CONTRACT 3964 Public Works Contract CLOSED3964 '
PUBLIC WORKS CONTRACT
BETWEEN
THE CITY OF EL SEGUNDO AND
VIDO SAMARZICH, INC.
This CONTRACT is entered into this 21 day of July, 2009, by and between the
CITY OF EL SEGUNDO, a general law city and municipal corporation ( "the City ") and
VIDO SAMARZICH, INC. ( "the Contractor ").
1. WORK.
A. The Contractor will provide all work required by the Contract Documents
(the "Work "). The Contractor agrees to do additional work arising from
changes ordered by the City in accordance with the Contract Documents.
B. The Contractor and the City agree to abide by the terms and conditions
contained in the Contract Documents;
C. The Contractor will furnish all of the labor; supplies and materials;
equipment; printing; vehicles; transportation; office space and facilities; all
tests, testing and analyses; and all matters whatsoever (except as
otherwise expressly specified to be furnished by the City) needed to
perform and complete the Work and provide the services required of the
Contractor by the Contract Documents.
D. "Contract Documents" means the Notice Inviting Bids; Instructions to
Bidders; Supplementary Instructions to Bidders; Proposal; this Contract;
Standard Specifications; Supplementary Conditions; Exhibits; Technical
Specifications; List of Drawings; Drawings; Addenda; Notice to Proceed;
Change Orders; Notice of Completion; and all other documents identified
in the Contract Documents which together form the contract between the
City and the Contractor for the Work. The Contract Documents constitute
the complete agreement between the City and the Contractor and
supersede any previous agreements or understandings.
2. CONTRACT SUM. The City agrees to pay the Contractor a sum not to exceed
$48,290 dollars for the Work in the manner set forth in the Contract Documents. The
City may adjust this amount as set forth in the Contract Documents.
3. TIME FOR PERFORMANCE.
A. The Contractor will fully complete the Work within 180 working days (the
"Contract Time. ")
B. The Contract Time will commence when the City issues a notice to
64.
proceed. The Contract Documents will supersede any conflicting
provisions included on the notice to proceed issued pursuant to this
Contract.
C. The Contractor may not perform any Work until:
The Contractor furnishes proof of insurance as required by the
Contract Documents; and
The City gives the Contractor a written, signed, and numbered
purchase order and notice to proceed.
D. By signing this Contract, the Contractor represents to the City that the
Contract Time is reasonable for completion of the Work and that the
Contractor will complete the Work within the Contract Time.
E. Should the Contractor begin the Work before receiving written
authorization to proceed, any such Work is at the Contractor's own cost
and risk.
4. DISPUTES. Disputes arising from this contract will be determined in accordance
with the Contract Documents and Public Contracts Code §§ 10240 - 10240.13.
5. THIRD PARTY CLAIMS. In accordance with Public Contracts Code § 9201, the
City will promptly inform the Contractor regarding third -party claims against the
Contractor, but in no event later than ten (10) business days after the City receives such
claims. Such notification will be in writing and forwarded in accordance with the "Notice"
section of the Contract Documents. As more specifically detailed in the Contract
Documents, the Contractor agrees to indemnify and defend the City against any third -
party claim.
6. TAXPAYER IDENTIFICATION NUMBER. The Contractor will provide the City with
a Taxpayer Identification Number.
7. PERMITS AND LICENSES. Unless otherwise provided, the Contractor, at its sole
expense, will obtain and maintain during the Contract Time, all necessary permits,
licenses, and certificates that may be required in connection with the Work.
8. OWNERSHIP OF DOCUMENTS. All documents, data, studies, drawings, maps,
models, photographs and reports prepared by the Contractor under the Contract
Documents are the City's property. The Contractor may retain copies of said
documents and materials as desired, but will deliver all original materials to the City
upon the City's written notice.
9. INDEMNIFICATION. The Contractor agrees to indemnify, defend, and hold the City
harmless as set forth in the Contract Documents. The requirements as to the types and
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3964 . J
limits of insurance coverage to be maintained by the Contractor as required by the
Contract Documents, and any approval of such insurance by the City, are not intended
to and will not in any manner limit or qualify the liabilities and obligations otherwise
assumed by the Contractor pursuant to the Contract Documents, including, without
limitation, to the provisions concerning indemnification.
10. INDEPENDENT CONTRACTOR. The City and the Contractor agree that the
Contractor will act as an independent contractor and will have control of all work and the
manner in which is it performed. The Contractor will be free to contract for similar
service to be performed for other employers while under contract with the City. The
Contractor is not an agent or employee of the City and is not entitled to participate in
any pension plan, insurance, bonus or similar benefits the City provides for its
employees. Any provision in this Contract that may appear to give the City the right to
direct the Contractor as to the details of doing the work or to exercise a measure of
control over the work means that the Contractor will follow the direction of the City as to
end results of the work only.
11. AUDIT OF RECORDS. The Contractor will maintain full and accurate records with
respect to all services and matters covered under this Contract. The City will have free
access at all reasonable times to such records, and the right to examine and audit the
same and to make transcript therefrom, and to inspect all program data, documents,
proceedings and activities. The Contractor will retain such financial and program
service records for at least three (3) years after termination or final payment under the
Contract Documents.
12. NOTICES. All communications to either party by the other party will be deemed
made when received by such party at its respective name and address as follows:
The City
Dana Greenwood
Public Works Director
City of El Segundo
350 Main Street
El Segundo, CA 90245
The Contractor
Vido Samarzich
Vice President
Vido Samarzich, Inc.
4972 Crestview Place
Alta Loma; CA 91701
Any such written communications by mail will be conclusively deemed to have been
received by the addressee three (3) days after deposit thereof in the United States Mail,
postage prepaid and properly addressed as noted above. In all other instances, notices
will be deemed given at the time of actual delivery. Changes may be made in the
names or addresses of persons to whom notices are to be given by giving notice in the
manner prescribed in this paragraph.
13. NO THIRD PARTY BENEFICIARY. This Contract and every provision herein is for
the exclusive benefit of the Contractor and the City and not for the benefit of any other
3
3964•...
party. There will be no incidental or other beneficiaries of any of the Contractor's or the
City's obligations under this Contract.
14. INTERPRETATION. This Contract was drafted in, and will be construed in
accordance with the laws of the State of California, and exclusive venue for any action
involving this Contract will be in Ventura County.
15. BUSINESS LICENSE. Unless waived in accordance with Santa Paula Municipal
Code § 110.03(B), the Contractor and all sub - contractors must obtain a City Business
License before executing this Contract.
16. EFFECT OF CONFLICT. In the event of any conflict, inconsistency, or incongruity
between any provision of the Contract Documents, precedence will be as follows:
A. This Contract;
B. The Standard Specifications; and
C. Precedence of documents as determined in the Standard Specifications.
17. SEVERABILITY. If any portion of the Contract Documents are declared by a court
of competent jurisdiction to be invalid or unenforceable, then such portion will be
deemed modified to the extent necessary in the opinion of the court to render such
portion enforceable and, as so modified, such portion and the balance of this Contract
will continue in full force and effect.
18. AUTHORITY/MODIFICATION. The Parties represent and warrant that all necessary
action has been taken by the Parties to authorize the undersigned to execute this
Contract and to engage in the actions described herein. This Contract may be modified
by written amendment. The City's city manager, or designee, may execute any such
amendment on the City's behalf.
19. ACCEPTANCE OF FACSIMILE SIGNATURES. The Parties agree that this
Contract, agreements ancillary to this Contract, and related documents to be entered
into in connection with this Contract will be considered signed when the signature of a
party is delivered by facsimile transmission. Such facsimile signature will be treated in
all respects as having the same effect as an original signature.
20. COVENANTS AND CONDITIONS. The parties agree that all of the provisions
hereof will be construed as both covenants and conditions, the same as if the words
importing such covenants and conditions had been used in each separate paragraph.
21. CAPTIONS. The captions of the paragraphs of this Contract are for convenience of
reference only and will not affect the interpretation of this Contract.
4
:964
22. TIME IS OF ESSENCE. Time is of the essence for each and every provision of the
Contract Documents.
IN WITNESS WHEREOF the parties hereto have executed this contract the day
and year first hereinabove written.
CITY GUN
J ck Wayt
City Manager
ATTEST:
By:
M�
Cindy hrortesen
City Clerk ,
APPROVED S
MARK D. H NS E , C
By:
K4fl H. Berger,
Assistant City Ati
EY
ri
CONT T R
\ffdo Samarzkfi
Vice President
f
Taxpayer ID Number: c) S — 3 31 / O $ 'L%
Contractor State 3 3 Z/ 0
License Number:
Contractor City Business
License Number:
Elected Officials:
Kelly McDowell,
Mayor
Eric K. Busch,
Mayor Pro Tom
Carl Jacobson,
Council Member
Bill Fisher,
Council Member
Don Brann,
Council Member
Cindy Mortesen,
City Clerk
Ralph Lanphere,
City Treasurer
Appointed Officials:
Jack Wayt,
City Manager
Mark D. Hensley,
City Attomey
Department Directors:
Bill Crowe,
Assistant City Manager
Deborah Cullen,
Finance
Robert Hyland,
Human Resources
Kevin Smith,
Fire Chief
Debra Brighton,
Library Services
Greg Carpenter,
Planning and Building
Safety
David Cummings,
Police Chief
Dana Greenwood,
Public Works
Bob Cummings,
Recreation 8 Parks
www.elsegundo.org
3964.
Department of Public Works
Lauren Mahakian, Sr. Administrative Analyst
June 10, 2009 Via Facsimile
ADDENDUM NO. 1
to
THE RFP DOCUMENTS,
FABRICATION and INSTALLATION of LIGHT POLE BANNERS PROJECT
NO. PW 09 -05
ATTENTION BIDDERS:
The following additions, modifications, and clarifications to the specifications
shall be included in, and become a part of, any contract which may be executed
for the above project in the City of El Segundo:
On page 1 -A -2 For this project, those acceptable classes of license shall be A,
B, C -13, C -23 and C -43.
Please sign the attached acknowledgement that you are aware of this change
and submit this signed form with your bid package. Thanks
Lauren Mahakian
Sr. Administrative Analyst
1 .41 - ell t 6 /� �o
( ign t e) (da e)
350 Main Street, El Segundo, California 90245 -3813
Phone (310) 524 -2358 FAX (310) 640 -0489
Elected Officials:
Kelly McDowell,
Mayor
Eric K. Busch,
MayorPro Tom
Carl Joankson,
Council Member
810 Flsher,
Council Member
Don Bonn,
Council Member
Cindy hforteeen,
Oily cwt
Ralph Lsnphere,
City Treasurer
Appointed Officials:
Jest Wayt,
City Mensper
Mark D. Hensley,
CHy Altomoy
Department Directors:
Bni Crows,
Assistant City Manager
Deborah Cullen,
Finance
Rsbart Hyland,
Human Resources
Kevin Smith,
Fin CNW
Debra Brighton,
Library Services
Greg Cmpemer,
Planning and Building
Ssrety
David Cummings,
Ps00e Chia/
Dana Greenwood,
Public Worke
Bob Cummings.
Recreation i Parks
www,eisegundo.org
3964.x,,
Department of Public Works
Lauren Mahakian, Sr. Administrative Analyst
June 11, 2009 Via Facsimile
ADDENDUM NO.2
to
THE RFP DOCUMENTS,
FABRICATION and INSTALLATION of LIGHT POLE BANNERS PROJECT
NO. PW 09 -05
ATTENTION BIDDERS:
The following additions, modifications, and clarifications to the specifications
shall be included in, and become a part of, any contract which may be executed
for the above project in the City of El Segundo:
Please see attached site plan and include in the contract documents.
Please sign the attached acknowledgement that you are aware of this change
and submit this signed form with your bid package. Thanks
Lauren Mahakian
Sr. Administrative Analyst
(sign re) (da (e)
350 Main Street, El Segundo, California 90245 -3893
Phone (390) 524 -2358 FAX (390) 640 -0489
3964 • •. • i
Rosecranes
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E. El S♦gando Blvd
E. Grand
-6
tx
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Marlposa
Maple
Sycamore
Walnut
L—
Imperial
Elected Officials:
Keay MoDow sk
Meyer
Erie K. Burch,
AMywPro Term
Carl Jeeeboon,
Council Member
Bid Fisher,
CouncM ANmber
Don Brana,
Council Member
Cindy Atoruson,
City Clerk
Ralph Lanphern,
City Tressum
Appointed Officials:
Jack wart
City Manegar
Mark D. Henalsy,
City Adorney
Department Directors:
Bill Crows,
Assistent City AQnager
Deborah Cullen,
Finance
Robert Hyland,
Human Resources
Kevin snw
Fin CANT
Debra adghton.
LNnry sarvlosa
or" Cementer,
Planning and BuMag
safety
Davit Cummings.
Polls* Chet
Dana Greenwood,
Pubge Wake
Bob Cumminge,
Recrestron 6 Park:
www.elsegundo.org
3964 . * - J
Department of Public Works
Lauren Mahakian, Sr. Administrative Analyst
June 12, 2009 Via Facsimile
ADDENDUM NO.3
to
THE RFP DOCUMENTS,
FABRICATION and INSTALLATION of LIGHT POLE BANNERS PROJECT
NO. PW 09 -05
ATTENTION BIDDERS:
The following additions, modifications, and clarifications to the specifications
shall be included in, and become a part of, any contract which may be executed
for the above project in the City of El Segundo:
Please replace Scope of Work- Specifications page with the attached.
Please sign the attached acknowledgement that you are aware of this change
and submit this signed form with your bid package. Thanks
Lauren Mahakian
Sr. Administrative Analyst
uiV
(sig re) (dat )
350 Main Street, El Segundo, California 90245.3893
Phone (390) 524 -2358 FAX (390) 640.0489
39 -0 4.
SCOPE OF WORK - Specifications
Fabrication and Installation of Light Pole Banners
Pole panels: Material Blackout Vinyl 2'w x 91 with 4" pole pockets top & bottom
to accommodate the pole panel brackets.
Basic Fabric
Polyester
Threads
Woven
Yam
1000 x1000 D
Basic Fabric Weight
2.7 oz/ yd
Coating PVC Weight
12.3 oz/ yd
Total Weight
15 oz/ yd
Cold Resistance
-58 F
Flame Retardant
CPAI 84
Width
7211, 80"
*Height off each grade
of banner to be set
14'
Design Wind Velocity: 75 mph
Wind Pressure
1. Shear Stress
(a) A. Single banner attached to the pole
Area of banner= 3 ft x8ft =24 ft
Torque by wind force T= 6970 in
Polar moment of inertia of hollow shaft J= 139.53 in 4
Maximum shear stress by wind force '"m -374.3 psi
Maximum combined shear stress =374.3 + 461.3
(b) Two banners attached to the oolle_Consider the wind load of both banners
the torque caused by the two banners will balance each other. There is no shear
stress of wind force added to the shaft.
2. Bending Stress
Two banners attached to the pole.
Bending moment by wind M- 250,631.4 in-lb
Moment of interia 1= 174.41 in 4
Maximum bending stress by wind 0 max = 7185.12 psi
Maximum combined bending stress = 7185.12 +8440.15 = 15,625
Bending stress, 21420.Opsi
3964 . , i
PROPOSAL
FABRICATIN AND INSTALLATION OF LIGHT POLE BANNERS
IN THE CITY OF EL SEGUNDO
SPECIFICATIONS NO.: PW 09 -05
TO THE CITY OF EL SEGUNDO:
In accordance with the City of El Segundo's Notice Inviting Sealed Bids, the undersigned BIDDER
hereby proposes to furnish all materials, equipment, tools, labor, and incidentals required for the
above stated project as set forth in the Plans, Specifications, and contract documents therefor, and
to perform all work in the manner and time prescribed therein.
BIDDER declares that this proposal is based upon careful examination of the work site, Plans,
Specifications, Instructions to Bidders, and all other contract documents. Submittal of this bid shall
be considered evidence that the BIDDER has satisfied himself regarding the contract documents,
access and any other field conditions which may effect bid prices. If this proposal is accepted for
award, BIDDER agrees to enter into a contract with the City of El Segundo at the unit and /or lump
sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a
contract in the manner and time prescribed will result in forfeiture to the City of El Segundo of the
proposal guarantee accompanying this proposal.
BIDDER understands that a bid is required for the entire work, that the estimated quantities setforth
in the Bid Schedule are solely for the purpose of comparing bids, and that final compensation under
the contract will be based upon the actual quantities of work satisfactorily completed. THE CITY OF
EL SEGUNDO RESERVES THE RIGHT TO INCREASE OR DECREASE THE AMOUNT OF ANY
QUANTITY SHOWN AND TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the
unit and /or lump sum prices bid include all apparent expenses, taxes, royalties, and fees. In the
case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and
words shall govern over figures.
If awarded the Contract, the undersigned further agrees that in the event of the BIDDER'S default in
executing the required contract and filing the necessary bonds and insurance certificates within ten
working days after the date of the City of El Segundo's notice of award of contract to the BIDDER,
including sending by U.S. Mail a Public Works Contract for signature by the Awardee, the proceeds
of the security accompanying this bid shall become the property of the City of El Segundo and this
bid and the acceptance hereof may, at the City of El Segundo's option, be considered null and void.
I -C -1
NASPECS MST IC1 (02- 28 -02)
« t
AWARD OF CONTRACT
The award of contract, if made, will be to the lowest responsible bidder determined solely by the City
of El Segundo. Additionally, the City of El Segundo reserves the right to reject any or all proposals,
to waive any irregularity, and take the bids under advisement for a period of sixty (60) calendar
days, all as may be required to provide for the best interests of the City of El Segundo. In no event
will an award be made until all necessary investigations are made as to the responsibility and
qualifications of the bidder to whom the award is contemplated.
AWARD OF ALTERNATE BIDS
If the bid proposal contains a base bid and additive or deductive alternate bid items, the City
reserves the right to award or reject any, all, or a combination of alternate bids. The lowest
responsible bidder will be determined based on the scope of the contract awarded by the City.
PREVAILING WAGES AND PAYROLL RECORDS
CONTRACTOR and subcontractors shall be required to comply with all applicable provisions of the
State Labor Code. CONTRACTOR and subcontractors shall pay the minimum prevailing rates of
per diem wages as determined by the State Department of Industrial Relations. A copy of the most
recent prevailing rates are on file at the Engineering Division, 350 Main Street, El Segundo, CA
90245, which will be made available for inspection to any interested party on request.
CONTRACTOR and subcontractors shall keep accurate payroll records. Upon request by the CITY,
a certified copy of these records shall be furnished to the CITY or its authorized representative.
Some federal fund projects are also required to comply with Federal Davis -Bacon Act wage
requirements. If there is a conflict between the state wages and the federal wages, the higher of the
wage rates for any particular classification shall apply.
I -B -3
NASPECS.MST 163 (02- 28 -02)
�9fi�4•.
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE
BIDDER certifies that in all previous contracts or subcontracts, all reports which may have been
due under the requirements of any agency, State, or Federal equal employment opportunity
orders have been satisfactorily filed. and that no such reports are currently outstanding.
AFFIRMATIVE ACTION CERTIF c -ATION
BIDDER certifies that affirmative action has been taken to seek out and consider minority
business enterprises for those portions of the work to be subcontracted, and that such affirmative
actions have been fully documented, that said documentation is open to inspection, and that said
affirmative action will remain m effect for the life of any contract awarded hereunder.
Furthermore, BIDDER certifies mat affirmative action will be taken to meet all equal employment
opportunity requirements of the contract documents.
NONCOLLUSION AFFIDAVIT
BIDDER declares that the only persons or parties interested in this proposal as principals are
those named herein; that no officer, agent, or employee of the City of El Segundo is personally
interested, directly or indirectly, in this proposal; that this proposal is made without connection to
any other individual, firm, or corporation making a bid for the same work and that this proposal is
in all respects fair and without collusion or fraud.
I -C -2
NASPECS MST IC2 (02- 28 -02)
3964. l
CITY OF EL SEGUNDO - BID SHEET
PROJECT NO.: PW 09 -05
ITEM
NO.
ESTIMATED
QUANTITIES
DESCRIPTION
UNIT PRICE
IN FIGURES
AMOUNT
1
110
Fabrication, Installation and removal after 6
months of banners on 55 light poles as
described in Section III of the Special
Provisions.
$ 3 9.O0
$ 49, 290.00
TOTAL BID = $ � '9, Z / Q • 0 0
TOTAL BID WRITTEN IN WORDS
I (A) () i-1 Ov,on E-D A/ r --J f- -F Y Q t.,tr A!
i -C -3
N k.SPF(:S MST\B If) S1 IF ET MSr M" 1)8 02)
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
ENCROACHMENT PERMIT
TR -0120 (REV 6/2007)
Permit No.
0709- NBR-0078
DisUColRielPM
In compliance with (Check one)
07- LA- 1- 23.924/25.921
Date
® Your application of January 14, 2009
January 14, 2009
Fee Paid
Deposit
❑ Utility Notice No. of
$ EXEMPT
$
Performance Bond Amount (1)
Performance Bond Amount (2)
❑ Agreement No. of
$
$
Bond Company
❑ R/W Contract No. of
Bond Number (1)
Bond Number (2)
TO: City of El Segundo
y..
150 Illinois Street
El Segundo, CA 90245
MAR 0 3 �Q09
Attn.: Maryam Jonas
„i +?YK
L_ Phone: (310) 524 -2709
PERMITTEE't�ta
° ,IcPlpami`
and subject to the following, PERMISSION IS HEREBY GRANTED to:
Encroach within the State's right of way for the purpose of installing
and removing banners on an annual basis (for
2009) along and across Sepulveda Boulevard (State Route 1) between Imperial Highway and Rosecrans Avenue, in
the City of El Segundo; all in accordance with current State specifications, the attached special
provisions, and permit
plans dated to be determined each time banners are placed on the State highway.
Permittee shall contact State permit inspector(s), Mr. Larry Tokuyama at telephone number (310) 609 -0354, between
the hours of 0700 and 0900, a minimum of 10 working days prior to the initial start of work to arrange a pre -
construction meeting to ensure a complete understanding of the work and permit requirements. A confirmation
notification should occur three days prior to closure or other potential traffic impacts.
THIS PERMIT IS NOT A PROPERTY RIGHT AND DOES NOT TRANSFER WITH THE PROPERTY TO A NEW OWNER
The following attachments are also included as part of this permit (Check applicable) In addition to fee, the permittee will
be billed actual cost for:
® Yes ❑ No General Provisions
❑ Yes N No Utility maintenance Provisions ❑ Yes N No Review
N Yes ❑ No Special Provisions A and Q ❑ Yes N No Inspection
❑ Yes N No A Cal -OSHA Permit, if required: Permit No. N Yes ❑ No Field Work
❑ Yes N No As -Built Plans Submittal Route Slip for Locally Advertised Projects
❑ Yes 0. No Storm Water Pollution Prevention Plan (If any Ca/trans effort expended)
❑ Yes N No The information in the environmental documentation has been reviewed and considered prior to
approval of this permit.
This permit is void unless the work is completed before January 1, 2010
This permit is to be strictly construed and no work other than specifically mentioned is hereby authorized.
No project work shall be commenced until all other necessary permits and environmental clearances have been obtained.
W @st Region - -- - - - - -- APPROVED: - - -- — -- - --
Tokuyama, Insp.
ue, P.E , District Permit Enginner
ichaeI Sarieh, P.E., Permit En /Weer
ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 653 -3657 or TDD (916) 654 -3880 or write
Records and Forms Management, 1120 N Street, MS -89, Sacramento, CA 95814
FM 91 1436
City of El Segundo
0709 -NBR -0078
Page 2 of 3
SPECIAL PROVISIONS
3964.
1. By acceptance of this permit, the permittee understands and agrees to reimburse the State for all costs incurred
for performing corrective work in the event that the permittee or permittee's representatives fail to install, replace,
repair, restore, or remove facilities to state specifications for the immediate safe operation of the highway and
satisfactory completion of all permit work. State forces may perform corrective work or it maybe contracted out.
Understood is that the above charges are in addition to permit fees, and an invoice will be sent to permittee for
said charges after satisfactory completion of all work.
2. It is the responsibility of the permittee, permittee's agents, or contractors to comply with all provisions of this
permit and instructions from the State permit inspector. Permittee shall keep the permit package or copies
thereof, at the work site at all times and show it upon request to any Department representative or law
enforcement officer. When the permit package is not available, then immediate suspension of permit will occur.
3. All work performed pursuant to this permit shall be performed in accordance with the current Department of
Transportation's Standard Specifications, Standard Plans, Encroachment Permit Utility Provisions dated August
1998, and shall comply with all provisions of this permit and the instructions of the State permit inspector. Any
violation of this permit shall constitute grounds for revocation of the permit.
4. If contractor forces perform the work authorized by this permit, permittee's contractor shall furnish the State with a
signed application requesting a separate Caltrans permit (Double Permit) authorizing the contractor to perform
the work within the State's right of way on behalf of the permittee, a "Performance Bond" and a "Payment Bond"
maybe required. Contractor's bonds maybe waived if the contractor has bonds for 100 percent of the project with
the permittee.
Permittee's contractor will be required to reimburse the State for the cost incurred for engineering inspection of
the work within the State highway right of way and all other permit related field work performed by Caltrans
maintenance forces when, as determined by Caltrans, it becomes necessary.
Permittee's contractor is required to have the signed permit and the double permit with all Special Provisions and
plans stamped "CALTRANS PERMIT PLANS" dated TBD AT A LATER DATE at the work site at all times while
work is being conducted.
Permittee shall remain solely responsible for compliance with all requirements of this permit.
5. Permittee shall furnish the necessary inspection to provide for public safety and to insure that all work within or
affecting the State's right of way pursuant to this permit is in accordance with State Standards and requirements.
The State permit inspectors will monitor the work authorized under this permit and the work is subject to the
approval of the State permit inspectors.
6. Prior to performing any work pursuant to this permit, the permittee shall obtain all necessary permits and
authorizations required of other governmental agencies and by law. The permittee shall make the necessary
arrangements with the appropriate agencies to monitor and test performed work to ensure accordance with
requirements of those agencies.
7. Permittee is responsible for restoration and repair of the State's right of way resulting from permitted work (State
Streets and Highways Code, Sections 670 et. seq.). Upon completion of work, permittee shall remove and
dispose of all scraps, brush, timber, materials, etc. off the State's right of way.
8. Existing traffic signal, lighting, electrical systems, and underground installations (shown on the permit plans or
not) damaged by the work authorized by this permit shall be replaced in kind, restored in kind, or better as
directed by the State permit inspectors at no cost to the State.
9. Potentially hazardous waste material, if encountered during implementation of permitted work, then all work within
the effected area shall cease immediately. The permittee shall contact State permit inspector to arrange a site
assessment by a Caltrans hazardous material coordinator.
10. Permittee's contractor and /or contractors shall have proper licenses from the State of California and they shall
provide proper documents as proof upon request.
City of El Segundo
0709 -N BR -0078
Page 3of3
SPECIAL PROVISIONS
11. Permittee's contractor shall submit a written schedule to the State permit inspector for review and approval prior
to the beginning of the work.
12. The State permit inspector must ascertain and agree to all work details and all aspects of traffic control or no work
shall begin on this permit.
13. Do not store materials within the State's right of way, remove materials at the end of the day, or properly store it
as directed by State permit inspector.
14. If a time extension for this permit is required, request one 30 days in advance of the expiration date. Permit
closure occurs after the expiration date, once this occurs reactivation will not occur. It will be the responsibility of
the permittee to reapply by submitting an application and plans, if the need for a permit is still present.
16. American National Standards Institute (ANSI) compliant Class II vests and hard hat shall be worn while working
within State's right of way. Workers working at night will be required to wear ANSI Class III warning garments.
Class III compliance can be achieved by combining ANSI Class E pants worn with an ANSI Class II vest.
The attached District's Standard Special Provisions are generalizations of the Department's Standard Specifications and are
included only as a convenience to the Permittee. Permittee shall reference the current Department's Standard Specifications for
complete and unabridged specification requirements.
P
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
STANDARD ENCROACHMENT PERMIT APPLICATION
TR -0100 (REV 05 /2006)
Permission is requested to encroach on the State highway right -of -way as follows: I
(Complete all BOXES (write N/A if not applicableD
This application is not complete until all requirements have been approved.
page' 1 0, 4 •
FOR CALTRANS USE
PERMIT NO B�Q C/ A �Q D �j� o7
DI0 /RTE /p /MAC //� �'�VC`t/(J /Q`��/
SIMPLEX STAMP
1. COUNTY 2. ROUTE
3. POSTMILE
Los Angeles ( Hwy 1
23.924./25.921
4. ADDRESS OR STREET NAME
5. CITY
Sepulveda Boulevard
El Segundo
6. CROSS STREET (Distance and direction iron, sv�
7. PORTION OF RIGHT -OF -WAY
DATE OF SIMPLEX STAMP
Imperial Hwy to Rosecrans Avenue (2 miles
e. WORK TO BE PERFORMED BY 9 EST. START DATE
10. EST. COMPLETION DATE
OWN FORCES ❑ CONTRACTOR 01/01/2009
12/31/2009
11.
MAX DEPTH
A PTH VG WIDTH
LENGTH
SURFACE TYPE
12. EST. COST INSTATE WIN
EXCAVATION
13.
PRODUCT TYPE DIAMETER
VOLTAGE / PSIG
14. CALTRANS PROJECT E.A. NUMBER
PIPES
15. ❑ Double Permit Parent Permit Number
Applicant's Reference Number / Utiliti Work Order Number
16. Have your plans been reviewed by another Caltrans branch? NO ❑ YES ❑ (If "YES ") Who?
17. Completely describe work to be done within STATE highway right -of -way :
Attach 6 complete sets of FOLDED plans (folded 8.5" x 11 "), and any applicable specifications, calculations, maps, etc.
All dimensions shall be in U.S. Customary (English) Units.
Installing and removing banners on an annual basis along and across Sepulveda Boulevard (State Route 1) between Imperial
Hiahwav and Rosecrans Avenue.
1) RENEW PERMIT NO. 707 -NBR -2546
ol��g C
T y
RECEIVED
la. Is a city, county, or other agency involved in the approval of this project?
❑ YES (if "YES ", check type of project and attach environmental documentation and conditions or approval.) JAN 14 2009
❑ COMMERCIAL DEVELOPMENT ❑ BUILDING ❑ GRADING ❑ OTHER pp �(+
❑ CATEGORICALLY EXEMPT ❑ NEGATIVE DECLARATION El ENVIRONMENTAL IMPACT REPORT ❑ OTHER )FFICE OF PERMITS
�?
® NO (If "NO ", please check the category below which best describes the project, and complete page 4 of this application.)
❑ DRIVEWAY OR ROAD APPROACH, RECONSTRUCTION, MAINTENANCE, OR RESURFACING ❑ FENCE
❑ PUBLIC UTILITY MODIFICATIONS, EXTENSIONS, HOOKUPS ❑ MAILBOX
FLAGS, SIGNS, BANNERS, DECORATIONS, PARADES AND CELEBRATIONS ❑ EROSION CONTROL
Q OTHER traffic control and sign maintenance ❑ LANDSCAPING
19. Will this project cause a substantial change in the significance of a historical resource (45 years or older), or cultural resource'2 ❑ YES 0 NO
(if "YES ", provide a description)
20. Is this project on an existing highway or street where the activity involves removal of a scenic resource including a significant tree or stand of trees, a
rock outcropping or a historic building? ❑ YES Q NO (If "YES ". provide a description)
21. Is work being done on applicant's property? ❑ YES ❑ NO ( %' "YES ", ,tWcr. site and grading plans )
ADA NOTICE: For mdi, iduals , uh scnsnrj disabilities. this doctinlctil Is avallablc in aliernat." ro:inats. Fur inturmauun call (, 16) 6�J.o 110 or TDD (9161 04 .300 or
write to Rccords and runes Management, 1120 V street. MS -39, Sauamcnw. CA 99814
STATE OF CALIFORNIA - DEPARTMENT OF TRANSPORTATION
STANDARD ENCROACHMENT PERMIT APPLICATION
TR -0100 (REV. 05 /2006)
4.
Page 2 of 4
a9- N /dR- OW
22. Will this proposed project require the disturbance of soil within highway right -of -way? F1 YES Q NO
If "YES'. estimate the area in square feet AND acres _ (fF)
_ __ (acres)
23. Will this proposed project require dewatering? E] YES K NO
If "YES', estimate daily volume in gallons per day (gpd)
24. How will any storm water or ground water be disposed of from within or near the limits of this proposed project? 09
Storm Drain System Combined Sewer / Storm System Storm Water Retention Basin (� (�
m Other (explain): _ OFFICE {� E OF PERMITS
PLEASE READ THE FOLLOWING CLAUSES PRIOR TO SIGNING THIS ENCROACHMENT PERMIT APPLICATION.
The applicant, understands and herein agrees to that an encroachment permit can be denied, and /or a bond
required for non - payment of prior or present encroachment permit fees. Encroachment Permit fees may still be
due when an application is withdrawn or denied, and that a denial may be appealed, in accordance with the
California Streets and Highways Code, Section 671.5. All work shall be done in accordance with Caltrans rules
and regulations subject to inspection and approval.
The applicant, understands and herein agrees to the general provisions, special provisions and conditions of the
encroachment permit, and to indemnify and hold harmless the State, its officers, directors, agents, employees
and each of them (Indemnitees) from and against any and all claims, demands, causes of action, damages, costs,
expenses, actual attorneys' fees, judgments, losses and liabilities of every kind and nature whatsoever (Claims)
arising out of or in connection with the issuance and /or use of this encroachment permit for. 1) bodily injury and/
or death to persons including but not limited to the Applicant, the State and its officers, directors, agents and
employees, the Indemnities, and the public; and 2) damage to property of anyone. Except as provided by law,
the indemnification provisions stated above shall apply regardless of the existence or degree of fault of
Indemnities. The Applicant, however, shall not be obligated to indemnify Indemnities for Claims arising from
conduct delineated in Civil Code Section 2782.
DISCHARGES OF STORM WATER AND NON -STORM WATER. Work within State highway right -of -way shall be
conducted in compliance with all applicable requirements of the National Pollutant Discharge Elimination
System ( NPDES) permit issued to the Department of Transportation (Department), to govern the discharge ofstorm
water and non -storm water from its properties. Work shall also be in compliance with all other applicable Federal,
State and Local laws and regulations, and with the Department's Encroachment Permits Manual and encroachment
permit. Compliance with the Departments NPDES permit requires amongst other things, the preparation and
submission of a Storm Water Pollution Protection Plan (SWPPP), or a Water Pollution Control Program (WPCP),
and the approval of same by the appropriate reviewing authority prior to the start of any work. Information on
the requirements may also be reviewed on the Department's Construction Website at:
http://www.dot.ca.govlhqlcotistruclstormwaterl,htm
25. NAME of APPLICANT or ORGANIZATION (Print or Type) E -MAIL ADDRESS
City of El Segundo I cjackson @elsegundo.org
ADDRESS of APPLICANT or ORGANIZATION WHERE PERMIT IS TO BE MAILED (Include City and Zip Code)
150 Illinois Street, El Segundo CA 90245
PHONE NUMBER FAX NUMBER
310- 524 -2709 310- 414 -9011
26. NAME of AUTHORIZED AGENT i ENGINEER (Print or Type) IS LETTER OF AUTHORIZATION ATTACHED E -MAIL ADDRESS
Maryam Jonas ® YES ❑ NO mjonas @elsegundo.org
ADDRESS of AUTHORIZED AGENT / ENGINEER (Include City and Zip Code)
350 Main Street, El Segundo CA 90245
PHONE NUMBER
FAX NUMBER
310 - 524 -2361
310- 640 -0489
27. SIGNATURE of APPLI A T or AUTHORIZED AGENT
28. PRINT OR TYPE NAME
29.TITLE
Maryam Jonas
Principal Civic Engr.
)DATE
J— ��
U `J
pi ►x'"
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
STANDARD ENCROACHMENT PERMIT APPLICATION
TR -0100 (REV. 05 /2006)
6 `
Page 3 of 4
HL U,IVU
o9- "R-ox,,
FEE CALCULATION -- FOR CALTRANS USE
❑ CASH ❑ CREDIT CARD NAME ON CARD _ PHONE NUMBER
❑ CHECK NUMBER NAME ON CHECK PHONE NUMBER
EXEMPT ❑ PROJECT EA _ _ ... _ _ ` ❑ DEFERRED BILLING (Utility)
CALCULATED BY
(1) IV S,
(2)
REVIEW
1. � HOURS @ $$�
1. /pEPOSIT
$ (�
DATE
2. FEE / DEPOSIT
DATE
TOTAL FEE / DEPOSIT
$
2._ HOURS @ $
$
$
INSP CTION
1. FEE / DEPOSIT
DATE
2. FEE / DEPOSIT
DATE
TOTAL FEE / DEPOSIT
ea
$
HOURS @ $
$_�
2. HOURS @ $
$
$_
FIELD WORK
HOURS @ $
$_
$_
$
DEPOSIT
DATE
DEPOSIT
DATE
DEPOSIT
EQUIPMENT & MATERIALS
CASH DEPOSIT IN LIEU OF BOND
$
$
$
d 2i
TOTAL COLLECTED $ $
EXEMPT
CASHIER'S INITIALS $
*The current hourly rate is set annually by Headquarters Accounting. District Office staff do not have authority to modify this rate.
PERFORMANCE BOND El
DATE
$AMOUNT
PAYMENT BOND ❑
DATE
$MOUNT
LIABILITY INSURANCE REQUIRED?
❑ YES ❑ NO
AMOUNT
RECEIVED
jm4 14 2009
OFFICE OF PERMIT'S
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
STANDARD ENCROACHMENT PERMIT APPLICATION
TR -0100 (REV. 05 /2006)
INSTRUCTIONS
for completing page 4
3964
Page 4 of 4 j j
eT7o9- NBA- 4a /8
This page needs to be completed when the proposed project DOES NOT involve a City, County or other public agency.
Your answers to these questions will assist departmental staff in identifying any physical, biological, social or economic resources that
may be affected by your proposed project within the State highway right -of -way. And, to determine which type of environmental studies
may be required to approve your application for an encroachment permit.
It is the applicant's responsibility for the production of all required environmental documentation and supporting studies, in some cases
this may be costly and time - consuming. If possible, attach photographs of the location of the proposed project.
Please answer these questions to the best of your ability. Provide a description of any "YES" answers (type, name, number, etc.)
1. Will any existing vegetation and /or landscaping within the highway right-of-way be disturbed?
/vl!e
2. Will the proposed project involve any soil disturbance within highway right -of -way (trenching or excavation)?
No
3. Are there waterways (river, creek, pond, natural pool or dry streambed) adjacent to or within the limits of the project
or highway right -of -way? n/ D
4. Is the proposed project located within five miles of the coast line? �� S
5. Will the proposed project generate construction noise levels greater thane 86 dBA (i.e. jack- hammering, pile driving)?
^
/v 1
6. Will the proposed project incorporate land from a public park, recreation rea or wildlife refuge open to the public?
Iva
7. Are there any recreational trails or paths within the limits of the proposed project or highway right -of -way?
No
B. Will the proposed project Impact any structures, buildings, rail lines, or bridges within highway right -of -way?
NO >cCEtvE�
9. Will the proposed project impact access to any businesses or residences?
/VO SAN 14,
2409
10. Will the proposed project impact any existing public utilities or public ervices?
p_-,r
OF PERM,
y (�FF1C� f f
11. Will the proposed project impact existing pedestrian facilities, such as sidewalks, crosswalks, or overcrossings?
NO
12. Will new lighting be constructed within or adjacent to highway right -of -way?
NO
3964
FIDELITY AND DEPOSIT COMPANY OF MARYLAND �
BOND NO. 08712125
Premium: Included on
Performance Bond
PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS:
That VIDO SAMARZICH, INC., (hereinafter called the Principal), as Principal, and FIDELITY AND
DEPOSIT COMPANY OF MARYLAND, a MARYLAND corporation (hereinafter called Surety), as Surety,
are held and firmly bound unto CITY OF EL SEGUNDO as Obligee (hereinafter called Owner), in the
amount of FORTY EIGHT THOUSAND TWO HUNDRED NINETY AND 00/100 DOLLARS ($48,290.00)
for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators,
successors and assigns, jointly and severally, firmly by these presents.
Whereas, Principal has by written agreement dated JULY 21ST, 2009, entered into a contract with Owner
for FABRICATION AND INSTALLATION OF LIGHT POLE BANNERS PROJECT, JOB /BID NO. PW09-
05, in accordance with drawings and specifications, which contract is by reference made a part hereof,
and a copy thereof is or may be attached hereto.
Now, Therefore, The Condition of This Obligation Is Such, That, if the Principal shall pay, or cause to be
paid in full, the claims of all persons designated in Sections 3110 or 3112 of the Civil Code of the State of
California then this obligation shall be void; otherwise it shall remain in full force and effect.
This bond is executed for the purpose of complying with the laws of the State of California as contained in
Sections 3235 to 3241 inclusive of the Civil Code and all acts amendatory thereof, and this bond shall
inure to the benefit of any and all persons designated in Sections 3110 or 3112, Civil Code of the State of
California, so as to give such persons a right of action to recover upon this bond in any suit brought to
foreclose the liens provided for by the laws of the State of California, or in a separate suit brought on this
bond. No right of action shall accrue hereunder to or for the use of any persons expect persons
designated in Section 3110 or 3112, Civil Code of the State of California as foresaid. The total amount of
the Surety's liability under this bond to any and all persons shall in no event exceed the amount named in
the first paragraph hereof.
No suit, action or proceeding to recover on this bond shall be sustained unless the same be commenced
within six (6) months from the completion of said structure or work of improvement, as "completion" is
defined in Section 3086 of the Civil Code of California.
Signed and sealed this 15T" day of JULY, 2009.
VIDO SA�A ICH� IN
BY:
�
i
FIDELAT/YAND DEPASIT COMPANY OF MARYLAND
BY:
RANDY 9POHN, Attorney4fi -Fact
THIS BOND MUST BE RECORDED IN THE OFFICE OF THE COUNTY RECORDER OF THE COUNTY WHERE
THE PROPERTY IS SITUATED BEFORE THE WORK IS COMMENCED, IN ORDER TO PROVIDE YOU WITH THE
MAXIMUM PROTECTION OF THE BOND AND STATUTES.
�j964
State of California
S.S.
County of San Bernardino
On before me, S. Filo, Notary Public, personally
appeared GKMpg�k(
who proved to me oq the basis of satisfactory evidence to be the person,(6l
whose name subscribed to the within in rument and acknowledged to
me that he /th executed the sa a in his/ er/ eir authorized c acity ' s },
and that by his /h thy, rr signature on the instrufnent the persoet
, or the entity
upon behalf of hich the person(�acted, executed the instrum
I certify under PENALTY OF PERJURY under the laws of the State of California
that the foregoing paragraph is true and correct.
WITNESS my hand and official seal. S. FILO
CFI COMM. #1832613 a
NOTARY PUBLIC . CALIFORNIA
/� Oimy corm. BERNARDINO COUNTY CQ
/ t Ii r _ Co. Expires Jan. 20, 2013
Signature
Signature of Notary Public
Description of Attached Document
Title or Type of Document T�tL1 \y
Document Date:
jl��l �; Number of Pages
TOM DALY
CLERK - RECORDER
PROPERTY RECORDS
BIRTH AND DEATH RECORDS
MARRIAGE LICENSES /RECORDS
PASSPORTS
F'CTITIOUS BUSINESS NAMES
NOTARY REGISTRATION
ORANGE COUNTY ARCHIVES
CERTIFICATION OF ADMITTED SURETY INSURER
1, Tom Daly, County Clerk - Recorder in and for said County, do hereby certify that based on the
statewide database that FIDELITY AND DEPOSIT COMPANY OF MARYLAND has been
issued a Certificate of Authority as an Admitted Surety by the Insurance Commissioner who
authorized the Insurer to transact Surety Insurance in the State of California, OR, that authority
has not been surrendered, revoked, cancelled, annulled or suspended.
In Witness Whereof, I have hereunto set my hand and affixed the seal of said County this 24""-'
day of Jam, 2009.
Tom Daly, Orange County Clerk - Recorder
By: -✓ .h._; , Deputy Clerk
Rosalba ieyra
(Seal)
o ,4
�c�COUury CP♦'EO�
nom
NORTH COUNTY BRANCH OFFICE ORANGE COUNTY SOUTH COUNTY BRANCH OFFICE
HISTORIC DOWNTOWN FULLERTON HALL OF FINANCE AND RECORDS LAGUNA FULLS CIVIC CENTER
201 N. HARBOR BOULEVARD 12 CIVIC CENTER PIAZA. ROOM 101 24031 EL 10R0 ROAD
..iLER ION. CA-1 I IA 92832 SANTA ANA. CALIFORNIA 92701 LAGUNA HILLS, CALIFORNIA 92653
(7 14) 834.2500 • FAX (714) 834.2675 • WWW.00RECORDER.COM • WWW.00ARC HIVES. COM
Q
' 54•�':'
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a
corporation of the State of Maryland, by THEODORE G. MARTINEZ, Vice President, and ERIC D. BARNES, Assistant
Secretary, in pursuance of authority granted by Article Vl, Section 2, of the By -Laws of said y, which are set forth on
the reverse side hereof and are hereby certified to be in full force and effect on the d ereby nominate,
constitute and appoint Randy SPOHN and Matthew R. DOBYNS, bo Ii EACH its true and
lawful agent and Attorney -in -Fact, to make, execute, seal and i d as its act and deed:
any and all bonds and undertakings, and the exe . so suance of these presents, shall
be as binding upon said Company, as fu a in a if they had been duly executed and
acknowledged by the regularl e t ice in Baltimore, Md., in their own proper persons.
This power of atto th e PORN, dated April 6, 2004.
The said Assistant at the extract set forth on the reverse side hereof is a true copy of Article VI,
Section 2, of the By- ° any, and is now in force.
IN WITNESS OF, the said Vice - President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this I st day of May, A.D.
2009.
ATTEST:
a
W
State of Maryland 1 ss:
City of Baltimore f
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
Eric D. Barnes Assistant Secretary
By:
Theodore G. Martinez
On this I st day of May, A.D. 2009, before the subscriber, a Notary Public of the State of Maryland, duly commissioned
and qualified, came THEODORE G. MARTINEZ, Vice President, and ERIC D. BARNES, Assistant Secretary of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being
by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid,
and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal
and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of
the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above
written.
Maria D. Adam.ski Notary Public
My Commission Expires: July 8, 201 1
POA -F 012 -3955
�' ��ii�ini�'t��`•
Maria D. Adam.ski Notary Public
My Commission Expires: July 8, 201 1
POA -F 012 -3955
3964 + ►~'
EXTRACT FROM BY -LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND
"Article VI, Section 2. The Chairman of the Board, or the President, or any Executive Vice - President, or any of the Senior
Vice- Presidents or Vice - Presidents specially authorized so to do by the Board of Directors or by the Executive Committee,
shall have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident
Vice- Presidents, Assistant Vice- Presidents and Attorneys -in -Fact as the business of the Company may require, or to
authorize any person or persons to execute on behalf of the Company any bonds, undertaking, recognizances, stipulations,
policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees, mortgages and instruments in
the nature of mortgages,... and to affix the seal of the Company thereto."
CERTIFICATE
I, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify
that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that
the Vice - President who executed the said Power of Attorney was one of the additional Vice - Presidents specially authorized
by the Board of Directors to appoint any Attorney -in -Fact as provided in Article VI, Section 2, of the By -Laws of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the
Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on
the 10th day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically
reproduced signature of any Vice - President, Secretary, or Assistant Secretary of the Company, whether made heretofore or
hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and
binding upon the Company with the same force and effect as though manually affixed."
!N TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said Company,
this 15 th _ day of July _ 2009
At
Assistant Secretary
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
State of CALIFORNIA
County of ORANGE
3964,,
On July 15, 2009 before me, Erika Guido, NOTARY PUBLIC,
personally appeared RANDY SPOHN
® who proved to me on the basis of satisfactory evidence to be the person(s)
whose name(s) is /are subscribed to the within instrument and
acknowledged to me that he /she /they executed the same in his /her /their
authorized capacity (ies), and that by his /her /their signature(s) on the
instrument the person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument.
lyyy ERIKA GUI00
Q' COMM. # 1843731 g
�,. NOTARY PUBLIC CALIFORNIA
ORANGE COUNTY
Ili My comm. expires May 5, 2013 C
I certify under PENALTY OF PERJURY under the laws of the State of
California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Iture of Nbtary
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
❑ INDMDUAL
❑ CORPORATE OFFICER
❑ PARTNER(S) ❑ LIMITED
® ATTORNEY -IN -FACT
❑ TRUSTEE(S)
❑ GUARDIAN /CONSERVATOR
❑ OTHER:
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES)
DESCRIPTION OF ATTACHED DOCUMENT
3964 .,
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
The final Premium is
Predicated on the
Final Contract Price
PERFORMANCE BOND
Bond No. 08712125
Premium: $1,207.00
One of Three Originals.
KNOW ALL MEN BY THESE PRESENTS: That we, VIDO SAMARZICH, INC., as
Principal, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a MARYLAND
corporation, as Surety, are held and firmly bound unto CITY OF EL SEGUNDO, as
Obligee, in the sum of FORTY EIGHT THOUSAND TWO HUNDRED NINETY AND
00/100 DOLLARS ($48,290.00), for which sum, we bind ourselves, our heirs, executors,
administrators, successors and assigns, jointly and severally, by these presents.
WHEREAS, on the 21ST day of JULY, 2009, the Principal entered into a contract with
the Obligee for FABRICATION AND INSTALLATION OF LIGHT POLE BANNERS
PROJECT, JOB /BID NO. PW09 -05, which contract is by reference made a part hereof
and is hereafter referred to as the Contract:
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That, if the
Principal shall faithfully perform said contract according to its terms, covenants, and
conditions, then this obligation shall be void; otherwise it shall remain in full force and
effect.
The warranty period for this bond shall be one year from date of acceptance of work by
Obligee.
Dated this 15'r" day of JULY, 2009.
A)A — C f / ; ; / Ptr We aftwhed Notary Cel if wat6
VIDO S A7 I I H, NC.
PRINCIPAL
FIDE Y AND DEPOSIT COMPANY OF MARYLAND
SPOHN, /Att6rney -I n -Fact
364
� r
State of California
S.S.
County of San Bernardino
On JU)\j ~ �� before me, S. Filo, Notary Public, personally
appeared
who proved to a on the basis of satisfactory evidence to be the persona
whose name ise subscribed to the within instrument and acknowledged to
me that he/ e/th executed the sa a in h* /h A it authorized ca acity(ii
and that by his /h /th rr signaturen the ins { {ru ent the person , or the entity
upon behalf of w icfi the person acted, executed the instrume t.
I certify under PENALTY OF PERJURY under the laws of the State of California
that the foregoing paragraph is true and correct.
WITNESS my h d and official seal. S. FILO
W COMM. #1832613 d
2 NOTARY PUBLIC . CALIFORNIA
SAN BERNARDINO COUNTY M
My Comm. Expires Jan. 20, 2013
Signature
Si nature of Notary Public
Description of Attached Document
Title or Type of Document. PWE � M4& Uhl 0
Document Date: 'J - Number of Pages
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a
corporation of the State of Maryland, by THEODORE G. MARTINEZ, Vice President, and ERIC D. BARNES, Assistant
Secretary, in pursuance of authority granted by Article Vl, Section 2, of the By -Laws of said y, which are set forth on
the reverse side hereof and are hereby certified to be in full force and effect on the d ereby nominate,
constitute and appoint Randy SPOHN and Matthew R. DOBYNS, bo Ii s EACH its true and
lawful agent and Attorney -in -Fact, to make, execute, seal and i d as its act and deed:
any and all bonds and undertakings, and the exe o so t suance of these presents, shall
be as binding upon said Company, as fu a in e s if they had been duly executed and
acknowledged by the regularl a .t ice in Baltimore, Md., in their own proper persons.
This power of atto th e POHN, dated April 6, 2004.
The said Assistant at the extract set forth on the reverse side hereof is a true copy of Article VI,
Section 2, of the By- y, and is now in force.
IN WITNESS W R OF, the said Vice- President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 1 st day of May, A.D.
2009.
ATTEST:
'�� OEPOS�f
POO'v n
_ �a o
State of Maryland ss:
City of Baltimore
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
Eric D. Barnes Assistant Secretary
By:
Theodore G. Martinez
On this 1 st day of May, A.D. 2009, before the subscriber, a Notary Public of the State of Maryland, duly commissioned
and qualified, came THEODORE G. MARTINEZ, Vice President, and ERIC D. BARNES, Assistant Secretary of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being
by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid,
and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal
and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of
the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above
written.
Maria D. Adamski Notary Public
My Commission Expires: July 8, 2011
POA -F 012 -3955
3964 • � :�
EXTRACT FROM BY -LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND
"Article VI, Section 2. The Chairman of the Board, or the President, or any Executive Vice- President, or any of the Senior
Vice- Presidents or Vice - Presidents specially authorized so to do by the Board of Directors or by the Executive Committee,
shall have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident
Vice- Presidents, Assistant Vice - Presidents and Attorneys -in -Fact as the business of the Company may require, or to
authorize any person or persons to execute on behalf of the Company any bonds, undertaking, recognizances, stipulations,
policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees, mortgages and instruments in
the nature of mortgages,...and to affix the seal of the Company thereto."
CERTIFICATE
1, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify
that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that
the Vice- President who executed the said Power of Attorney was one of the additional Vice - Presidents specially authorized
by the Board of Directors to appoint any Attorney -in -Fact as provided in Article VI, Section 2, of the By -Laws of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the
Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on
the I Oth day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically
reproduced signature of any Vice - President, Secretary, or Assistant Secretary of the Company, whether made heretofore or
hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and
binding upon the Company with the same force and effect as though manually affixed."
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seat of the said Company,
this 15th _ day of _, July _ _ 2009_
Assistant Secretary
3964.
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
State of CALIFORNIA
County of ORANGE
On July 15, 2009 before me, Erika Guido, NOTARY PUBLIC,
personally appeared RANDY SPOHN ,
® who proved to me on the basis of satisfactory evidence to be the person(s)
whose name(s) is /are subscribed to the within instrument and
acknowledged to me that he /she /they executed the same in his /her /their
authorized capacity (ies), and that by his /her /their signature(s) on the
instrument the person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument.
'W= "°� I certify under PENALTY OF PERJURY under the laws of the State of
ERIKA G8437 *California that the foregoing paragraph is true and correct.
N COMM. # 1843731
NOTARY PUBLIC CALIFORNIA o
3: ORANGE COUNTY -WITNESS my hand and official seal.
'l My comm. expires May 5, 2013 IC
llll�i� l.�lcCC�. �
Signature of Notary
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
❑ INDIVIDUAL
❑ CORPORATE OFFICER
❑ PARTNER(S) ❑ LIMITED
® ATTORNEY -IN -FACT
❑ TRUSTEE(S)
❑ GUARDIAN /CONSERVATOR
❑ OTHER:
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES)
DESCRIPTION OF ATTACHED DOCUMENT
3964
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
BOND NO. 08712125
Premium: Included on
Performance Bond
PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS:
That VIDO SAMARZICH. INC., (hereinafter called the Principal), as Principal, and FIDELITY AND
DEPOSIT COMPANY OF MARYLAND, a MARYLAND corporation (hereinafter called Surety), as Surety,
are held and firmly bound unto CITY OF EL SEGUNDO as Obligee (hereinafter called Owner), in the
amount of FORTY EIGHT THOUSAND TWO HUNDRED NINETY AND 00/100 DOLLARS ($48.290.00)
for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators,
successors and assigns, jointly and severally, firmly by these presents.
Whereas, Principal has by written agreement dated JULY 21ST. 2009, entered into a contract with Owner
for FABRICATION AND INSTALLATION OF LIGHT POLE BANNERS PROJECT, JOB /BID NO. PW09-
05, in accordance with drawings and specifications, which contract is by reference made a part hereof,
and a copy thereof is or may be attached hereto.
Now, Therefore, The Condition of This Obligation Is Such, That, if the Principal shall pay, or cause to be
paid in full, the claims of all persons designated in Sections 3110 or 3112 of the Civil Code of the State of
California then this obligation shall be void; otherwise it shall remain in full force and effect.
This bond is executed for the purpose of complying with the laws of the State of California as contained in
Sections 3235 to 3241 inclusive of the Civil Code and all acts amendatory thereof, and this bond shall
inure to the benefit of any and all persons designated in Sections 3110 or 3112, Civil Code of the State of
California, so as to give such persons a right of action to recover upon this bond in any suit brought to
foreclose the liens provided for by the laws of the State of California, or in a separate suit brought on this
bond. No right of action shall accrue hereunder to or for the use of any persons expect persons
designated in Section 3110 or 3112, Civil Code of the State of California as foresaid. The total amount of
the Surety's liability under this bond to any and all persons shall in no event exceed the amount named in
the first paragraph hereof.
No suit, action or proceeding to recover on this bond shall be sustained unless the same be commenced
within six (6) months from the completion of said structure or work of improvement, as "completion" is
defined in Section 3086 of the Civil Code of California.
Signed and sealed this 1.5 TH day of
VIDO SAM ZIC , IN¢.
BY:
FID T AND D OSIT
BY:
i Akl��9 04
PANY OF MARYLAND
'OHN, Att %orn * -in -Fact
THIS BOND MUST BE RECORDED IN THE OFFICE OF THE COUNTY RECORDER OF THE COUNTY WHERE
THE PROPERTY IS SITUATED BEFORE THE WORK IS COMMENCED, IN ORDER TO PROVIDE YOU WITH THE
MAXIMUM PROTECTION OF THE BOND AND STATUTES.
5�
State of California
S.S.
County of San Bernardino
On Ib I before me, S. Filo, Notary Public, personally
appeared V M0, 4741 AI(k
who proved to nje on the basis of satisfactory evidence to be the person
whose name Xi re subscribed to the within ins u ent and acknowledged to
me that he /s e/ a executed the s e in his/ r/ eir authorized capacity ' ),
and that by his h th r signaturekon the instrument the person , or th�ity
upon behalf of which the person acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California
that the foregoing paragraph is true and correct.
WITNESS my hand and official seal. S. FILO
COMM. #1832613
C� NOTARY PUBLIC CALIFORNIA m
SAN BERW+ROINO COUNTY
My Conxn. Expires Jan• 20, 2013
Signature
Signature of Notary Public
Description of Attached Document
Title or Type of Document TP006W
"D
Document Date: Avc._)100 Number of Pages LJ.
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a
corporation of the State of Maryland, by THEODORE G. MARTINEZ, Vice President, and ERIC D. BARNES, Assistant
Secretary, in pursuance of authority granted by Article VI, Section 2, of the By -Laws of said y, which are set forth on
the reverse side hereof and are hereby certified to be in full force and effect on the d ereby nominate,
constitute and appoint Randy SPOHN and Matthew R. DOBYNS, bo li EACH its true and
lawful agent and Attorney -in -Fact, to make, execute, seal and its d as its act and deed:
any and all bonds and undertakings, and the exe o ® so suance of these presents, shall
be as binding upon said Company, as fu a in a if they had been duly executed and
acknowledged by the regularl a ice in Baltimore, Md., in their own proper persons.
This power of atto th e POHN, dated April 6, 2004.
The said Assistant at the extract set forth on the reverse side hereof is a true copy of Article VI,
Section 2, of the By- ° y, and is now in force.
IN WITNESS OF, the said Vice - President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 1 st day of May, A.D.
2009.
ATTEST:
V DEPOS�i
W �
State of Maryland 1 SS:
City of Baltimore f
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
Eric D. Barnes Assistant Secretary
0
Theodore G. Martinez
On this 1 st day of May, A.D. 2009, before the subscriber, a Notary Public of the State of Maryland, duly commissioned
and qualified, came THEODORE G. MARTINEZ, Vice President, and ERIC D. BARNES, Assistant Secretary of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being
by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid,
and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal
and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of
the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above
written.
Maria D. Adamski Notary Public
My Commission Expires: July 8, 2011
POA -F 012 -3955
ao
4' +.
! '
le 111��{``,``
Maria D. Adamski Notary Public
My Commission Expires: July 8, 2011
POA -F 012 -3955
3964 • ,a..J
EXTRACT FROM BY -LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND
"Article VI, Section 2. The Chairman of the Board, or the President, or any Executive Vice- President, or any of the Senior
Vice- Presidents or Vice - Presidents specially authorized so to do by the Board of Directors or by the Executive Committee,
shall have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident
Vice - Presidents, Assistant Vice - Presidents and Attorneys -in -Fact as the business of the Company may require, or to
authorize any person or persons to execute on behalf of the Company any bonds, undertaking, recognizances, stipulations,
policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees, mortgages and instruments in
the nature of mortgages,... and to affix the seal of the Company thereto."
CERTIFICATE
I, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify
that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that
the Vice- President who executed the said Power of Attorney was one of the additional Vice - Presidents specially authorized
by the Board of Directors to appoint any Attorney -in -Fact as provided in Article VI, Section 2, of the By -Laws of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the
Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on
the 10th day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically
reproduced signature of any Vice - President, Secretary, or Assistant Secretary of the Company, whether made heretofore or
hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and
binding upon the Company with the same force and effect as though manually affixed."
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said Company
this 15 th day of July 1 2009
Assistant Secretary
3964 . , , .i
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
State of CALIFORNIA
County of ORANGE
On July 15, 2009 before me, Erika Guido, NOTARY PUBLIC,
personally appeared RANDY SPOHN
® who proved to me on the basis of satisfactory evidence to be the person(s)
whose name(s) is /are subscribed to the within instrument and
acknowledged to me that he /she /they executed the same in his /her /their
authorized capacity (ies), and that by his /her /their signature(s) on the
instrument the person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument.
�I ERIKA GUIDV'W
w COMM. # 1843731
- NOTARY PUBLIC CALIFORNIA o
3 ORANGE COUNTY ry
My comm. expires May 5. 2013 IC
I certify under PENALTY OF PERJURY under the laws of the State of
California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature of
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
❑ INDIVIDUAL
❑ CORPORATE OFFICER
❑ PARTNER(S) ❑ LIMITED
® ATTORNEY -IN -FACT
❑ TRUSTEE(S)
❑ GUARDIAN /CONSERVATOR
❑ OTHER:
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES)
DESCRIPTION OF ATTACHED DOCUMENT
F4V
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
The final Premium is
Predicated on the
Final Contract Price
PERFORMANCE BOND
Bond No. 08712125
Premium: $1,207.00
One of Three Originals.
KNOW ALL MEN BY THESE PRESENTS: That we, VIDO SAMARZICH, INC., as
Principal, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a MARYLAND
corporation, as Surety, are held and firmly bound unto CITY OF EL SEGUNDO, as
Obligee, in the sum of FORTY EIGHT THOUSAND TWO HUNDRED NINETY AND
00/100 DOLLARS ($48,290.00), for which sum, we bind ourselves, our heirs, executors,
administrators, successors and assigns, jointly and severally, by these presents.
WHEREAS, on the 21ST day of JULY, 2009, the Principal entered into a contract with
the Obligee for FABRICATION AND INSTALLATION OF LIGHT POLE BANNERS
PROJECT, JOB /BID NO. PW09 -05, which contract is by reference made a part hereof
and is hereafter referred to as the Contract:
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That, if the
Principal shall faithfully perform said contract according to its terms, covenants, and
conditions, then this obligation shall be void; otherwise it shall remain in full force and
effect.
The warranty period for this bond shall be one year from date of acceptance of work by
Obligee.
Dated this 15TH day of JULY, 2009.
VI DO SAM H, IN !fie w afhM Notary Cotifcate
PRIN PAL
FID Y AND DEPOSIT COMPANY OF MARYLAND
41 �
RAND SPOH , A omey -In -Fact
.3964
State of California
S.S.
County of San Bernardino
On~ \, I , before me, S. Filo, Notary Public, personally
appeared o w
who proved to a on the basis of satisfactory evidence to be the personX
whose name 44re subscribed to the within instrument and acknowledged to
me that he /s Al'A executed the s me in his /hx%,F%ir authorized capacity(,
and that by his /h Kicthl r signaturef�on the instrument the person or the entity
upon behalf of the personf�cted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California
that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature
Signature of Notary Public
S. FILO
W COMM. #1832613 d
NOTARY PUBLIC . CALIFORNIA �J
P, SAN BERNARDINO COUNTY M
My Comm. Expires Jan. 20, 2013
Description of Attached Document
Title or Type of Documentr(1MP(�
Document Dater I u Number of Pages —�
964.
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a
corporation of the State of Maryland, by THEODORE G. MARTINEZ, Vice President, and ERIC D. BARNES, Assistant
Secretary, in pursuance of authority granted by Article VI, Section 2, of the By -Laws of said y, which are set forth on
the reverse side hereof and are hereby certified to be in full force and effect on the date ereby nominate,
constitute and appoint Randy SPOHN and Matthew R. DOBYNS, bo Ii EACH its true and
lawful agent and Attorney -in -Fact, to make, execute, seal and i ° d as its act and deed:
any and all bonds and undertakings, and the exe . ® s o suance of these presents, shall
be as binding upon said Company, as fu a in a if they had been duly executed and
acknowledged by the regularl .t ice in Baltimore, Md., in their own proper persons.
This power of atto th PORN, dated April 6, 2004.
The said Assistant at the extract set forth on the reverse side hereof is a true copy of Article VI,
Section 2, of the By- ° y, and is now in force.
IN WITNESS OF, the said Vice- President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this lst day of May, A.D.
2009.
ATTEST:
'�,c of:vos�i
e
State of Maryland 1 ss:
City of Baltimore f
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
Eric D. Barnes Assistant Secretary
0
Theodore G. Martinez
i
On this I st day of May, A.D. 2009, before the subscriber, a Notary Public of the State of Maryland, duly commissioned
and qualified, came THEODORE G. MARTINEZ, Vice President, and ERIC D. BARNES, Assistant Secretary of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being
by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid,
and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal
and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of
the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above
written.
Maria D. Adamski Notary Public
My Commission Expires: July 8, 2011
POA -F 012 -3955
3964.
EXTRACT FROM BY -LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND
"Article VI, Section 2. The Chairman of the Board, or the President, or any Executive Vice- President, or any of the Senior
Vice - Presidents or Vice - Presidents specially authorized so to do by the Board of Directors or by the Executive Committee,
shall have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident
Vice - Presidents, Assistant Vice - Presidents and Attorneys -in -Fact as the business of the Company may require, or to
authorize any person or persons to execute on behalf of the Company any bonds, undertaking, recognizances, stipulations,
policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees, mortgages and instruments in
the nature of mortgages,... and to affix the seal of the Company thereto."
CERTIFICATE
I, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify
that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that
the Vice - President who executed the said Power of Attorney was one of the additional Vice - Presidents specially authorized
by the Board of Directors to appoint any Attorney -in -Fact as provided in Article VI, Section 2, of the By -Laws of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the
Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on
the IOth day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically
reproduced signature of any Vice - President, Secretary, or Assistant Secretary of the Company, whether made heretofore or
hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and
binding upon the Company with the same force and effect as though manually affixed."
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said Company,
this 15 th day of July , 2009
Assistant Secretary
764.
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
State of CALIFORNIA
County of ORANGE
On July 15, 2009 before me, Erika Guido, NOTARY PUBLIC,
personally appeared RANDY SPOHN
® who proved to me on the basis of satisfactory evidence to be the person(s)
whose name(s) is /are subscribed to the within instrument and
acknowledged to me that he /she /they executed the same in his /her /their
authorized capacity (ies), and that by his /her /their signature(s) on the
instrument the person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of
ERIKA GUIDO California that the foregoing paragraph is true and correct.
COMM. # 1843731
g 0'My NOTARY PUBLIC CALIFORNIA v WITNESS my hand and official seal.
3 ORANGE COUNTY ^'
comm. expires May 5, 2013 1t
1 1
a
Signature of
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
❑ INDMDUAL
❑ CORPORATE OFFICER
❑ PARTNER(S) ❑ LIMITED
® ATTORNEY -IN -FACT
❑ TRUSTEE(S)
❑ GUARDIAN/ CONSERVATOR
❑ OTHER:
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES)
DESCRIPTION OF ATTACHED DOCUMENT
TOM DALY
CLERK - RECORDER
PROPERTY RECORDS
BIRTH AND DEATH RECORDS
MARRIAGE LICENSES /RECORDS
PASSPORTS
FICTITIOUS BUSINESS NAMES
NOTARY REGISTRATION
ORANGE COUNTY ARCHIVES
CERTIFICATION OF ADMITTED SURETY INSURER
I, Tom Daly, County Clerk- Recorder in and for said County, do hereby certify that based on the
statewide database that FIDELITY AND DEPOSIT COMPANY OF MARYLAND has been
issued a Certificate of Authority as an Admitted Surety by the Insurance Commissioner who
authorized the Insurer to transact Surety Insurance in the State of California, OR, that authority
has not been surrendered, revoked, cancelled, annulled or suspended.
In Witness Whereof, I have hereunto set my hand and affixed the seal of said County this 241+1
day of July, 2009.
Tom Daly, Orange County Clerk - Recorder
By: &/ , Deputy Clerk
Rosalba ieyn
(Seal)
i U -g ,AUNTY CP'
NORTH COUNTY BRANCH OFFICE ORANGE COUNTY SOUTH COUNTY BR rOFFCE
nSIORI; DOW !OWN FULLERION HALL Of FINANCE AND RECORDS .AGUNA HiLLS CIVIC CENTER
201 N {ARBOR BOULEVARD !2 CIVIC CENTFR F•:A7A. ROOM 101 24031 E. TORO ROAD
CAL fORNIA 92832 SANTA ANA. CALIFORNIA 92701 LAGUNA HILLS. CALIFORNIA 92553
(714) 834 -2500 • FAX (714) 834.2675 • WWW.00RECORDER.COM ♦ WWW,OCARCHIVES.COM
,5Jb4
No. 4662
STATE OF CALIFORNIA
DEPARTMENT OF INSURANCE
SAN FRANCISCO
Amended
Certificate of Authority
THIS IS TO CERTIFY, That, pursuant to the Insurance Code of the State of California,
Fidelity and Deposit Company of Maryland
of Baltimore, Maryland, organized under the laws of Maryland, subject to its Articles of Incorporation
or other fundamental organizationuil documents, is hereby authorized to transact within this State, subject
to all provisions of this Certificate, the following classes of insurance: Fire, Marine, Surety,
Plate Glass, Liability, Workers' Compensation, Common Cartier Liability, Boiler and Machinery,
Burglary, Credit, Sprinkler, Team and Vehicle, Automobile, Aircraft, and Miscellaneous
as such classes are now or may hereafter be defined in the Insurance Laws of the State of California.
THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being
in full compliance with all, and not in violation of any, of the applicable laws and lawful requirements
made under authority of the laws of the State of California as long as such laws or requirements are iti
effect and applicable, and as such laws and requirements now are, or may hereafter be changed or
amended.
IN WITNESS WHEREOF, effective as of the 29th day of January, 1985,
1 have hereunto set my hand and caused my official seal to be
affixed this 29th day of January, 1985.
Fee $50.00 Bruce Bunner
Insurance Commissioner
Rec. No. S4314
Filed 12/3/84 By Victoria S. Sidbury
Deputy
Certification
I, the undersigned Insurance Commissioner of they State of California, do hereby certify that 1 have