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HomeMy WebLinkAboutFinal Tract Map 8307 - All of TT 8307 - James Montgomery - G Y' t" t O11�11Y1 tOI1Ci P.A. DOX 190 CALIFORNIA 92648 f., ENGINEERING DEPARTMENT Novemberl, 1973 Honorable Mayor U and C?ty:. .council , City of Huntington Beach . Y Attention: Dav'id .D.. Row3ands City Administrator' Subject: Tract 8307 - 'Graziadio Dev. Co. N/W Warner and Sims Gentlemen: Transmitted herewith are: Monument Dond No. 6202500 Faithful Performance Bond No . 6202499 Labor and Material Bond No. 6202499 �I Two (2 ) copies of the Subdivision Agreement for the subject tract. The bonds should be accepted by the City and thc: City Clerk ins_trucYted to file the instruments with the City Treasurer ' s office. The Subdivision Agreements should be accepted by the City and the City Clerk instructed to file one copy and return one executed copy to the subdivider. All instruments have been approved for amount by the Department of Public Works and for form by the City Attorney ' s office. The final tract map was approved by City Council on October 15, 1973 . Very truly yours , H. E. Hartge Acting Director of Public Works and City Engineer HEa:BPC:ae Trans . Ft i t 4 Eun'tih g'.' on Beach Y P.O. BOX 190 CAl.F06kNIA'92649 October 31, 1973 Security Title 825 N. Broadway Santa Ana, :CA Attention: Bob Reid RE: Tract Map No. 8307 Gentlemen: This is to inform you that all fees have been paid and conditions met on the above named tract. You are free to record same at your convenience. i Sincerely yours, Alicia M. Wentworth City Clerk A.)-AJ: to i i NOTICE OF COMI?LIA 10E WITH CONDITIONS ON TRACT AUTHORIZATION FOR RULEASE FOR RECORDING TO: City Clerk Date FROM: PLi,NNING DEPA'?TMENT James W. Palin TRACT NO. RECREATION & PAZKS FEES PAID' •;: -• ~`'� -- -""� Other: Signature) 11U1'10E OF COMPLETION Wr ll CONDITIONS 011 TRACTS hll'1'I1t0/.A'1'I.U1•J FOR 11,1'1.1'ASh FOR 1: ADING TO : CITY CLERK DATE : ? FROM;: PUBLIC WORKS DEPARTMENT TRACT NO. 93 Q 7 DEVELOPER ZIA DJ O �E l✓�LUf�/V!'F�17�_ CONDITIONS : Date Deposit of fees for water, sewer, drainage, engineering and inspection. . . . . . . . . . . . . . . 173 Bond for Improvement . . . . . . . . . . . . . . . . . . . . . . : Signatureof Agreement. . . . . . . . . 0 . . q 0 . . 0 . 0 0 0 d 7S Certificate of Insurance . . . . . . . . . . . . . . . . . . : Z3r 7� Bondfor Monuments . . . . . . . . . . . . . . . . . . . . . . . . . Approval from County Surveyor . . . . . . . . . . . . . . Labo_: & Material Bond . . . . . . . . . . . . . . . . . . . . . Other : 4-� Signature t SECURITY TITLE 11V4 RAN E C7(`�/iF��-"�►N*Y aESCUFttrY n> TITLE 1925 NORTH dROADWAY. P. 0. BOX 200, SANTA ANA, CALIFORNIA 92702 • (714) 547.7251 ROBERTJ.MC NULTY VICE FRESIOENT&MANAGER 0^t6ber 31, 1973 1•irs. . Alicia Wentworth, City Clerk City City of Huntington Beach Huntington Beach, California Reference: Tract No. 8307 Dear Mrs. Wentworth: As a represLntative of Security Title ,Insurance Company, I hereby certify that. Tract No. 8307 , if released to. said Security 'Title Insurance Company, will riot be released, except to the County Tax Collector, County Clerk, and/or the County Surveyor; and in no event will said map be recorded until authorized by yourself or your deputy. Very truly yours, E. am Hildebrandt Subdivision supervisor ESH/dl MEMBER., AMERICAN LAND TITLE AISOCIATION a CALIFORNIA LAND TITLE ASSOCIATION STATE OF TiiE ACTION OF -CITY 'COUNCIL 'C61inci1 ,Ch' bar, City Hall Huntington Deach, California Monday, 0'ct'b r 15, 197.3- Mayor Matey cal:.ed the reguQlar _ =' meeting of the City Couhc-!J of- the, City of Huntingtan'Beach to order at .7:00 P.M. Councilmen Present: Shipley. hjjt ,6ttt Gibbs. Green, Coaii, Di]se, Ma Councilmen A'Usent: 'None' r. �k�k"k�t�r'k4c*yF�cs'r�k�t:k�•7M*�r*�-kx�rk�'r�cfrk�k�Ir�r�.-�c�c�k�1r*�k�k*9r�Y�k�k�r�t�k*�c�:'t�rk�irh3:�k•1c�r�l:�ic:F�*�l k*•�c�lrir**:+rk*� ' CONSENT''CALENDAR -- (ITEMS- APPROVED) On:moti3�on by Bartlett, +.-he following `items 'were approved.-as recommended by the following roii call vote: `AYES: Councilmen: Shipl�y, Bartlett, Gibbs, Green, Coen, Duke, Matney NOES ..,- -,.Councilmen: None ABSENT: Councilmen: None ki +` �S. i,,t:.,:: , ,::,. t�i:�`:' F �`ii f ,+'•;}��[i: i ...�� ':r:t• .tti.'.�c►'n"d;, FINAL TRACT,`MAP:NO ' 8307 . ALL:OF-4TENTATIVE .TIMV 8307- - JAME& MONTGOMERY - Accepted the `offer of' dedication 'and improvement as :shown on Final. Tract• Piap`. No. 8307 all of Tentative Tract No., F307', located on:the west. side of Siius Street from Warner`Ave'Jinue to `660' feet:north, examined:' and certified,;bythey Di.recor of Public -Works and the Secretary"to the Plannziiig Comuii' lion as 'being substantially in accord4siice with . the tentative map.;as filed,t. Amended i } and approved ,by. ttie Planning Commission. Acreage;;' 2.50D' acre"'s; Lots: 10; De`velope James .. .. . . Montgomeryi . Huntington Beach, California; , adopted `the` map subject Ito standard-conditions. set: forth:by; the Department`,of Public Works and the Planning Departmeiii in Resofution No. 3056, _adopted Octiober 20, 1969, with :the additional st�.pulations that- Parkand Recreation Fees shall be paid prior to the expiration `af;.Tentat ive°;Tract Map. No. 8307 on ,June 5, ;1974. Adopted Exemption Declaration No. 7350 based upon mitigating measures of the Environmental Review Board. Further instructed the City Clerk that she may affix her signature to . the map and deposit same' with';'any licensed .title romp•any after receipt of a. writing 'fro►TL such title company . stating that it will cause pre13-ninary sing cif such map 'by the Comity, but wi11 not record said map of .caus'e it to ,be recorded 'until the completion 'of all the conditions., 'and �cy�cs�rt�F o 0 o ttP co o 1 Clerk. On motion by Bartlett ; the regislar meeting of the City Council of the City of Huntington Beach adja6rined at 12:40 A.M. to Monday,,No'yember 5 at �•5:30 P„M, in the Administrative Annex i The motion was passed by the following vote: AYES: Councilmen: Shiplev. Bartlett, Gibbs, Green, Coen, Duke, Matney NOES: Councilmen: None ABSENT: Coun.cilinen: None Alicia -M.' Wentworth City Clerk and ex-officio Clerk of the City Council of the City ATTEST: of Huntington Beach, California. Alicia M. Wentworth - Jerry'A. Matney City Clerk Mayor STATE OF CALIFORNIA ) County of Orange 1 ss: City of Huntington Beach ) I, ALICIA M. WENrWORTH, the duly appoiiited, qualified. and acting City Clerk. of the City of Huntington Bench, California, do hereby ,c•artify that the above and foregoing is a true and correct .Stntementof Ac;tio;1 of the-City Council of said City at their regular menfi.g lipld on the 15th �. day of October , 19 73 , WITNESS my hand and se.5". of'! the said City of Huntington Beach this 'the j;�, day �f October �, 19 73 `Alira N. Wentworth City Clerk and en-officio Clerk of the City Council of the City of Huntington Beach, California BY P - I�fii Depu i CITY -OF : H.,WIT11100fl. BEACH �J P.O. BOX 190,'CALIFORNIA 92648 PLANNING DEPT. (7i4)'536-5271 TOE HONORABLE `MAYOR` AND 'CITY COUNCIL FROM: Planning Department DATE': 'October 9; 1973 ,.,. ATTN: David D. Rowlands , City Adiriinistrator REs Final Tract Map No. '$307 -- :All .'of Tentative Tract No. 8307 Transmitted rlerewlth•' iS the Final Mali df. Tract r No. 8307, being all 'of Tentative Tract Map No. 8307 . Subdivider: jwties Montgomery .2,a-�- ' P .O. Box 2245 Jlu{ Iluntirigton Beach, California ,rLz,l'� ��� , •�'. 3 Engineer: Valley Consultants , Inc. �j 20951 Brookhurst Street Huntington Beach, California Location: West side of Sims Street from Warner Avenue to 660 ft. north. Lots : 10 lots Acreage: 2 . 500 acres Zone: R3 This map has ,.been examined .and certified by the Director of Public Works and the Secretary to the Planning Commission as . being substantially in accordance with the tentative map as filed, amended and approved by the Planning Commission. The City Council .may approve the map, accept the offer of dedication and improvement subject to completion of requirements as shown, and instruct the City Clerk that she may affix her signature to the map and deposit same with. any licensed title company after receipt by the City Clerk in r 1 Final Tract Map No. 830' 7 October 9 ,. 1973 Page 2 . ..v'k fir_ S.-,H. f,..,.�gyy� 'il 'iA. , :•4e`, ,.t .ti �J3 ;SF'.., -1 � • •4 .j , re i r om' su �1 :com an statin that. it will cause;; la.m n,3 r c writin .. f .F. Y g ,y . .. . rf �� .s. ,. . . . fY processing of 'such 'map by 'th��' County.'but will not record L • yi(.N l.r•t •s-.J: . �. . %YI '•i until.,; the �`completion 'of the foliowing conditions , and receipt ��t... .. t .. .., ... 1 ... • such : -title company of prior written "consent to record said map givenI.by •the City Clerk: 1. Deposit, of •fees for water, sewer, drainage, engineering and inspections . 2. Bond for moniunents . 3. Bond for improvements . 4 . Suhd.ivision agreement. !i . Certificate of insurance. G . Park .and Recreation Fees shall be paid prior to recordation of the final map. 7 . The final map shall be. recorded' nrior to the expiration of Tentative Traat :dap No. 8307 on June 5, 1974. Environmental Status : Exemption Declaration No . 73-50 was granted on May 22, 1973 by the Environmental 'Review Board. Respectfully submitted, K. A. Reynolds, Pwaaning Director KAR/sp Enclosure y t.. �y • wrs•ra.rrr •w>Nrwrwrwwrwara�wrarw . . •. . <t Fr_ �: w � . +..,:.t. ' $ Dili... .. VIP ca PEARCE LA BOARDWALK ' k t�r .__ --__ ._.�.w� V— R2 R2 i R2f- — R2 -- _____ MIL ST _ MILO � ST. z at 7_� 1 ­1 ciii ML' �Zl J Alt _ f ORIONAV Ly AVE 0 sOG SCAt E ih FEETwl . ar...errea FINAL: TRACT NO , 8307 2, 5 ACRES �� HUv114GION I[&CH 4UMTIMGTO9 BEACH PLANNING DEFT. t 1 In r n En ' 1. RE i 1BOARD J, �� :CITY 0 I HUNTtNGTON BEACH CALlFCRNhA P.O.: = 190.92648 I � :4�:' TO : H6horab_e Mayor and City Co:'.tncil a FRObi. Envi�onmental Revie B dw o r DATE : October 9 , 1973 SUBJECT: ED 73-50 (TT 8307) Proposal to construct 10. four.-piex buildings located at 16999 Sims Street near Varner by Valley Con- sultants , inc . The Environmental Review Board granted approval to this Exemp- tion Declaration on May . 22 , 1973 , based upon the following m"tigating measures : 1) the special architectural treatment of the units siding onto Starner Avenue ; 2) the proposed increase in the landscaped areas ; 3) ,additional trees on the project ; 4) Proposed raised median ivithin the common drive area; and 5) the pos-ible stamped concrete for the front portion of the common drive entry. Based on the information provided in the ED form, as well as on the aforementioned mitigating measures , the Board finds that the proposed development will have no substantial adverse impact upon the environment . Carol Schwartz , Set ary Environmental Revieti Beard CS :df t � G dL SUBDIVISTaTy. CLERK'S. N AGREEMENT copy . THIS ACRE ':�1Eiv7 da tea this _day of nr 4' r 19 Z , by and BETWEEN CITY OF HUNTINGTUN BEACH a municipal corporation, herei.na£ter for convenience referred to as i . CITY Graziando Development SUBDIVIDER W I T N E S S E T H: WHEREAS, Subdivider is the owner of a tract of land in the City or. Huntington Beach, California, which it is seeking to subdivide into Lots and to dedicate certain streets, alleys, .and other improvements therein to the public use, and is :about to file with said City a snap of the Tract of land known as Tract No. 8307 , and WHEREAS, as a condition to the approval of said subdivision malt and the acceptance of the dedication of the streets, alleys, and other improvements in said subdivision, said s'jbdivider is required to enter into an agreement with the City of Huntington Beach to do and perform the Mork hereinafter specified and to execute and deliver to the City of Huntington Beach, bonds for the Fsithful performance of said agreement and for the payment off: all labor and mgt;erial in connection therewith, as required by Sections 11611 and 11612 of the Business and Professions Code of the State oi: California and Sections 9931. 15, 9931. 16, 9931. 17, and 9931. 1E of the Huntington Beach Ordinance Code; NOW THEREFORE, in consideration of the promises and ngreements of the parties as herein seat forth, the parties agree as follows : 1. Subdivider does hereby aj,.ree to du and perform the following work, the cost of which hos been vs LimaLe:d by the City Engineer to be the sum of $ 39,000.00 For Lhp consLrtie tlon of stre►vl.s, !ncluding excavnLion, paving, curbs , guLh-rs , rlidt-walks, t i ve.; , landsenping, ets. , _'wvrs. i inc1udiop, cut strueLioll of main 1ities and lo; lateral .,, and strutLurt-:: � street lights, street signs; construction of domestic water sys tern including the construction of water mains, lot late:ais and installatlon of meters; engineering costs; and any miscellaneous requirement; as may I be set forth in Chapters 99, 34, and 35 .of the Huntington Beach Ordinzioce Code., and ? i. .of: w:,ic.h aald w-.frk Oh ti l bo Clone and perfor,-iud it•. with , ail ail 1, 13ec. if i c a Lions ;,:u1 profile, w)t,'f It have 1)t:en .a ppr ovcd by Lh,, C,t',y L•'nrinucr rtrl.l t.-:lt:cl in. cixf!Cc cif• LIW City 'r.r.{;itltt.x :ind gill. of pith .,Toi 6hall be donee rlt. the '.,U: L06t 4,sYtc1 t:xpe�n �e: ot" Line Subdivider and a:� :► ;:c,tvllt ion foy (.l:c. iipp1.•oval of :1:,.t� tr:rap 112111 t�lit: acci!ptratice of 0112 ;lt•d itLa t iol-, of -'aid ���tt'rre^t ;,, e:y:; tlttci oktt�Yr it��i�t cay..t:ti ttC;r, rii�� ."a id ty�c.r:k :,h�111 bcA .:cxiplc:C�, �� iiii or hc.ff)ri: Lwo (2) yetjrs Lri' t lore diAO hL .-(:af, c,nd all. labor and t;a r.Qrtal bii) ;i Ovill be paid. 2. Subdividur aj!lv :c:t.: to c;elt;fplett.t uli Arterl -l! If g)iwriy Improvement.- it►c ludi.ng perimeter wit l;s In for to C.I Ly f innl 1.0g of arly 10L 3. Subdivider Mial l gu tc- ante A: all w9rk. ;m)d rivii.c:rial required Lo fulfill his ot,lLOL1011 gas taWLed herein for :a l,c:riod of one year following Lhe dale Of City Catanc i l• of ,r1:re 4. S,a M ulid iv ider fa t Lhf u l 1 y pci—fornt :11. 1 . of the work agread he resin Lo be done i:y 5ubdi%,idcr tend Meal l fully ind•. mit y and save harmlesa tilt: C LLy of 1luntiut;Lon 'tee,: IL11 front all cost and datioge which it may suffer by reason of fniiure so to do ,anti :,:hall fully' rc kibu-•se and repay the C1 Ly ►11 ouclay and expc.n :e; which `;ltc City may Incur in malting coo�.t. ally such oefc►ult. 5. The Subdivider .ct.i'ic::; to fiirnl h Lc; t: ie Olt.y and maintain in force: until Llu; of the` work herein rlt;rctnd to be; doll: by .Subdi 4"At;r, aL. Suhdividet•16 t:xpetl:;c, a proteeLive: l iabillty polLcy ill WhI(Al Lhe: C1Ly is natuLd a:4 an .11:f1iLia:u: C . insured. 'l'he policy shall :.nsurey the City , its of. fice.rf; .and while: ra%:ting within the scope q , tlte; r fiut.ic.: , :a�;r,itt�t .111 c.lclit:tt, ;,: i.,itt►� out: of or in connection with Oiu work Lu 1),,y p,.-r:fox�iwd. The polir.y shall. pruvJ�4. for not less thall tlu i U�.1 vw illy; ttit:Ulati l :,: 11judily Injury ;►1 ,000 000 rlggri:ga t:e Property d};tti.utl;e :,itch pea; ic:y ,Aral l pro,,ric k, eoverago ;it. leu:xt, as broad au Lhzat: provided ilk the ;;t.rndard 1•urm approved by Litt! 1dat.ior,al bureau of Cusualky Unde:rwirters tal;..Litcr With Much endor. viiw -it3 .►.: aro required to cover the l:isk:t involved. The Subdivider f hal l gat•-ra ti?e' for t:tie'_ pol lc.ies to be so conditioned ::,r tr, c ovtur tlhe pktrt:cfruajitr.i• cif eXtra pr 1111forusee"', work, shoal.d such work bFay.�ra,t, nc�>LF�;:ar+ry. Prior to Oiu- rec.orda t:iuP- of Lhu 1.inal 'v act. Hap, evidence: . of insuratice tst•,f U bt, furnished in it fori,, :aL1,,faCtuty Lo the CtLy. in addition, the Subdivider shall iurni :A, cvidenc-. of a corznitwe:nt by the- tnsurauce: company Lo rot:ify talc City ul' twhe e>xpiratioll or calleallati.a, of: arty of. 0'. insurance: I7oI is°;� •• rcquire-d ltc:rcundc r not: lets thita 30 days before each expiration or S:cltlt,LjJaLion Is -.—ffectjv(.. G. Ihat Z: aid CILy <;Iia?1 r.at , nor shall any officer or _mployea thereof, bi, or re--ponsible, for any accident, to:ass or dramage happr.ining or occurring to the works specified in this contract prior ,to the c ump i e tian and acceptance of the salve, nor shall said City nor any officer or lemphryee thereof be liable for Any persons or property injured by reason of the nature of said work, but all of said liabilities shall be assumed by said Subdivtder; Said Subdivider furtt:er agrees to protect said City , and :he officers thereof from all liability or claim because of, or arising o-ut of, the use of any patent or patented article in the construction of said work. 7. That it is further agreed that said . subdivider will at all times from the acceptance by City Council of the highways offared for dedication in said tract up to the complation and acceptance of said work or improve- . ment by said Cout,ncil, give good and 'adequate warning to the traveling public of" each and every dangerous condition existent in said highways or any of J them, and will Protect the t:ravel'ing public from such 'defective or dangvraus conditions. That it is understood and agreed that until the completion of all the improvements herein agreed to be performed each of said highways not accepted as improved shall be under the charge of said Subdivider for the purpose of this contract, and said Subdivider may close all or a portion of any street whenever it is necessary to protect the traveling public during the making of the improvements herein agreed to be made. And the Subdivider hereby. agrees to pay for such inspection of highways as may be required by the City Engineer of the City of Huntington Beach. 80 That in the event suit is brought by the City to enforce the terms i and provisions of this Agreement or in any bond given to secure the- per- formance hereof, a reasonable attorney' s fee, to be fixed by the Cuurt, she P Y shall be aid b the Subdivider. ,IN WITNESS WHEREOF, the parties have executed this Agreement. APP r VLD A., TO ropX• DON BONFA Cit A t S DIVIDER r � CD u itY ttorney CITY OF HUN7.IIIGTON BEACH, a municipal core ration, Y qoAM_ =►,:--., OFr'IC�AL SEAL STATI: OF CALIFORNIA `�USpN E. OSB •car ; htOTARY PUBLIC 1�,�• �r,R, ' LIC p .................. ...COurily 0/....L��tt!. ...... . yJ. `�4'�;; PRif�CIP/\L CALiOf\� t ......... OFFICE IN On....�.1.• t.i��. .r2/. 1 ,� } �'�Co m ORANGE GOuN y r. a tart'Public •». 9••1�•belora me,.1s .�t,V �S y �ion Expires July 25, 1977 ' � ,in and for o � .... . .....��;��r t�.. 8aid�tafe,personally appearad.....(.��K).r ' •....z. �:'.1 ... ........... »..».......known to I ».2...� . .... ......................................... ........ xC. ...........»... he Person.... .................. to the Within inet '� to bat n ., whose �:ama 'umcrlt, and acknouledyed to me ./ ............subecribcd ghat ...,he,•, execut d the &an mission expires,,,•,�%77 ` ffl • hry commission I •• L r .Votary blicr:- , .. 7x 1 -3- .' } occurring to the works, sjaecifled in this contract priori-to the vompletion find acceptance of the same, nor shall said City ,nor 'any officer or employee thereof be liable for any persons or property injured by reason of the nature of said Work, iiut all of said liabilities shalt be assumed by said Subdivider. Said Subdivider }further agrees to protect said City And the officers thereof from Pll liability or claim because of, or arising out of, the use of any 'patent or patentedarticle in the construction of said work. 7. That it is: further' agreed that said Subdivider will at all times from the acceptance ' by City Council of the highways offered for dediciation in said tract up to the completion and acceptance of said work or improve- r • me-nt by said Council, give good .and edequai to warning to The traveling pub.lfc of each and every dangerous condition existent in said highways or any of them, and will protect . the traveling public frown such defective or dangerous conditbons. That it is understood and agreed that until the completion of all the improvements herein Agreed to be performed each of said highways , not accepted as improved shall be under the charge of said Subdivider for the purpose of this contract, and said Subdivider may close ali 'or a portion of any street whenever it is necessary to protect the traveling public during the making of the improvements herein agreed to be made. And the Subdivider hereby agrees to pay for such inspection of highways as may be required by the City Engineer of the City of Huntington Beach. 5. That in the event suit is brought by the City to enforce the terms and provisions of this Agreement or in any bond given to secure the per- formance hereof, a reasonable att.orney' s fee, to be fixed by the Court, shall be paid by the Subdivider. IN WITNESS WHEREOF . , the parties have executed this Agreement APPR VED A S TO FOMI 1)011 •/BONFA Cat A t raiey S DIVIDER D "rk�ty E CITY OF HUNTINGTON B ACH, ttorney a municipal corp nt-ion, BylqoAAA ax" ayol ...... C r ATTEST: aicy Clerk of the City of Huntington Beach -3- SLATE OF CALIFORNIA . ) ss COUNTY OF. ORANGE' ) Al On this d day of , ;'9 , before me, a : Mary Publi in and for said County and. State, pe;•sonally.:,appeared known to me to ire the Mayor and triown" to me to be . the `City, Clerk i, of the-;City. of. Hu,:. l7gton. Beach, the cnunicip"al' 'c-or'pration that" e:te- cuted the wiCRfn,,,:instrument, known .to'.me. to be the persons who executed tie, within instrument on behalf of said municipal corporation, and acknowledged to me that such" municipal corporation exr-cuted.'the same. 444`411404o44i10144r0�11144#1i1 4 OMCIAL SEAL 4 r+ CONNIIE A. BROCKWAY "OTARY PUBLIC-CAuroRIPA ' I MIXII•AL QMCE Its , 4i�hNCE'CGOUTY, in ` My CS.-=is*n Eq&es M%Awr la, IM °f Notary Public eat++4t444q,s1o4orC0io�41r1rlit t STATE OF CALIFORNIA ') ss COUa'I'1i OF `ORANGE ) On , 1;` , before ►ne a Notary Public, in and for said County d State, personally appeared And , known to me to. be the Pr.esiddnt and the Secretary of the corporation thiit executed the within instrumcint; pursuant to its by-laws or a resolution 'of :its Board of Directors, Notary Public My Commission expires I ' I I -4- r , SERVICE REQUEST CITY OF H.UNTINCTON BEACH Date To � I C�� i�l � PLEASE REPLY TO ---- Signed. ._ , Date Signed Rodillrm SEND PARTS i AND 3 WITH CARBONS INTACT. QS 465 PARI 3 Will 9E MURNED WITH RFPLY. t .. , ,f! ;.I;,r If•^.. .: 1 r r. : r h • . 'ri r• 1r r! !r' ;•� RETURN ORIGINAL',AND THREE•COPIES OF pity .r'I " w t_,i•Y, 3 ;1( I{t aNLY'C17Y:OFHUNTIH670M p2A1.H-8 FORM COMPLETED CERTIFICATE T01 aht.CERTIrICATE rOf INSURANCE WILL lie 'CERTIFICATE'OF INSURANC,. ACCEPTED. CITY.of. HUNTINGTON`BEACH a TQ' 0.1 DEPARTMENT OF PUBLIC WORKS ,. �" t 11 P.o. eox 190 CITY"DF HUNTINGTON BEACH, CAL`IFORNIA HUNTINGTON BEACH, CALIFDRNIA '.la284Sme�IS- ti. `A MUNICIPAL CORPORATION , .:».• 1..t,. .i , I ,.t'•3:' rF A it li ','a ! , ::' '� ., tii" This is to•certify that the policies. of in ,urance "'t.ei,cribed below nave.Eeen �i5sued to the insured by the under- sigined and`�are in force at this time. If'these policies are can=gilled ,or cFI aged it such•c'.�.ianner that will dffeC. .this cartificate, the insurance 'company;ogri+es'ta give 30'.days prior ��rritten notice.,by mail, to Chy of Huntington Beacll,;. : ' P.O. Box 190, Huntington Beach, Califorriia;926aa, Nain`e'cf In G . Louis Graziadin III DBA: Graziadio Development Co . Address of Insrured P.O. Box 56 , Pa.16 ' •Veraes Estatesr Ca. 90274 Locationot Insure'd4Operations 'California Des,_r'iption of Operations General Cointra.ctor, P0LIL'IES IN!FORt:E POLICY DATE LIMITS OF LIABILITY „+ NUMBER EFFLCTIVE EXPIP.ATION A. 'Wolklnen's Compensation St atutory Employers' Liability t C274i322 10-�31-73 1Q--31--7 $ i n;n 400 B. Public Liability: G ,A2677 1 Bodily Injury: 10-22�-73 lb--22--74 Manufacturers and Contractors'n $ Each Persor, Comprehensive General $1-40r0 0(10 Each Accident (liicluding products completed operations) property.Damage $ i6_11132d__.Each Accident C. Automobile Liability: Bodily Injury $ Each Person $ Each Accident Property Damage $' Each'Accident DO( J' policy cover: Ali owned automobiles ( ) Yes ( ) No Non-owned automobiles ( ) Yc.�s ( ) No Hired automobiles ( ) Yes ( ) No D. Additional In sured'Endorsement: The.insured agrees that the City of Huntington Beach and/ar members of the City Council or boards or commissions and'.,elective and appointive officers, servant or errployere of the City of Huntington Beach when acting as such, are . additional assureds hereunder. E. Hold Harmless Agreement: The -insured agrees to protect, defend, ;ndemnify and save harmless the' City of.Huntington 'Beach agclin'st'loss, damage or expe:nsc by reason of, any suits, claims, demands, judgeir.ents 'and causes of action caused by insured, his errployees,,'agents ar any subcontra[tor arisic.yr out of or in consequence of the performance of all operations covered by this certificate. 'A'4D"�nttr~ F. Minimum Limits Required: DON P. FA Public Liabllity'(Products liability, including completed operations) City or ey Bodily injury-each' person ]QlMH�O each accident 33EO�,VIM $1,000,000 Aggregatre Property damageti G. Remarks: v x (Signed) _ INSURANCE COMPANY 57 Majestic .4 rican Inc. By I �--�J , f Personal and Comincrciallnsurancc SIG ATURE OF AUTHORIZED REPRESENTATIVE i 11603 SOUTH WESTERN AVENUE LOS ANGELES,CALIFORNIA 90047 _ ,. �-1 ;-.—. a 4r .. 4r.. p .L. ,,x Y�/ a. r I_ r.. _ . .�_ .,�,'"1`.. ,, a.�..,..'["'1•` •"1Y!„tr1 .t r.•. '� 1 :�t t+ ....�yl :it f. 'F' tlr,t r t+I, .t,�t• r -�. i „L,,:�, fib+ ,C_ ;i !F . +„i •t:;: r ��••,t��i!'�' i ,;4_t} �1•'� r r i,. t.�: :I'',t`' 1 t ����: �,5 .►Yn , � r + 1 '?, ' y ,' .- le .IC , c S jr .. }.�, r .i, r. 1 -!•` .i. Y'... 'rF.. . "� -;•1 rtfr 2 ,- r �r•t.: i' .�. tl,if.�C:I;'�'iy`.t :, r ,• !i�~ .� ,'t;� �i� � t, •�.i+�•'1!, 'Z.:r', •,j�jd.' t't. ±' L ,� , •:i.'t, ,`+"f.',:.a •+'•, ��j,f'r'- ',.• 1., n 'ir;,• n. ,�.,�.,,• , •y: � 'r' '"�I;;'' '�+ y ' •+.•:ev � ' r't� .a.• ',r.�,i,. '�, J` r..,�•t,, I�.•s. '► r•J. "�::, ' ,....r•�'?:1 t1' s�'F:�' •',,«�'�•t ' '+�r ?� •7(h,y'.',P�',r�. 7 , RETURN; IQINAL'.j4N 1TNR' K COPIE!'OrV "9. :rk7 ?4 rj �,yl.$"�15" T' -' 1 r. ',y OMLY•;CITY or.HUN7INOTOH BKACN'3 FORM �" " .� , �' .r}I� 't �•f)f,. n'.,,.r..:"i;:F,' ! a i. COK4PLLTItp,CE'RTI'►IC tE.T02 t ' '+`x'_'• ;'Or`,'L'BRj IC�7B'OF ,INSURANCE ,WILL4HK {�� " x y� } - E•;OFlINS R NrEr :i':i. ,. t. t. C. y',f�•. rl`:., •i!.'i r.a.•t1 •rt, t� Y-.<,,a,..:/.;+ �r. I,'•tt1'. 'ACCEPTED. ":,><.7S:.e}1�':,�� +,t !�}`. 1tt:+t+ {•, .A/- :M `i:Ty-r ';i.vr•��t•'''Kr l•°y; :9�vr:';� 1� ,.> i.. r`h"`! �'} .{•v. �.6�1 -tl. r� .,,;,,/•' 'i..r•• .•y. ,f:. ,e. t , {. .✓'`.'}�.[��j''"i`� !.(i t r G Y•ORI�UNTINaToI! EllACN''•L� ,� il" a i.+7 �; aS'', r, +{, f :n r S t, S, ,r•} �• :{,. �,•t 4 ar'i y >y r! }:"� .irY'a.: . k• ,�',%• I,z �"i+ T� � 7 �t t -t, •'•t.x I .. ,� ,v x �1. OKPARTMENT Or PUISLIC'WORKS T• +:` l�r'i• , N 14�`�# . }sy�t �r �y,�� } ' ta!'i'r t i iI ! ?3£0tf�f.t. 14iA n Y; �. �., 'CITY' OF;HIJNTINGTOt�'k�EACH,'yC ►L�iFORNIA' s 'IIUNTINOTON' OEACH CALIroANIA 22648 „ •t 1 i n,!'Ylb4Sv�e f.r..('?,C +tiYY':'`,,1,f�«.7'i��Y J•'ft.. ,.,J'".:' f ''3A'MUNICIPAL ,CORPORATION 447 , 'a .,f . �;}, r,a.itF.� .r tH, Wr +".1 •t)rl • 1•r:This''is';'to'`ciirtif'"h6t"ihe!policies off-incurd cel'os`describ'ed.berlow:hat�e,•bceti issuad to the insured byFtl a under- 'si�ne'd rand are in��foice* at th'Is:'time.,"if'these;;policies'aier`canc-el led or cho'nge`d"•in'such a'nicnner;that wil l'.affect this g. .I,,., •., •,C:1Lwr. .!-• r.'•t:r A-4 y,n , t. i, 1.. a •f! t..! Cal `fhe;insurance°company .ogreas'tojgive 30'•doys':prior'.written notice, by mail;, to City'af•Hu'ntinE' ,',' cdch, P.O.tBox 190;'Huntington'Beachi California ,92648. I tome of,Ilisured_ 4zJ.inc`I7.n 5 3. t7 :n: : x "�iri� �' I� �'+,r: �c�Yami�:t'xt� Co ?, Li4ddress`of lns`ured. P.C3: Box' Sn', i'F3.1. s '�fCi rite ur'I:u1ten 274 s f. Location of-Insurcd'Operatio:is Vescription of Operations Generalc"ont'ract-or � ! f IN, ... . POLICY � •:'OA'1'E` �', F•:. .... . . . . " LIMITS'O LIABILITY 'POLICIES .NUM©ER' EFFECTIVC- EXPIRATION J''A• ,1Nor C+men'sCo �ipensatian ' Statutory r Elri*�Ila 'ers lit ".�'1 ?c .C'-' ).�-7:3 3.0--31-71 p y ' Liabi y •I AA -Finn ;r •B. Pub ic,Liability: � r� to `t I a � �_ Bodily`Iniur'y: 3.J-�;'.t? �-7:3 :LO..2:?. �,� Monufacturers'and 'Contractors El E�.ich .Person Comprehtensive + 'General`Q $1 000 t�Qn EGG Accident, (Including;products completed . operations) , Property Darnnge "►nr�TFt; t�s' Each'`Accide�i3: • Yv-.-t t. _ slit' t• .,a1�. _ _ .,. - C. Automoblle•Liability: , BAodily,Injury Each Person'`t y, 'cc'h Accident s ['rope►ty.D'omag'e $ Each'Accidant y - , Does policy:cover: i `-Al ow-6 automobiles ( ).Yes ( )No Non-owned automobiles ( ) Yes' ( ) No H%red;dutomabilas (. ) Yes ( ).Ncf:. `,.• V -D.' Additional'In'sured'Endorsement: *i he insuresd'agrees tha# the``City of Huntington Beach and/or members of;the City Council d boards or commissions andolectMie and appointive officers,. servant or employee 'of the, City of.Hu'ntington,Baach when acting'as..such, are add"ition-3 °a sureds,inereunder. H Id H6'r'tMess'Agree'msntt t ' ) . � :lThe` insured"dCrees to'protect, defend, indemnifyy and saveharmle'ss 'the City of Huntington 4Beah against loss, :damo'ge..or expense. by' reason of:an suits claims, de:na'nds, judg'eme'nts and causes of action caused by insured, Y, Y, , employ'eas ;"ogents'or cny''subcontro'tor arising out of tag in consequence-of the performance' of all operations coverad:• ., by".this'certificate•. .h. ,,� _ . �. t- ti APPRO . J f F. yWnirnc'j`m`Limits Required: NIA 1 „r DDT P. B0 .Publ-ic Liability (Products Ilability,•.including'completed operations) }; City At vorney f --A Bodily injury-each person, :$1166'O.QO reach accident :$>60DfD00.00 =; ' ,t?i�i?�'1�11� 11�;;;i�:, :ste Property damage :$100,000.00 .�'N i G. ' Remark`s: Deputy' Carty'�titivruW;�i I ; (Signed) i�a Plr?r'�9 .1'r-1 _!rrf{c"vCT`r1 7 1"if INSURANCE COMPANY 757.9345 l gestic Araerxcan Inc. Y ,•"P � SIGNATURE OF AUTHORIZED REPRESENTATIVE Personal and Coinnicrcial insurance ,! !�• . 11 :r3 SOUTH WESTERN AVENUE Lt:i ANGELES,CALIFORNIA 90047 •,.*. i. . ... ,, t•. '7t h-i.%ri7�( xv, ,!•.•• o .::'. .•� ;.;ii �« «l I '•.:. ,r,. .xr':r.•i• .. � -° ._ - _ - '' , � •+, t .,..y,• Y t Y.S..x 4-r, •1. � f LI`'I I�• '���,e�t'IS"'6:',x,', t4Y i.�•v�.i � :!: lL,!"• vt:••e .>v ',s' '1 ,