform the Construction Contract in accor- costs resulting from the Contractor's Default, and re-
dance with the terms of the contract with the Owner. sulting from the actions or failure to act of the Surety
under Paragraph 4; and
4. When the Owner has satisfied the conditions of Para-
graph 3, the Surety shall promptly and at the Surety's ex- 6.3 Liquidated damages, or if no liquidated damages
pense take one of the following actions: are specified in the Construction Contract, actual dam-
ages caused by delayed performance or non-perfor-
4.1 Arrange for the Contractor,with consent of the mance of the Contractor.
Owner,to perform and complete the Construction
Contract; or 7. The Surety shall not be liable to the Owner or others for
obligations of the Contractor that are unrelated to the Con-
4.2 Undertake to perform and complete the Construc- struction Contract, and the Balance Of the Contract Price
tion Contract itself,through its agents or through inde- shall not be reduced or set off on account of any such
pendent contractors; or unrelated obligations. No right of action shall accrue on
this Bond to any person or entity other than the Owner or
4.3 Obtain bids or negotiated proposals from its heirs, executors, administrators, or successors.
qualified contractors acceptable to the Owner for a
contract for performance and completion of the Con- 8. The Surety hereby waives notice of any change, includ-
struction Contract, arrange for a contract to be pre- ing changes of time, to the Construction Contract or to
pared for execution by the Owner and the contractor related subcontracts, purchase orders and other obliga-
selected with the Owner's concurrence, to be secured tions.
with performance and payment bonds executed by a
qualified surety equivalent to the bonds issued on the 9. Any proceeding, legal or equitable, under this Bond
Construction Contract, and pay to the Owner the may be instituted in any court of competent jurisdiction in
amount of damages as described in Paragraph 6 in ex- the location in which the work or part of the work is located
cess of the Balance of the Contract Price incurred by the and shall be instituted within two years after Contractor
Owner resulting from the Contractor's default; or Default or within two years after the Contractor ceased
working or within two years after the Surety refuses or fails
4.4 Waive its rights to perform and complete, arrange to perform its obligations under this Bond, whichever oc-
for completion, or obtain a new contractor and with reasonable curs first. If the provisions of this Paragraph are void or
promptness under the circumstances: prohibited by law,the minimum period of limitation available
AIA DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED.,AIA CR A 312-1984 2
THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON D.C.20006
THIRD PRINTING-MARCH 1987
to sureties as a defense in the jurisdiction of the suit tractor of any amounts received or to be received by
shall be applicable. the Owner in settlement of insurance or other claims
for damages to which the Contractor is entitled; re-
10. Notice to the Surety, the Owner or the Contractor shall duced by all valid and proper payments made to or on
be mailed or delivered to the address shown on the sig- behalf of the Contractor under the Construction Con-
nature page. tract.
11. When this Bond has been furnished to comply with a 12.2 Construction Contract: The agreement between
statutory or other legal requirement in the location where the Owner and the Contractor identified on the sig-
the construction was to be performed, any provision in this nature page, including all Contract Documents and
Bond conflicting with said statutory or legal requirement changes thereto.
shall be deemed deleted here from and provisions con-
forming to such statutory or other legal requirement shall 12.3 Contractor Default: Failure of the Contractor,
be deemed incorporated herein. The intent is that this which has neither been remedied nor waived, to per-
Bond shall be construed as a statutory bond and not as a form or otherwise to comply with the terms of the
common law bond. Construction Contract.
12 DEFINITIONS 12.4 Owner Default: Failure of the Owner, which has
neither been remedied nor waived.. to pay the Con-
12.1 Balance of the Contract Price: The total amount tractor as required by the Construction Contract or to
payable by the Owner to the Contractor under the perform and complete or comply with the other terms
Construction Contract after all proper adjustments thereof.
have been made, including allowance to the Con-
MODIFICATIONS TO THIS BOND ARE AS FOLLOWS:
(Space is provided below for additional signatures of added parties, other than those appearing on the cover page.)
CONTRACTOR AS PRINCIPAL COMPANY: SURETY COMPANY
(Corporate Seal) (Corporate Seal)
Signature: Signature:
Name and Title: Name and Title:
Address: Address:
AIA DOCUMENT A312 PERFORMANE BOND AND PAYMENT BOND DECEMBER 1984 3D.,AIA O A312-1984 3
THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON,D.C. 20006
THIRD PRINTING-MARCH 1987
THE AMERICAN INSTITUTE OF ARCHITECTS
#a
Bond No. 10062965 Premium: Included in Perfonnance Bond
AIA Document A312
Payment Bond
Any singular reference to Contractor,Surety,Owner or other party shall be considered plural where applicable.
CONTRACTOR(Name and Address): SURETY(Name and Principal Place of Business):
Alpha Environmental Services,Inc. Hudson Insurance Company
19630 Shaw St. 1035 Greenwood Blvd,Suite 265
Aloha,OR 97007 Lake Mary,FL 32746
OWNER(Name and Address):
Tim Coleman
9942 SW Scott Ct
Tigard,OR
CONSTRUCTION CONTRACT
Date: 09/21/2017
Amount: $ 8,580
Description (Name and Location):
Sewer Repair,Sewer Repair,
BOND
Date(Not earlier than Construction Contract Date): 09/21/2017
Amount: $ 8,580
Modifications to this Bond: [x] None [ ] See Page 6
CONTRACTOR AS PRINCIPAL COMPANY: SURETY COMPANY:
Alpha Environmental Services,Inc. Hudson Insurance Company
(Corporate Seal) (Corporate Seal)
a 1747
Signature: Signature:
Name and Title: �'�s �c�ov► Name and Title
Kristine Yates At ney-in-Fact
(Any additional signatures appear on page 6)
FOR INFORMATION ONLY-Name,Address and Telephone OWNER'S REPRESENTATIVE (Architect,
AGENT OR BROKER: Engineer or other party):
BOND EXPERTS II-CONTRACT
4850 SW SCHOLLS FERRY ROAD,SUITE 204
PORTLAND,OR 97225
AIA DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED.,AIA®
THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON,D.C.20006 A312-1984 4
THIRD PRINTING-MARCH 1987
1. The Contractor and the Surety,jointly and severally, 6. When the Claimant has satisfied the conditions of
bind themselves, their heirs, executors, administrators, Paragraph 4, the Surety shall promptly and at the
successors, and assigns to the Owner to pay for labor, Surety's expense take the following actions:
materials and equipment furnished for use in the perfor- 6.1 Send an answer to the Claimant, with a copy to
mance of the Construction Contract, which is incorpo- the Owner, within 45 days after receipt of the claim,
rated herein by reference. stating the amounts that are undisputed and the basis
2. With respect to the Owner, this obligation shall be for challenging any amounts that are disputed.
null and void if the Contractor: 6.2 Pay or arrange for payment of any undisputed
2.1 Promptly makes payment, directly, or indirectly, amounts.
for all sums due Claimants, and
7. The Surety's total obligation shall not exceed the
2.2 Defends, indemnifies and holds harmless the amount of this Bond, and the amount of this Bond shall be
Owner from claims, demands, liens or suits by any credited for any payments made in good faith by the Surety.
person or entity whose claim, demand, lien or suit is 8. Amounts owed by the Owner to the Contractor under
for the payment for labor, materials, or equipment fur-
the Construction Contract shall be used for the perfor-
nished for use in the performance of the Construction mance of the Construction Contract and to satisfy claims,
Contract, provided the Owner has promptly notified if any, under any Construction Performance Bond. By
the Contractor and the Surety(at the address the Contractor furnishing and the Owner accepting this
described in Paragraph 12)of any claims, demands, Bond, they agree that all funds earned by the Contractor
liens, or suits and tendered defense of such claims, in the performance of the Construction Contract are
demands, liens or suits to the Contractor and the dedicated to satisfy obligations of the Contractor and
Surety, and provided there is no Owner Default. the Surety under this Bond, subject to the Owner's prior-
3. With respect to Claimants, this obligation shall be
ity to use the funds for the completion of the work.
null and void if the Contractor promptly makes pay- 9. The Surety shall not be liable to the Owner, Claimants
ment, directly or indirectly, for all sums due. or others for obligations of the Contractor that are unrelat-
ed to the Construction Contract. The Owner shall not be
4. The Surety shall have no obligation to Claimants liable for payment of any costs or expenses of any Claim-
under this Bond until: ant under this Bond, and shall have under this Bond no obli-
4.1 Claimants who are employed by or have a direct gations to make payments to, give notices on behalf of, or
contract with the Contractor have given notice to the otherwise have obligations to Claimants under this Bond.
Surety (at the address described in Paragraph 12) and 10. The Surety hereby waives notice of any change,
sent a copy, or notice thereof, to the Owner, stating including changes of time, to the Construction Contract
that a claim is being made under this Bond and, with or to related subcontracts, purchase orders and other
substantial accuracy, the amount of the claim. obligations.
4.2 Claimants who do not have a direct contract 11. No suit or action shall be commenced by a Claimant
with the Contractor: under this Bond other than in a court of competent juris-
.1 Have furnished written notice to the Con- diction in the location in which the work or part of the
tractor and sent a copy, or notice thereof, to work is located or after the expiration of one year from the
the Owner, within 90 days after having last date (1)on which the Claimant gave the notice required by
performed labor or last furnished materials or Subparagraph 4.1 or Clause 4.2.3, or (2) on which the last
equipment included in the claim stating, with labor or service was performed by anyone or the last mate-
substantial accuracy, the amount of the claim rials or equipment were furnished by anyone under the Con-
and the name of the party to whom the struction Contract, whichever of(1) or(2)first occurs. If the
materials were furnished or supplied or for provisions of this Paragraph are void or prohibited by law,
whom the labor was done or performed; and the minimum period of limitation available to sureties as a
.2 Have either received a rejection in whole or defense in the jurisdiction of the suit shall be applicable.
in part from the Contractor, or not received 12. Notice to the Surety, the Owner or the Contractor
within 30 days of furnishing the above no- shall be mailed or delivered to the address shown on the
tice any communication from the Contractor signature page. Actual receipt of notice by Surety, the
by which the Contractor has indicated the Owner or the Contractor, however accomplished, shall
claim will be paid directly or indirectly; and be sufficient compliance as of the date received at the
.3 Not having been paid within the above 30 address shown on the signature page.
days, have sent a written notice to the Surety 13. When this Bond has been furnished to comply with a
(at the address described in Paragraph 12) and statutory or other legal requirement in the location where
sent a copy, or notice thereof, to the Owner, the construction was to be performed, any provision in this
stating that a claim is being made under this Bond conflicting with said statutory or legal requirement
Bond and enclosing a copy of the previous shall be deemed deleted herefrom and provisions con-
written notice furnished to the Contractor. forming to such statutory or other legal requirement shall
be deemed incorporated herein. The intent is that this
5. If a notice required by Paragraph 4 is given by the Owner to
the Contractor or to the Surety,that is sufficient compliance.
AIA DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED.,AIAn A312-1984 5
THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON,D.C. 20006
THIRD PRINTING-MARCH 1987
Bond shall be construed as a statutory bond and not as a Construction Contract, architectural and engineering
common law bond. services required for performance of the work of the
Contractor and the Contractor's subcontractors. and
14. Upon request by any person or entity appearing to be a all other items for which a mechanic's lien may be
potential beneficiary of this Bond, the Contractor shall asserted in the jurisdiction where the labor, materials
promptly furnish a copy of this Bond or shall permit a copy or equipment were furnished.
to be made.
15.2 Construction Contract: The agreement between
15. DEFINITIONS the Owner and the Contractor identified on the sig-
nature page, including all Contract Documents and
15.1 Claimant: An individual or entity having a direct changes thereto.
contract with the Contractor or with a subcontractor of
the Contractor to furnish labor, materials or equip- 15.3 Owner Default: Failure of the Owner, which has
ment for use in the performance of the Contract. The neither been remedied nor waived, to pay the Con-
intent of this Bond shall be to include without limita- tractor as required by the Construction Contract or to
tion in the terms"labor, materials or equipment"that perform and complete or comply with the other terms
part of water, gas, power, light, heat, oil, gasoline. thereof.
telephone service or rental equipment used in the
MODIFICATIONS TO THIS BOND ARE AS FOLLOWS:
(Space is provided below for additional signatures of added parties, other than those appearing on the cover page.)
CONTRACTOR AS PRINCIPAL COMPANY: SURETY Company:
(Corporate Seal) (Corporate Seal)
Signature: Signature.
Name and Title: Name and Title:
Address. Address:
AIA DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED.AIA a A312-1984 6
THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON,D.C. 20006
THIRD PRINTING-MARCH 1987
Bond Number: 10062965
MUDSON
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That HUDSON INSURANCE COMPANY, a corporation of the State of Delaware,with
offices at 100 William Street, New York, New York, 10038, has made, constituted and appointed, and by these presents, does make, constitute
and appoint
Kristine Yates
of the State of OR
its true and lawful Attorney(s)-in-Fact,at New York,New York,each of them alone to have full power to act without the other or others,to make,
execute and deliver on its behalf, as Surety, bonds and undertakings given for any and all purposes, also to execute and deliver on its behalf as
aforesaid renewals,extensions,agreements,waivers,consents or stipulations relating to such bonds or undertakings provided,however,that no single
bond or undertaking shall obligate said Company for any portion of the penal Burn thereof in excess of the sum of
Eight Thousand Five Hundred Eighty Dollars($8,580.00)
Such bonds and undertakings when duly executed by said Attorneys)-in-Pact,shall be binding upon said Company as fully and to the same
extent as if signed by the President of said Company under its corporate seal attested by its Secretary.
In Witness Whereof,I-IUDSON INSURANCE.COMPANY has caused these presents to be of its Executive Vice President thereunto duly
authorized,on this 31st day of October _,2013 at New York,New York.
Iffina
al 11UDSON INSURANCE COMPANY
B ....... ............ala'is Christopher 1'.Suarez
Corporate Secretary Executive Vice President
STATE OF NEW YORK
COUN'T'Y OF NEW YORK. SS.
On the 31 st day of October _,2013 before me personally came Christopher T.Suarez to me known,who being by me duly sworn did
depose and say that he is an Executive Vice President of HUDSON INSURANCE COMPANY,the cooration described herein and which executed the above
instrument,that he knows the seal of said Corporation,that the seal affixed to said instrument is such cor rate seal,that it was so affixed by order of the Board of
Directors of said Corporation,and that 11 � rl� is name thereto by like order.
�"����NM MURpy ��y��
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{Notarial Seal} `* •'OSIOryi� A. :'M.MU fl
p�` bet 1QZ Notary Public, e ofrYork
2 :a�o No 01 MU6 553 _
ZqQualified in Nassau County
f,* #1)tMU6067553 = Commission Expires December 10,2017
CERTIFICATION
STATE COUNTOY OF NEWNEW OYURI�RK ''/
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The undersigned Dina Daskalakis hereby certifies.
That the original resolution,ot`which the following is a true and correct copy,was duly adopted by unanimous written consent of the Board of Directors of
Hudson Insurance Company dated July 27`h,2007,and has not since been revoked,amended or modified-
"RESOLVED,that the President,the Executive Vice Presidents,the Senior Vice Presidents and the Vice Presidents shall have the authority and
discretion, to appoint such agent or agents, or attorney or attorneys-in-fact, for the purpose of carrying on this Company's surety business, and to
empower such agent or agents,or attorney or attorneys-in-fact,to execute and deliver,under this Company's seal or otherwise,bonds obligations,and
recognizances, whether made by this Company as surety thereon or otherwise,indemnity contracts,contracts and certificates,and any and all other
contracts and undertakings made in the course of this Company's surety business,and renewals,extensions,agreements,waivers,consents or stipulations
regarding undertakings so made;and
FURTHER RESOVLED,that the signature of any such Officer of the Company and the Company's seal may be affixed by facsimile to any power
of attorney or certification given for the execution of any bond,undertaking,recognizance,contract of indemnity or other written obligation in the nature
thereof or related thereto,such signature and seal when so used whether heretofore or hereafter,being hereby adopted by the Company as the original
signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though
manually affixed."
THAT the above and foregoing is a full,true and correct copy of Power of Attorney issued by said Company,and of the whole of the original and that the
said Power of Attorney is still in full force and effect and has not been revoked,and furthermore that the Resolution of the Board of Directors,set forth in the said
Power of Attorney is now in force. 21 st September 2017
Witness the hand of the undersigned and the seal of said Corporation this day of ,20
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Dina Dasksla ,Corporate Secretary
Fo 10 8 2010(v 1)
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TACK ALL EXPOSED MATERIAL.
PATCH AC TO GREATER OF 3"
THICKNESS OR EXISTING. W + 24" MIN.
12" MIN. 12" MIN.
SAWCUT EXISTING AC
EXISTING 3/4" - 0
BASE ROCK CRUSHED ROCK
a
PIPE ZONE
21
BEDDING
N OTE:
1. TEE CUT TO BE DONE AFTER EXCAVATION AND BACKFILL OF TRENCH.
2. SEE STD. DRAWING NO. 590 FOR BEDDING, PIPE ZONE, AND TRENCH BACKFILL.
T- CUT
ASPHALT DETAILS
CleanWater Services
DRAWING N0. 600 REVISED 12-16