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Contracts & Agreements_105-2003_CCv0001.pdf
Recorded In Official Records, County of San Bernardino 11/21/2003 LARRY WALKER 4:48 PM SR2 rid') NFAuditor/Controller — Recorder RECORDING REQUESTED BY R Regular Mail AND WHEN RECORDED MAIL TO Doc#: 2003— 0876358 Titles: 1 Pages: 1 1111111111111111 Fees 0.00 Name Office of the City Clerk City of Redlands Taxes Other o.eo Street Address P.0.Box 3005 City& Redlands,California 92373 State SAL AtiliVh I HIS LINE titt.,UKIJtK'S USL NOTICE OF COMPLETION Notice pursuant to Civil Code Section 3093, must be filed within 10 days after completion. (See reverse side for Complete requirements.) Notice is hereby given that: The undersigned is owner or corporate officer of the owner of the interest or estate stated below in the property hereinafter described: 2. The full name of the owner is City of Redlands - Municipal Utilities Department 3. The full address of the owner is P.O. Box 3005 Redlands CA 92373 The nature of the interest or estate of the owner is; In fee. (It other than fee,strike"In tee"and insert,for example,"purchaser under contract of purchase."or lessee") 5. The full names and full addresses of all persons, if any,who hold title with the undersigned as joint tenants or as tenants in common are: NAMES ADDRESSES 6. A work of improvement on the property hereinafter described was completed on November 12, 2003 . The work done was: Recycled Water Transmission Main Project- Phase II, Project No. 2-0339 7. The name of the contractor,if any,for such work of improvement was: Elser Constructors, Inc. June 3 2003 (It no contractor for work at improvement as a whole,insert none ) (pate of Gontract) 8. The property on which said work of improvement was completed is in the incorporated area of Redlands County of San Bernardino, State of California, and is described as follows: San Bernardino Avenue west of Marigold Avenue 9. The Street address of said property is San Bernardino Avenue west of Mans old Avenue (It no street address has been othcfally sned nrone".) Dated: November 18, 2003 Verification tor individual uwner Michael K. Po I, roject Engineer Signature of owner or corporate ohicer of owt*r names in paragraph 2 or his agent VERIFICATION I, the undersigned, say: I am the Chief of Water Resources the declarant of the foregoing notice of completion; I have read (President Or,"Manager or"A partner at,'Owner ot,etc) said notice of completion and know the contents thereof;the same is true of my own knowledge. I declare under penalty of perjury that the foregoing is true and correct. Executed on November 18 ,20 03 , at Redlands . California. (Date of signature) (City where signed j r'? Ji A 11 JAA.,11-'4 A '& "y(.../ '‘77>ti Douglas Headrick, Chier of Water-Resources (Persortal=s-fgnature of the individual who is swearing that the contents of the notice of completion are true) AGREEMENT THIS AGREEMENT, made and entered into this 3rd day of June, 2003, by and between the City of Redlands, a Municipal Corporation, organized and existing under the laws of the State of California, hereinafter referred to as the "City" and a partnership consisting of Elser Constructors, Inc. of the City of Yucaipa, County of San Bernardino, State of California. hereinafter referred to as the "Contractor". WITNESSETH: That the City and the Contractor. for the consideration hereinafter named, agree as follows: 1. SCOPE OF WORK: The Contractor will furnish all materials and will perform all of the work for the following: Construction of the Recycled Water Transmission Main, complete all as required by the Contract Documents and Specifications for RECYCLED WATER TRANSMISSION MAIN, SAN BERNARDINO AVENUE FROM MOUNTAIN VIEW AVENUE TO MARIGOLD AVENUE - Phase II Project No. 2-0339. 2. THE CONTRACT SUM: $ 443,351 in accordance with the terms and conditions set forth in the Contract Documents. A. Pursuant to Section 22300 of the California Public Contract Code, Contractor has the option to deposit securities with an Escrow Agent as a substitute for retention of earnings requirement to be withheld by City pursuant to an Escrow Agreement as set forth in Public Contract Code section 22300. 3. TIME FOR COMPLETION: The work under this Contract to be completed within forty five (45)calendar days from and after the date of the Notice to Proceed. 4. LIQUIDATED DAMAGES: Failure of the Contractor to complete the work within the time allowed will result in damages being sustained by the City. Such damages are, and will continue to be, impracticable and extremely difficult to determine. The Contractor shall pay to the City, or have withheld from monies due it, the sum of S500 for each consecutive calendar day in excess of the specified time for completion of Work. Execution of the Contract shall constitute agreement by the City and Contractor that $500 per day is the minimum and actual damage caused by the failure of the Contractor to complete the Work within the allowed time. Such sum is liquidated damages and shall not be construed as a penalty, and may be deducted from payments due the Contractor if such delay occurs. 5. CONTRACT DOCUMENTS: The complete contract includes all of the contract documents set forth herein, to wit; Notice Inviting Bids, Instructions to Bidders, Proposals and Bid Form, Bid Bond, Agreement, Faithful Performance Bond, Labor and CD-1 Material Bond, Plans, General Conditions, Special Conditions, Special Provisions and Specifications and any addenda thereto. 6. ATTORNEYSFEES: In the event any legal action is commenced to enforce or interpret the terms or conditions of the contract documents, the prevailing party in such action, in addition to any costs and other relief, shall be entitled to recover its reasonable attorneys' fees. 7. RESOLUTION OF CONSTRUCTION CLAIMS: Claims by the Contractor in the amount of$375,000.00 or less shall be made by Contractor and processed by the City pursuant to the provisions of Part 3, chapter 1, article 1.5 of the Public Contracts Code (commencing with Section 20104). All claims shall be in writing and include the documents necessary to substantiate the claim. Nothing in subdivision (a) of Public Contracts Code Section 20104.2 shall extend the time limit or supersede the notice requirements provided in this case from filing claims by Contractor. 8. ELIGIBILITY OF CONTRACTOR/SUBCONTRACTOR: Contractor and any subcontractors agree to abide by California Public Contractor's Code section 6109 and California Labor Code sections 1777.1 and/or 1777.7 and certify that they are not debarred and are eligible to work on this project. 9. ASSIGNMENT OF AGREEMENT: No assignment by a party hereto of any rights or interests under this agreement will be binding on another party without the written consent of the party sought to be bound. 10. SUCCESSORS AND ASSIGNS: City and Contractor each binds itself, its partners, successors,assigns, and legal representatives in respect to all covenants,agreements, and obligations contained in the Contract Documents. 11. SEVERABILITY: Any provision or part of the contract documents held to be void or unenforceable under any law or regulation shall be deemed stricken, and all remaining provisions shall continue to be valid and binding upon City and Contractor. CD-2 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year first written above. City of Redlands (SEAL) (Owner) By: Mayor, City of Redlands, County of San Bernardino, California ATTEST: ) City Cl• . City of •,-d ds Coup of San Bemdrdir (SEAL) Name(t-Contractor By: - Signature of Authorized Agent ,6"ii 5i4OLL1/ Title Signature of Authorized Agent(if necessary) TitleVcifq —14 Contractor's License No. CD-3 WORKER'S COMPENSATION INSURANCE CERTIFICATION Description of Contract: City of Redlands Municipal Utilities Department RECYCLED WATER TRANSMISSION MAIN SAN BERNARDINO AVENUE FROM MOUNTAIN VIEW AVE. TO MARIGOLD AVENUE —Phase II Project No. 2-0339 Labor Code section 3700 provides, in part: "Every employer except the State, shall secure the payment of compensation in one or more of the following ways: (a) By being insured against liability to pay compensation in one or more insurer duly authorized to write compensation insurance in this State. (b) By securing from the Director of Industrial Relations a certificate of consent to self-insure, either as an individual employer, or as one employer in a group of employers which may be given upon furnishing proof satisfactory to the Director of Industrial Relations of ability' to self-insure and to pay any compensation that may become due to his or her employees. I am aware of the provisions of Section 3700 of the Labor Code, which requires every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that Code, and I will comply with such provisions before commencing the performance of the work of this contract. (Labor Code section 1861) Dated this ^u duyof,.'y , 20Q.3. ELSER CON - INC. (Contr r) m (S ->,�� ~�� '/ (Official Title) (SEAL) (Labor Code Section 1861 provides that the above certificate must be signed and filed by the Contractor w ith the Owner priorto performingthcx*rkof<huconUuz .) CD-4 E BOND Whereas, the City Council of the City of Redlands, Statof California, and _ _ (hereinafter designated as "Principal") have entered into an agreement whereby Principal agrees to demolish designated wastewater facilities, which said agreement, date _, 20 , and identified as Construction of RECYCLED WATER TRANSMISSION MAIN, SAN BERNARDINO AVENUE FROM MOUNTAIN VIEW AVE. TO MARIGOLD AVENUE — Phase II, Pr 'out No. 2-0339 is hereby referred to and made a part hereof; and Whereas, said Principal is required under the terms of said agreement to furnish a bond for the faithful performance of said pr 'ec1. Now,therefore, said Principal and , as surety, are held firmly bound unto the City of Redlands (hereinafter call "City"), in the penal sum of Dollars ($ _ ) lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, successors, executors and administrators,jointly and severally, firmly by these presents. The condition of this obligation is such that if the above bounded Principal, his or hers heirs, executors, administrator, successors or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants, conditions and provisions in the said agreement and any alteration thereof made as therein provided, or his or their part, to be kept and performed at the time and in the manner therein specified, and in all respects according to their true intent and meaning, and shall defend, indemnifyund save harmless the(�ity` its elected officials, officers, agents and employees, as therein stipulated, (bethis obligation shall become null and void: otherwise it shall be and remain in full force and effect. As a part of the obligation secured hereby and in addition the face amount specified therefore, there shall be included costs and reasonable expenses and fees, including reasonable attorney's fees incurred by the City in successfully enforcing such obligation, all to be taxed as costs and included in any judgment rendered. The surety hereby stipulates and agrees that no change. extension of time, alteration or addition to the terms of the agreement or to the work to be performed thereunder or the specifications accompanying the same shall in anywise affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the agreement or to the work or to the specifications. In witness whereof, this instrument has been duly executed by the Principal and surety above named, on (SEAL) (SEAL) (Contractor) (Surety) BY: (Signature) (Signature) Address: (Seal and Notarial Acknowledgment of Surety) lephone ( � - CD-5 LABOR AND MATERIAL BOND Whereas, the CiCouncil of the Cof Redlands, State of California, and (hereinafter designated as "Principal") hulic entered into an agreement whereby Principal agrees to demolish designated wastewater facilities. which said agreement, date2O , and identified as RECYCLED WATER TRANSMISSION, SAN BERNARDINO AVENUE FROM MOUNTAIN VIEW AVE. TO MARIGOLD AVENUE — Phase II, Project No. 2-8339 is hereby referred to and made a part hereof; and Whereas, under the terms of said agreement, Principal is required before entering upon the performance ofthe work, tofi!cugood and sufficient payment bond with the City ofRedlands tosecure the claims io which reference is made in Title 15 (commencing with Section 3082) of Part 4 of Division 3 of the Civil Code of the State of California. Now, therefore, said Principal and the undersigned as corporate surety, are held firmly bound unto the City of Redlands and all contractors, subcontractors, laborers, materialmenOrange Ave, Redlands, CA 92373 and other persons employed in the performance of the aforesaid agreement and referred to in the aforesaid Code of Civil Procedure in the sum of Dollars($ ) for materials furnished or labor thereon of any kind, or for amounts due under the Unemployment Insurance Act with respect to such work or labor, that said surety will pay the same in an amount not exceeding the amount hereinabove set forth, and also in case suit is brought upon this bond, will pay, in addition to the face amount thereof, costs and reasonable expenses and fees, including reasonable attorney's fees, incurred by the City of Redlands in successfully enforcing such obligation, to be awarded and fixed by the court, and to be taxed as costs and to be included in the judgment therein rendered. It is hereby expressly stipulated and agreed that this bond shall insure to the benefit of any and all pc000s, companies and corporations entitled to file claims under Title 15 (commencing with Section 3082) of Part 4 of Division 3 of the Civil Code, so as to give a right of action to them or their assigns in any suit brought upon this bond. Should the condition of this bond be fully performed, then this obligation shall become null and void, otherwise it shall be and remain in full force and effect. The surety hereby stipulates and agrees that no cbaogc' extension of time, alteration or addition to the terms of said agreement or the specifications accompanying the same shall in any manner affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time. alteration or addition. In witness whereof, this instrument has been duly executed by the Principal and surety above named. on 2O (SEAL) (SEAL) (Contractor) (Surety) BY: (Signature) (Signature) Address: (Seal and NotariaAcknowledgment of Surety) Telephone( CD-6 BOND NO.: 8699467 PREMIUM : $3,799.00 EXECUTED IN DUPLICATE PERFORMANCE BOND Whereas,the City Council of the City of Redlands,State of California, and ELSER CONSTRUCTORS, INC. (hereinafter designated as "Principal")have entered into an agreement whereby Principal agrees to demolish designated wastewater facilities, which said agreement,dated JUNE 3 , 2003 , and identified as Construction of RECYCLED WATER TRANSMISSION MAIN, SAN BERNARDINO AVENUE FROM MOUNTAIN VIEW AVE. TO MARIGOLD AVENUE—Phase II,Project No. 2-0339 is hereby referred to and made a part hereof;and Whereas, said Principal is required under the terms of said agreement to furnish a bond for the faithful performance of said project. FIDELITY AND DEPOSIT Now,therefore,said Principal and COMPANY OF MARYLAND as surety, are held firmly bound unto the City of Redlands(hereinafter call"City"),in the penal sum of FOUR HUNDRED FORTY- THREE THOUSAND, THREE* Dollars($443,351.00 ) lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, successors,executors and administrators, jointly and severally, firmly by these presents. *HUNDRED FIFTY-ONE AND NO/100 The condition of this obligation is such that if the above bounded Principal, his or hers heirs, executors, administrator,successors or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants,conditions and provisions in the said agreement and any alteration thereof made as therein provided, or his or their part, to be kept and performed at the time and in the manner therein specified, and in all respects according to their true intent and meaning, and shall defend, indemnify and save harmless the City,its elected officials,officers,agents and employees,as therein stipulated,then this obligation shall become null and void; otherwise it shall be and remain in full force and effect. As a part of the obligation secured hereby and in addition the face amount specified therefore,there shall be included costs and reasonable expenses and fees, including reasonable attorney's fees incurred by the City in successfully enforcing such obligation, all to be taxed as costs and included in any judgment rendered. The surety hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the agreement or to the work to be performed thereunder or the specifications accompanying the same shall in anywise affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the agreement or to the work or to the specifications. In witness whereof, this instrument has been duly executed by the Principal and surety above named, on JUNE 4 70 03 FIDELITY AND DEPOSIT (sEAL) ELSER CONSTRUCTO: INC. COMPANY OF MARYLAND (SEAL) (Surety) _ By, ignature) DWIGHT REik.ntluIZTTORNEY-IN-FACT Address,60 EAST NINTH STREET (Seal and Notarial Acknowledgment of surety) Telephone (909 _Di CA 91786 920-5811. CD-5 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT ;i° .r i e,:,r.,.,h.•':er.•a+' ,t?` ..- ... For.; '. xi'r.� :�'�'�iS.;.2`r.: :L'!is `..Xi.. i..:4'`fiir.-i'ti..�A-;c. Sx,c-xr ,-I ii State of California P1 ss. e County of San Bernardino 0 z JUNE 4 2003 CLAUDETTE • N. MARTIN, NOTARY PU LI • On , before me, PUBLI s Dale Name end 14I d Ohlcer(e.g.,'Jana Dow,Notary Pubes) personally appeared DWIGHT REILLY Name(.)of SIgner(s( 4X personally known to me , s 1_1 proved to me on the basis of satisfactory ,, evidence ;e f to be the person(?) whose nameft) is/ ri10 subscribed to the within Instrument and f acknowledged to me that he/ iltilfr y executed ', d K the same in his/ 1tC fr authorized 1 A capacity(300), and that by his/Ian-ice 1 e 5`� signatureO on the instrument the person(,), or the entity upon behalf of which the person(M) s z sl Y acted, executed the instrument. i i ;y WITNESS my hand and official seal. A. r 1 Place Nolen,Sant Above Slgnalure of Notary Putteery CLAUDETTE N. MARTIN I tQP I 1e OPTIONAL t; Though the Information below Is not required by law, it may prove valuably to persons relying on the document p C and could prevent fraudulent removal and reattachment of Il fs form fo another document. I Description of Attached Document z Title or Type of Document: PERFORMANCE BOND 9. f JUNE 4, 2003 1 $ ; ,. Document Date: Number of Pages: Sgner(s) Other Than Named Above: NONE i l g ,z Capacity(les) Claimed by Signer s Signer's Name: DWIGHT REILLYRIGHT THUMBPRINT REILLY ' RIGHT OF SIGNER i © Individual Top of Ilwrnb hire a0 Corporate Officer—Title(s): �e'r 0 Partner—0 Limited 111 General rlr. Xi Attorney In Fact 0 Trustee ', 0 Guardian or Conservator 0 3 ii, LI Other: nm w FIDELITY AND DEPOSIT COMPANY OF a Signer Is Representing: t 1 MARYLAND $' . . Z -T-2_, `rxr.. ZT.4"Cor-Lx•t;�L`c.Lr-.. .i, 2a21t9S7 NellonalNotary„':%Aewd` ,al4 lonv"93$ De SoloA ,POSo24,402•C.helwCL onnAQ3-2e02 ProdNo5907 ReorderCall Toe-Free t-3©0-876.687 Bond Number: PRF8699467 Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND HOME OFFICE:3910 KESWICK ROAD,BALTIMORE,MD 21211 KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of Maryland,by Paul C. Rogers,Vice President and T. E. Smith, Assistant Secretary, in pursuance of authority granted by Article VI, Section 2,of the By-Laws of said Company,which are set forth on the next page hereof and are hereby certified to be in full force and effect on the date hereof, does hereby nominate,constitute and appoint DWIGHT REILLY ,its true and lawful agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed: Bond or undertaking number PRF8699467 , issued on behalf of Elser Constructors,Inc. , as Principal in a penalty not to exceed the sum of 'v• . ..II ,s i i' i i ii IL- Si• (S 532,021 ) and the execution of such bond or undertaking in pursuance of these presents, shall be as binding upon said company,as fully and amply,to all intents and purposes,as if it had been duly executed and acknowledged by the regularly elected officers of the Company at its office in Baltimore,MD.,in their own proper persons. The said Assistant Secretary does hereby certify that the extract set forth on the next page hereof is a true copy of Article VL Section 2,of the By-Laws of said Company,and is now in force. IN WITNESS WHEREOF, the said Vice-President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELIT'Y AND DEPOSIT COMPANY OF MARYLAND this 4th day of June ,A.D.2003 All EST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND Z tg 0 E Pox, c7" ,c124'°•1.1'‘. •• By: Z Wow t T. E. Smith Assistant Secretaly Paul C. Rogers Vice President State of Maryland SS: County of Baltimore On this 4th day of June ,A.D.2003 ,before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified, came Paul C. Rogers,Vice President, and T.E. Smith, 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. 44,J,P444, NOTARY PUBUC ItPE CO/k6k. Carol J.Fader Notary Public My Commission Expires:August I,2004 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 original Power of Attorney of which the foregoing is a full,true and correct copy, is 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 5th day of May, 1994. 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 4th day of June , 2003 , OLP Ile °foe ,1,,, L.L.Goucher Assistant Secretary BOND NO.: 8699467 PREMIUM : $3,799.00 EXECUTED IN DUPLICATE LABOR AND MATERIAL BOND Whereas,the City Council of the City of Redlands, State of California, and ELSER CONSTRUCTORS, INC. (hereinafter designated as "Principal") have entered into an agreement whereby Principal agrees to demolish designated wastewater facilities, which said agreement, dated JUNE 3 20 03 , and identified as RECYCLED WATER TRANSMISSION, SAN BERNARDINO AVENUE FROM MOUNTAIN VIEW AVE. TO MARIGOLD AVENUE — Phase II, Project No. 2-0339 is hereby referred to and made a part hereof; and Whereas, under the terms of said agreement, Principal is required before entering upon the performance of the work,to file a good and sufficient payment bond with the City of Redlands to secure the claims to which reference is made in Title 15 (commencing with Section 3082)of Part 4 of Division 3 of the Civil Code of the State of Cal i Cornia. Now, therefore, said Principal and the undersigned as corporate surety, are held firmly bound unto the City of Redlands and ali contractors, subcontractors, laborers, materialmenOrange Ave, Redlands, CA 92373 and other persons employed in the performance of the aforesaid agreement and referred to in the aforesaid Code of Civil Procedure in the sum of FOUR HUNDRED FORTYAlars($443,351.00 for materials furnished or labor thereon of any kind, or for amounts due under the Unemployment Insurance Act with respect to such work or labor, that said surety will pay the same in an amount not exceeding the amount hereinabove set forth, and also in case suit is brought upon this bond, will pay, in addition to the face amount thereof, costs and reasonable expenses and fees, including reasonable attorney's fees, incurred by the City of Redlands in successfully enforcing such obligation,to be awarded and fixed b the court, and to he taxed as costs and to be included in the judgment therein rendered. *THREE THOUSAND, THREE HUNDRED FIFTY-ONE AND NO/100 It is hereby expressly stipulated and agreed that this bond shall insure to the benefit of any and all persons, companies and corporations entitled to file claims under Title 15 (commencing with Section 3082)of Part 4 of Division 3 of the Civil Code, so as to give a right of action to them or their assigns in any suit brought upon this bond. Should the condition of this bond be fully performed, then this obligation shall become null and void, otherwise it shall be and remain in full force and effect. The surety hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of said agreement or the specifications accompanying the same shall in any manner affect its obligations on this bond, and it does hereby waive notice of any such change,extension of time,alteration or addition. In witness whereof, this iistrument has been duly executed by the Principal and surety above namcd, on JUNE 4 20 03 FIDELITY AND DEPOSIT ELS • ORS 7NSTRU____ zr(C901"- :),,i (iFfsie COMPANY OF MARYLAND (SEAL) (Surety)..-- BY: /V..' _ (Signatar0 (Signature) DWIGHT REILLY, ATTORNEY-IN-FACT Address: 60 EAST NINTH STREET • , 1 , • (Seal and Notarial Acknowkagment of Surety) Telephone(909 t4.172- : CD-6 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT /lava 9q�p .n ,.,-. --.,,,—n'i,v,-.`{� . ,, ,. +kY...�.. .'-..,,o 2T. ^15.. .,. x N(,,, ?i `:N,,,c‹,t-r `.wt,V?. '.V:.'. ,74( '.V`.''`Y„",-,,,.' State of California , ss. s, County of San Bernardino r JUNE 4 2003 $' On ' , before me, CLAUDETTE N. MARTIN, NOTARY PUJ3LI {I Data Name and Tiile of Officer(a.g.,'Jane Doe,Notary Public" c" Q personally appeared DWIGHT REILLY S. Name(s)of Signers) ie 4.4 personally known to me $' s L I proved to me on the basis of satisfactory evidence t S' f to be the personft) whose nameit) is/fall .^ subscribed to the within instrument and acknowledged to me that he/sIMlll r executed $, the same in his/Ifti -Mk& authorized ,i II - Ste capacity(1 i), and that by his/Milt—Mt le P" signatureO on the instrument the persons},or ' the entity upon behalf of which the person(} sf � �� acted, executed the instrument. : y; .i WITNESS my hand and official seal. .e , - 11 i2 Place Notary Seal Above o Signature of Witty CLAUDETTE N. MARTIN OPTIONAL $ Though the information below is not required by law,it may prove valuable to persons relying on the document $ v and could prevent fraudulent removal and reattachment of this form to another document. ,: Description of Attached Document Title or Type of Document: PAYMENT BOND y Document Date: JUNE 4, 2003 Number of Pages: 1 ' Signer(s)Other Than Named Above: NONE ,t Capacity(les) Claimed by Signer .ti Signer's Name: DWIGHT REILLY - - _ RIGHtmrUMaPRiNT 4 Q tndlviritral OF SIGNER `S' Top of thumb umhum it 0 Corporate Officer—Titie(s): # Li Partner—Q Limited 0 General AAttorney In Fact Q Trustee 0 Guardian or Conservator $` s 0 Other: Signer Is Representing: FIDELITY AND DEPOSIT COMPANY OF MARYLAND __ _ �_ i t o-?~*•e.*t`s,4-:r-r' ,,,,,,v-ax--4 44%7 „,t; a*'s --''ZCL'VL ` LXAX-rWit` ' T;' ` :6 ”. •`"r' t7t`Z`` ,2,4k`-Z, 0.1 01997 National Notary As etion 4 9350 Do Soto Ave.,PO,Box 2402»Chelewotth,CA 91313 2402 Prod.No 5907 ,..Reorder.Calf ToXiFree I•&)O-876-6827 Bond Number: PRF8699467 Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND HOME OFFICE:3910 KESWICK ROAD,BALTIMORE,MD 21211 KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of Maryland, by Paul C.Rogers,Vice President and T. E. Smith, Assistant Secretary, in pursuance of authority granted by Article VI, Section 2, of the By-Laws of said Company,which are set forth on the next page hereof and are hereby certified to be in full force and effect on the date hereof, does hereby nominate,constitute and appoint DWIGHT REILLY ,its true and lawful agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed: Bond or undertaking number PRF8699467 ,issued on behalf of Elser Constructors,Inc. , as Principal in a penalty not to exceed the sum of ' = 1 i. • i II i .'1 ,11 , ,it ',•ti, I 1. , ($ 532,021 ) and the execution of such bond or undertaking in pursuance of these presents, shall be as binding upon said company,as fully and amply,to all intents and purposes,as if it had been duly executed and acknowledged by the regularly elected officers of the Company at its office in Baltimore,MD.,in their own proper persons. The said Assistant Secretary does hereby certify that the extract set forth on the next page hereof is a true copy of Article VI,Section 2,of the By-Laws of said Company,and is now in force. IN WITNESS WHEREOF, 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 4th day of June ,A.D. 2003 , Al FEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND .....---, ,..------) 0. .... 4, ... N. q. N.M. By: T. E. Smith Assistant Secretary Paul C. Rogers Vice President State of Maryland County of Baltimore SS: On this 4th day of June ,A.D.2003 ,before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified, came Paul C. Rogers,Vice President, and T.E. Smith, 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. tp,(S-1,1,F4,0e0 NOTARY ‘,t POLIG # • Carol J.Fader Notary Public My Commission Expires:August I,2004 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 original Power of Attorney of which the foregoing is a full,true and correct copy, is 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 5th day of May, 1994. 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 4th day of June , 2003 g DEPos 011 L.L.Goucher Assistant Secretary STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERSCOMPENSATION INSURANCE 20071 POLICY NUMBER: - CERTMCATEEXPIRES:4-1-04 IHIT CITY OF REDLANDS MUNICIPAL UTILITIB OUT • pr.) I30*-; 300 FF% LANDL CA 92373 R1CLED WATER T RANG MA I iq 3AN BERWPNO AV FROM MTN Vil:E0 AV T MAR MOLD AVE PH5 I I PROJ This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon Wr days'advance written notice to the employer. 30 We will also give you:gEN days'advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms,exclusions and conditions of such policies. QLY / Le . 4 AUTHORIZED REPRESENTATIVE PRESIDENT ENPLOYER'S LIAP,ILITY LIMIT INCLUDIN5' DEFENSE COSTS si, 09,000 PER OCCURRENCE, ENI)OREMENT 00015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE o6/ / $S ATTACHED TO AND F0RW,3 A PART OF THIS ROLICT“ NAmE OF ADDTTIONAE IMSUPEN CSTY OE PEDLAND;; MUNICIrAL UTILITIES DEPT rwisEmEtArr 02065 ENTITLED CERrli:ICATE HOLDERS'NOTTE FEFECTIVF 0 /01/07, IS ATTACHED TO AHD FORM (4 ('ART OF 7H1',.-c POLICY. EMPLOYER EP5FP CONSTRUCTORS 'NG WHEN HEIGHTS DR i2 YUCAIPA CA 92399 SCIF:0287(REV 5-01) ACORDID CERTIFICATE OF LIABILITY INSURANCOP CCER-M DATE BIAINDWY5/Y! 06/003 pROMCFR THIS CERTIFICATE IS ISSUED AS A MM i tl(OF INFORMATION Crosby Insurance ONLY AM)CONFERS NO RIGHTS UPON THE CERTIFICATE C, Mapper Ins.Service, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 8181 E. KAISER BLVD. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. . , ANAHEIM HILLS CA 92808 Phone: 714-221-5200 Fax:714-221-5210 INISURERSAFFOROMGCOVERAGE INSURED INSURFRA, Starnet Insurance Company ___ Elser Constructors, Inc. INSURER C „_ 39355 Hidden Heights Drive INSURER I-I; Yucaipa CA 92399 1 !INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATFIT NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERTIT ICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY TI-IE POLICIES DESCRIBED HEREIN IS SUBACT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS Or SUCH POLICIES AGGREGAIE',BAITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TYPE OF INSURANCE POLMYWMOEF -150Cia-ErrEtTiVErriATION DATE(MMiDDrYY) (mmenryy) _ LIMITS . _ I GENERAL LIABILITY ' I EACH OCCURRENCE 1$ 1,000,000 AX I COMMERCIAL GENERAL IMBM.ITY I 2SMCC2CPP027004 09/24/02 09/24/03 i FRE o.e.o.Ac,E.(Anyonefire) ;s 300,000 .., P ,1 i CLAIMS mAOE LX OCCURII MED EXP(Any one person) 1 _ . _ I PERSONAL ADV INJURY i$1,000,000 1 1 1 GENERAL AGGREGATE 1 $2,000,000 r --, . , GENI'L AGGREGATE LIMIT APPLIES PER: p RODUCTS-COMP/OP AGG $1,0 0 0,0 0 0 I--I x-- PRO- 1 I LOG POLICY I .Wc.r I [ AUTOMOBILE LIABILITY I COMBINED SINGLE LINT s1,000,000 A 1 A. ANY AU TO 2SMCC2BAU025004 09/24/02 09/24/031(E3'66'° IX I ALL OWNED AUTOS I >, BODILY INJURY l'$ ] X I SCHEDULED AUTOS (Per person) , 1 X I riiReu AUTOS 1--1 f BODILY INJURY 1 ,S 1(Per acrjdertl) i ! X NON-OWNED AUTOS 1,- [Ii _ PROPERTY DAMAGE !$ i I i.- (Per accident) I J GARAGE LIABILITY 1 AUTO ONLY-EA ACCIDENT I$ EA!_ AOG_ 1 ANY AUTO OTHER THAN I I AUTO ONLY: : EXCESS tiastErry EACH OCCURRENCE r$ r---1 OCCUR CLAIMS MADE AGGREGATE I S ! , i ___I DEDUCTBLE !$ - 1 RETENTION S is . I WC&TATO- 1 10714. ! WORKERS COMPENSATION AND i TORY imerr_q I ER !EMPLOYERSLIABILITYI ; EL.EACH ACCIDENT 'S i _ ! i EL DISEASE-EA EMPI(WE E 3 ,r El.DISEASE-POLICY limIT I S 1 OTHER r ! ! , I DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIF_XCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS [ *Ten Day Notice of Cancellation will be given for Non-Payment of Premium' Certificate holder is named additional insured per the attached endorsement. RE: Project No. 2-0339, Recycled Water Transmission Main, San Bernardino Avenue from Mountain View Avenue to Marigold Avenue. CERTIFICATE HOLDER I y 1 ADDITIONAL INSURED.INSURER LETTER: CANCELLATION REDL016 SHOW I)ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 213Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,04.17 FAILURE 10 00 SO SHALL City of Redlands IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER,ITS AGENTS OR P.O. Box 3005 Redlands CA 92373 REPRESENTATIVES, — ALFTI____I9SIZED REPRESEN ATT — ,77,1 1 _A L... . WS,1),- ;',..---------- :.. . ACORD 25-S(7197) OACORD CORPORATION 1988 1 'd 4i7C : I0 CO SO unC POLICY NUMBER: 2SMCC2CPP027004 COMMERCIAL GENERAL LIABILITY Elser Constructors THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS-(FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: City of Redlands Re: Project No. 2-0339 Recycled Water Transmission Main,San Bernardino Avenue from Mountain View Avenue to Marigold Avenue (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED(Section TT) is amended to include as an Insured the person or organization shown in the Schedule,but only with respect to liability arising out of"your work" for the insured by or for you. Primary& Non-Contributory "It is agreed that such insurance as is afforded by this policy for the benefit of the additional shown shall be primary insurance,and any other insurance maintained by the additional insured(s)shall be excess and non-contributory,but only as respects any claim, loss or liability arising out of the operations of claim, loss or liability is determined to be solely the negligence or responsibility of the named insured.- CG70 10 1105 Copyright.In Servicc5 Office,Inc.1984 Parc 1 OF 1 'd 4t.C : TO CO SO unr IMPORTANT If the certificate holder is en ADDITIONAL INSURED,the poticy(ies)must tie endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsernent(s). If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement,A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s),authorized representative or producer,and the certificate holder,nor does It affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S(7)97) dbC : TO CO SO un ' STATE OF CALIFORNIA '-ARTMENT OF INDUSTRIAL RELATIONS DIVISION OF OCCUPATIONAL SAFETY AND HEALTH 2003-901941 �0� PERMIT Permit Issued To (Insert Employer's Name, Address and Telephone No.) --- No. | | --------- --�—� � Elser Constructors Inc Date 11/14/2002 39355 Hidden Heights Dr Region 3 Yucaipa CA 92399-7027 �----- District 3 (eoy)790-2121 �Te| (909) 383-4321 Type of Permit T1-ANNUAL TRENCH/EXCAVATION Pursuant to Labor Code Sections 6500 and 6502, this Permit is issued to the above-named employer for the projects described below. State Contractor's License Number Permit Valid through 700649 December 31 , 2003 Anticipated Dates Description of Project Location Address City and County Starting Completion Various Statewide 1/1/2003 12/31/2003 or issue date : !whichever is ! later. This Permit is issued upon the following conditions: 1 That the work is performed by the same employer. If this is an annual permit the appropriate District Office shall be notified, in *hhng, of dates and location of job site prior to commencement. 2. The employer will comply with all occupational safety and health standards or orders applicable to the above projootc, and any other lawful orders of the Division. 3. That if any unforeseen condition causes deviation from the plans or statements contained in the Permit Application Form the employer will notify the Division immediately. 4. Any variation from the specification and assertions of the Permit Application Form or violation of safety orders may be cause to revoke the permit. 5. This permit shall be posted at or near each place of employment as provided in 8 CCR 341.4 Received From !Received Investigated by Permit Unit / ' Sat- ' | � eEl Cash i Amount !Dateine Date Approved by 121 Check 1337 100.00 ^ District Manager/Permit Unit Date HUY-1 b-,2UU.I. lb:,_'..:', Vubi-i Huril 1'4 .D.r. State of California Department of Industrial Relations Division of Occupatonal Safety&Health 657 k).--ii ACTIVITY NOTIFICATION FORM FOR HOLDERS OF ANNUAL PERMITS Scaffolding Falsework Trenches/Excavation ______ 8 CCR 341.1(f)REQUIRES HOLDERS OF ANNUAL PERMITS TO PROVIDE NOTIFICATION TO THE DOSH OFFICE NEAREST THE PROJECT PRIOR TO COMMENCEMENT OF ANY WORK. THIS FORM IS PROVIDED FOR YOUR CONVENIENCE TO USE FOR SUCH NOTIFICATION. i THIS FORM MAY BE FAXED TO THE NEAREST DOSH OFFICE TO COMPLY WITH THE ABOVE. PLEASE DO NOT MAIL DUPLICATE NOTIFICATION TO FOLLOW-UP FAX NOTIFICATION. Olc 1 4,6-7er)., ,,q,ebtir. FAX DATA: FAXED TO i4a -(' /7'n /Ci 0 /4 T COSH DISTRICT OFFICE DOSH FAX NO. 09) 3g - ( q 679g) _ _ Company Name. (7 qCC/ n o Annual Permit Number: c:300-3— 9_1 / 471'Io oc _•n Office Phone: v- Issuing Region: Issuing District Specific Activity Location. . ...1C4c\j13 lf---42./1/Altb'00 el) noHluer,- Number of Employees' Nearest Major Cross Street Moo ii+A i 0i.-Aoe -2-r) iniAgiecipAIWting Date: o G -/0 -0 '. City, ' (P/Ciii E4&--131/410b-S Anticipated Completion Date: 0230-0'i Counry. ' :-"3A A) ReriJA2-Di-v-0 _ High Voltage Limn in Proximity? No Yes, INSTRUCTIONS: The appropriate item(s)must be completed and signed by a person knowledgeable about the project for each activity covered by a permit. Please fill in or check off the blanks where appropriate. Scaffolding: Height Metal Wood Wood over 60 Feel Metal over la Feet Metai>125 Feet or Wood>60 Feet requires design by California Registered Civil Engineer&Plans at Site,(See 8 CCR 1644(c)(7)) Description. _ FalseworkiVertical Shoring: Maximum Height Maximum Span Material Description' - _ _. , __ (See 8 CCR 1717) __ _ Trenches/Excavations: Depth Range(fvtin/Max) •5- l3 Width Rangein/Max) 4/_. ( Total Length Ol .a Ground Protection Method. Shoring ::?( Sloping Trench Shield ....-_ __ _ Professional Engineer Underground Services Alert(USA)Number A LLS_C) l_c)O rA _ _. IN-OPIT)-+IWO f42_44440t.114 I 8C0 422AM) Soil Analysis to be done? Yes .•: No It No,You Must Slope 1.5 to 1. Competent Person:The holder of an Annual Permit who is notifying the District of the commencement of a Trench and/or Excavation project shall designate a competent person in accordance with the requirements of 8 CCR Section 1504, 1541,and 1541 1. Description, jo,a ....K - ,Graunci protection methods for excavations deeper than 20 feet must be designed by a Registered Professional Engineer_ i See 8 CCR 1541,1,Appendix F.1 I heieby certity tom to the best of my...wiedge the above information and assertions are true and correct and that lithe applicant have knowledge of arid will ' comply with the for' .Of g Signature . (1.----7"--7(l20C1, _ ' -' - Title ' i•- . ./t1 ELSER CONSTRUCTORS, INC. REDLANDS CENTENNIAL BANK 1668 39355 HIDDEN HEIGHTS DRIVE#2 REDLANDS,CA 92373 YUCAIPA,CA 92399 90-4195/1222 (909)790-2121 6/4/2003 PAY TO THE City of Redlands I ORDER OF Fifty mid DOLLARS n City of Redlands city MEMO business license project no.2-0339. m' 11.00 LE,Eau' ': L 2 2 2 L9 OLLL92y6LII° ELSER CONSTRUCTORS,INC. 1 6 6 8 City of Redlands 6/4/2003 Business License for job 50.00 for project no.2-0339. Corporate Checking city business license project no 2-0339 50.00 I-11. 1 1_41%-ti 1.I J1 r J it..,1 I I IVE,11Li-V114 1.13 DU311.Nit.. IAA Business Name: ELSER CONSTRUCTORS, INC. Phone:V69 rNO—c:5A DO NOT USE THIS COLUMN FOR CITY TREASURER ONLY Business Address:,56/555 /1ddi1-47 te-/-4,1,5 k7k: ( ( 4 VX. (77, 59 BL Mailing Address: 59353— 11--I;---e-tirei eft) 91-47iliviet. ' 1 p DRI3A Federal Tax I.D.#: Start Date:-,JL01,,)E-6/ LA State Resale Permit#: State License #: 4/ 9 Class A- Estimated Gross: $ INSPECTIONS Social Security 4: 10"7"-w—w - PENALTY Driver's License #: Description of Business: Vi ,c17/e96:Te TOTAL S TYPE OF OWNERSHIP (check one) Sole Proprietor Paituership Co 'oration Charitable / CORPORATION NAME ADDRESS, CITY, STATE, ZIP &PHONE # 3q 355- c/,` e ELSER CONSTRUCTORS, INC. Olt OWNERS & PRINCIPAL OFFICERS NAME TITLE HOME ADDRESS,CITY, STATE,ZIP&PHONE '0( ICtkV , 1,567t._ P- _/: C 1-; (-pe 6'61- BUILDING OWNER IN CASE OF EMERGENCY,PLEASE CONTACT: Name Phone Name Phone Alarm Company Phone I declare under the penalties of perjury that this application has been examined by me and, MAIL TO: City of Redlands to the best of my knowledge and belief, is a true, correct and complete statement of facts. P.O. Box 3005 Redlands CA 92373 2! SignatureTitle ifriq Date (te/S.Ve.:13 raw LI