Loading...
HomeMy WebLinkAbout2009 CON Sweetwater Authority - Water Facilities Marina Gateway StreetscapeAGREEMENT TO IMPROVE DEVELOPMENT -WATER FACILITIES THIS AGREEMENT is made and entered into thisl7thday of November 20 09 , by and between SWEETWATER AUTHORITY, hereinafter called the "Authority," and City of National City hereinafter called the "Owner." A. In the near future, the Owner desires to install a water main or mains and appurtenances (sometimes referred to herein as the "water facilities") to service its property. B. The Owner will cause the water facilities to be constructed by a Class "A" or C-34" licensed contractor, which contractor shall be selected pursuant to a competitive bid process as required by the California Public Contract Code. C. The Authority will own and operate such facilities, if constructed in the manner set forth herein. D. The parties desire, by this Agreement, to provide for the construction and completion of such facilities. NOW, THEREFORE, it is agreed: 1. The Owner hereby agrees, at its own cost and expense, to furnish all labor, equipment, and material to perform and complete, and within three hundred sixty five (365) days from the date of this Agreement by the Authority, to cause its contractor to perform and complete in a good, workmanlike manner, according to the plans attached hereto and made a part of this Agreement, and in accordance with other special conditions noted in Exhibit "B" on file at the office of the Authority and any other plans or specifications referred to in this Agreement, the following subdivision improvements: Water facilities as shown on the attached plans and in accordance with the Authority's Standard Specifications and any other plans or specifications referred to by this Agreement or referred to in the attachments. (Exhibit "A," Exhibit "B," Faithful Performance Bond, Laborer's and Materialmen's Payment Bond, and/or Instrument of Credit, Set Aside Letter, and Certificate of Insurance, etc.) 2. The Owner agrees that the work shall be subject to inspection by and to the satisfaction of the Authority and the improvement shall not be deemed complete until approved and accepted in writing by the Authority. The estimated cost of said water facilities is the sum of TWO HUNDRED SIXTY THREE THOUSAND FIVE HUNDRED AND NO DOLLARS ($263,500). The Owner's obligation under this Agreement extends to the completion of the improvements, as hereinabove set forth, and is not limited by the amount of the cost estimate. The Owner EXECUTED COP\ AGREEMENT TO IMPROVE DEVELOPMENT -WATER FACILITIES further agrees that the cost estimate is an estimate only, not intended to constitute liquidated damages or a limitation on the obligations of the Owner. The Authority shall be allowed to inspect the facilities during all stages of construction. The Authority shall be notified a minimum of forty-eight (48) hours prior to the commencement of construction. After completion of the facilities in accordance with the approved plans and specifications, and not less than thirty-five (35) days after the filing with the County Recorder of a "Notice of Completion" by the Authority, the facilities shall be considered as donated to the Authority and shall be owned and operated by the Authority, if accepted by the Authority. The Authority will not accept the facilities unless they are free of mechanic's liens. The Owner shall furnish the Authority satisfactory proof (ordinarily in the form of a title company report) that no liens were filed against the project prior to the expiration of the lien period. 3. Monuments and stakes previously installed which are removed, altered, or destroyed prior to the completion of the improvements and their acceptance by the Authority shall be installed by the Owner within thirty (30) days after such acceptance by the Authority. 4. The Owner shall convey to the Authority easements covering the property in which the water facilities are located at all instances where the facilities are not located in a dedicated street. The Owner shall have its Engineer provide the Authority with a legal description and an 8-Y2- inch x 11-inch plat of easements. The plat shall be a reproducible transparency with the Authority title block and shall fully locate and describe the easement. 5. The Owner shall pay to the Authority, upon execution of this Agreement, and prior to commencement of any work hereunder, the amount of the cash deposit set forth in the Authority's Water Main Estimate for engineering, inspection, and purification fees, compaction tests costs, and for other Authority work and special charges. 6. The Owner shall obtain, at his expense, all necessary permits required by the county, state, or other public agencies in connection with the construction of the water facilities. 7. The water facilities constructed by the Owner shall be connected by the Owner to the existing water lines of the Authority in a manner approved by the Authority. If water facilities are constructed in private streets, the streets shall be curbed and/or constructed such that no damage to paving, structures, or landscaping will result from full flow fire hydrant testing or from failure of the Authority water facilities. Acceptance of facilities shall not be made until the following requirements have been complied with: EXECUTED COPY 2 AGREEMENT TO IMPROVE DEVELOPMENT -WATER FACILITIES a) All work has been completed in accordance with the plans and specifications, all gate wells have been set flush with the street surface, and meter boxes set to finish grade; b) A set of original plans (vellum prints), corrected to conform to the work as constructed, has been submitted to the Authority. 8. The water facilities shall be operated by the Authority in accordance with the rules and regulations of the Authority. Meter costs are not included in the estimated cost of water facilities and shall be paid by the Owner, in accordance with the Authority's rate schedule, as it exists. Water for construction purposes will be provided in accordance with Authority's Rates and Rules, and Standard Practices. 9. The Authority shall not, nor shall any officer or employee of the Authority, be liable or responsible for any accident, loss, or damage happening or occurring to the work or improvements specified in this Agreement prior to the completion and acceptance of the same, nor shall Authority, nor any officer or employee of the Authority, be liable for any persons or property injured by reason of said work or improvements, but all of said liabilities shall be assumed by the Owner, who agrees to indemnify and save harmless the Authority and the officers and employees of the Authority from and against any and all claims, demands, losses, costs, and causes of action of any nature, and any expense incident to defense thereof (including attorney's fees), for injury to or death of persons or damage to property arising out of the construction of the water facilities. The Owner further agrees to protect the Authority and the officers and employees of the Authority from all liability or claims because of, or arising out of, the use of any patent or patented article in the construction of said improvements. The Owner shall cause its contractor to file with the Authority "Certificates of Insurance" in accordance with the Sweetwater Authority Special Administrative Policy - Insurance. 10. The Authority shall not, nor shall any officer or employee of the Authority, be liable for any portion of the expense of the aforesaid work or for the payment of any labor or materials furnished in connection therewith. 11. The Owner shall cause its contractor to comply with all applicable laws, ordinances, codes, and regulations of the federal, state, and local government. California Labor Code Sections 1720 et seq. and 1170 et seq., as well as California Code of Regulations, Title 8, Section 16000 et seq. ("Prevailing Wage Laws"), require the payment of prevailing wage rates and the 3 EXECUTED COP': AGREEMENT TO IMPROVE DEVELOPMENT -WATER FACILITIES performance of other requirements on certain "public works" and "maintenance" projects. The Owner agrees to fully comply with and to require its subcontractors to fully comply with such Prevailing Wage Laws. The Owner hereby agrees to indemnify and hold the Authority harmless for any and all claims arising from or relating to compliance with the Prevailing Wage Laws by the Owner or its subcontractors. 12. By its signature hereunder, the Owner certifies that it is aware of the provisions of Section 3700 of the California Labor Code, which require 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 agrees to cause its contractor to comply with such provisions before commencing the performance of the services. 13. The Owners contractor shall file with the Authority, prior to the commencement of construction of the water facilities, the following improvement securities: a) A good and sufficient bond in an amount of not less than the estimated cost of one hundred percent (100%) of said work and improvements as above specified for the "Faithful Performance" of the terms and conditions of this Agreement, and b) A good and sufficient bond in an amount not less than one hundred percent (100%) of the estimated cost of said work and improvements as above specified securing payment to the contractor, his subcontractors and to persons renting equipment or furnishing labor or materials to them for the improvement, "Laborer's and Materialmen's said Bond shall contain the provisions set forth in Section 3247 of the California Civil Code and shall inure to the benefit of those persons referred to therein." The form of the bond shall be as specified by the Authority. The Authority and the Owner agree that the Owners obligation under this Section 13 may be satisfied by the Owner requiring its contractor to furnish to Sweetwater Authority the necessary performance and payment bonds as set out in Sweetwater Authority's Insurance Requirements. Should the sureties on either of said bonds become insufficient, the Owner agrees to cause its contractor to renew said bond or bonds with good and sufficient sureties within ten (10) days after receiving notice that said sureties are insufficient. 14. In lieu of filing the bond, as referred to in paragraph (a) of Section 11, the Owner or its contractor may furnish other improvement security in accordance with the Authority Standard Practices. Said improvement security shall be in the same amount and for the same purposes 4 EXECUTED COPY AGREEMENT TO IMPROVE DEVELOPMENT -WATER FACILITIES as the bond, as above specified, and in a form satisfactory to the Authority. 15. The Authority may make such changes, alterations, or additions to the plans and specifications attached hereto which do not exceed ten percent (10%) of the original estimated cost of the improvement as may be determined necessary and desirable by the Authority for the proper completion of the said work and improvements and no such changes, alterations, or additions shall relieve the surety or sureties on any bond given for the faithful performance of this Agreement. 16. In the event it is deemed necessary to extend the time of completion of the work contemplated to be done under this Agreement, said extension may be granted by the Authority and shall in no way affect the validity of this Agreement or release the surety or sureties on any bond given for the faithful performance of this Agreement. 17. The Owner shall cause its contractor to guarantee all work for a period of one (1) year after date of acceptance of work by the Authority, and to repair or replace any and all such work, together with any other work, which may be displaced in so doing, that may prove defective in workmanship and/or materials within a one (1) year period from date of acceptance of the work by the Authority without expense whatsoever to the Authority, ordinary wear and tear, unusual abuse, or neglect excepted. The Authority will give notice of observed defects with reasonable promptness. The Owner shall notify the Authority upon completion of repairs. In the event of an emergency, the Authority may make the repairs and the Owner shall be liable for all expenses incurred. In the event the Owner fails to comply with the Authority's request for correction within one (1) week after being notified in writing by the Authority, the Authority is hereby authorized to proceed to have the defects repaired and make good at the expense of the Owner, who hereby agrees to pay the cost and charges therefore, immediately upon demand. In the event the Authority elects to repair the defective work, such action by the Authority will not relieve the Owner of the guarantees provided in this paragraph. 18. The plans provided for in this Contract conform to the current standards of the Authority. The developer will be required to conform to the standards applicable on the date upon which construction is commenced on the development if construction is not commenced within six (6) months of the date of the execution hereof by the Authority. 5 EXECUTED COPY AGREEMENT TO IMPROVE DEVELOPMENT -WATER FACILITIES IN WITNESS WHEREOF, the parties have caused this Agreement to be executed the day first above written. SWEETWATER AUTHORITY: By Ja es L\ Smyth, Ope'ations Manager Date: -‘.6•.0-c CITY OF NATIONAL CITY: Date: Nov mbar 17, 2009 NOTE: Plans to be attached to Agreement. Agreement to be attached to bond. I:lengr1Dev\Marina Gateway Streetscapel-WATERMAIN-DRAFT-AGMT-PKGIMG PH2_IMPDEV_cityofnationalcity_rev3_110209.doc 6 EXECUTED COPY EXHIBIT "A", W.O. 20096006, PH. 2 WORK Page 2 of 2 Project: Marina Gateway Improvements, National City Date: December 17, 2009 114 Section 158/175 Inspection Deposit: National CIty's Contractor to install: Apx. 700 L.F. of 8" CI. 235 PVC water main; 1 fire hydrant, (3) 8" fire services, Abandon 5 water services & 2" main, Install 6 water services; modify 1 hydrant and 1 water service Install 8" main in W. 23rd and Harrison Abandon #16745 Abandon exist. 2" water main Abandon #5142 Abandon #9045 ebze q s..a...m n ronwy.n Yp.emrr.:kd 7 =" •icaNm[ mnn ASA..of i �HMUBrceq.em Allen Pvnbienx gr.orAhate *Ann. SA 91912,VE r°3)4Ar413 FAA I619,12 7be .141alrIcArbn rn.aiw o¢�mw n> me yryr.grpe.e..Ar role .e sm retl�law•emuw" mwWOW,. only Any ma. or rekrnp Wit° .>mra ,. Install 8" tire service 41627 Install 2" service 41634 I nstall 2'' service 41633 1,_ Install 8" fire service 41632 150 75 0 Abandon #38751 150 Feet INN hnrten & reconnect FF (install iadustrlal Fri) Install 8" tire service 41628 Install 2" service 41626 horion and reconnect #4 • ttt — mains t13nelamuxurreercnem43% m. cr\mnr•_exwen.mim MARINA GATEWAY STREETSCAPE September 29, 2009 1. The Owner shall provide for the installation of the water facilities listed below. 2. No facilities will be installed prior to the execution of an Agreement to Improve Development — Water Facilities. 3. No facilities will be installed prior to the acceptance by Sweetwater Authority (Authority) of the A) Bond forms and/or Instrument of Credit, and B) Certificate of Insurance (see attachments). 4. Improvement plans shall not be signed, as approved by the Authority, prior to the completion of the stipulations spelled out in paragraphs 1 through 3. 5. Owner shall provide for compaction testing per requirements of the Authority. Owner shall provide for construction staking and surveying for the proposed water facilities. 7 Owner shall cause to be installed the water facilities listed in paragraph 8. 8. INSTALLATIONS: A. APX. 700 L.F. OF 8" CL. 235 PVC WATER MAIN @ $250/LF$173,500 B. 1 FIRE NEW HYDRANT AND (3) 8" FIRE SERVICES) $25,000 C. ABANDON (5) WATER SERVICES & 2" PVC MAIN $15,000 D. INSTALL (6) WATER SERVICES $35,000 E. MODIFY (1) FIRE HYDRANT AND (1) WATER SERVICE $15,000 TOTAL ESTIMATE $263,500 9. BOND AMOUNTS AND/OR INSTRUMENT OF CREDIT: A. Faithful Performance Bond, 100% $263,500 B. Laborer's and Materialmen's Payment Bond, 100% $263,500 C. Instrument of Credit, 200% $527,000 10. FINAL DETAIL DESIGN — PLANS AND SPECIFICATIONS: $500 11. ACQUISITION OF FACILITIES (Deposit): $1,000 12. METER FEES: A. (3) 5/8" DETECTOR METERS @ 80/EA $240 B. (4) 5/8-INCH METERS © 80/EA $320 C. CREDIT (4) 5/8-INCH METERS @ 80/EA ($320) D. (1) 1-INCH METER @ 115/EA $115 E. CREDIT (1) 1-INCH METER @ 115/EA ($115) TOTAL METER FEES $240 13. CAPACITY (FEES)*: A. (5) EDU's @ $2,300/EA $11,500 EXECUTED COPY B. CREDIT (5) EDU's @ $2,300/EA ($11,500) TOTAL CAPACITY FEES $0* *additional Capacity Fees to be paid by owner upon development based on estimated water use in Gallons Per Day 14. SAN DIEGO COUNTY WATER AUTHORITY CAPACITY CHARGE: A. (4) 5/8-METERS @$4,492/EA $17,976 B. CREDIT (4) 5/8-INCH METERS @ $4,492/EA ($17,976) C. (1) 1-INCH METER @ $7,188/EA $7,188 D. CREDIT (1) 1-INCH METER @ $7,188/EA ($7,188) TOTAL CAPACITY CHARGE **$0 **additional San Diego County Water Capacity Charges will be due from owner upon development If larger meters are required. 15. INSPECTION AND CONNECTION (DEPOSIT): $18,500 TOTAL FEES AND DEPOSITS $20,240 16. The above figures for deposits are estimates only and may vary accordingly. Upon completion of installation, costs will be computed, and a billing or refund will be issued to your firm. 17. In the event a ninety (90)-day period elapses from the date of Exhibit B, the above estimated fees and deposits must be revised and are subject to the condition of agreement with the Authority. 18. Owner is responsible for consumer side connection of proposed project meters including the installation of consumer ball valves. ************************************************************************************************** SWEETWATER AUTHORITY Smyth, Operations Manager Date ACCEPTANCE CITY OF NATIONAL CITY Date I:\engr\Dev\Marina Gateway Streetscape\-WATERMAIN-DRAFT-AGMT-PKG\mg_ph2_EXHIBIT_B_nc_changes.doc EXECUTED COPY Revised Original Executed in Triplicate BOND FOR FAITHFUL PERFORMANCE Bond No. 0505973 Premium: $2,371.00 WHEREAS, Sweetwater Authority ("Authority") and KOCH-ARMSTRONG GENERAL ENGINEERING, INC. (hereinafter designated as "Principal") have entered into an agreement whereby Principal agrees to install and complete certain designated water facilities, which said agreement, dated September 30, 2009, and identified as project: MARINA GATEWAY STREETSCAPE is hereby referred to and made a part hereof; and WHEREAS, said Principal is required under the terms of said agreement to furnish a Faithful Performance Bond of said agreement. NOW THEREFORE, we the Principal, KOCH-ARMSTRONG GENERAL ENGINEERING, INC., and International Fidelity Insurance Company, as Surety, are held and firmly bound unto the Authority, in the penal sum of TWO HUNDRED SIXTY-THREE THOUSAND, FIVE HUNDRED DOLLARS AND NO CENTS ($263,500) 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 conditions and provisions of this obligation are such, that if the above -bounded Principal, his/her or their heirs, executors, administrators, successors, or assigns, shall in all things stand to and abide by, and well and truly keep, and faithfully perform the covenants, conditions, and agreements in the said Contract and any alterations made as therein provided, on his/her or their part, to be kept and performed at the time and in the manner therein specified including, but not limited to, the guarantee of all work and materials for a period of one (1) year after the date of the Notice of Completion, but in no way limiting any remedies available under other provisions of law, and in all respects according to their true intent and meaning, and shall indemnify and save harmless the Authority and its respective 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 to the face amount specified therefore, there shall be included costs and reasonable expenses and fees, EXECUTED COPY BOND FOR FAITHFUL PERFORMANCE including reasonable attorneys' fees, incurred by said Authority 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 anyway affect its obligation on this bond, and it does hereby waive notice of such changes in the agreement or to the work or to the specifications. Said Surety hereby waives the provisions of sections 2819 and 2845 of the Civil Code of the State of California. IN WITNESS WHEREOF, this instrument has been duly executed by the Principal and Surety above named on November 4 , 20 09 . Koch -Armstrong General Engineering, Inc. (PRINCIPAL) International Fidelity Insurance Company (SURETY) ra B , Attorney -in -Fact Address13400 Sabre Springs Parkway. Suite 270 San Diego, CA 92198 (ALL SIGNATURES MUST BE NOTARIZED AND CORPORATE SEALS AFFIXED, IF APPLICABLE.) I:\engr\Dev\Marina Gateway Streetscape\-WATERMAIN-DRAFT-AGMT-PKG\MG_PH2_faithful_performance_bond.doc ACKNOWLEDGMENT State of California County of San Diego On November 4, 2009 before me, Maria Hallmark, Notary Public, personally appeared Tara Bacon, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity 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. Signat MARIA HALLMARK I/ COMM. #1810525 .J NOTARY S NrD1EGO COUN ALIFOR� r `� '�/ My GN11Mslbh ExU�s L' mimminweAUGUST 22 20p12 (Seal) Tel (973) 624-7200 POWER OF ATTORNEY INTERNATIONAL FIDELITY INSURANCE COMPANY HOME OFFICE: ONE NEWARK CENTER, 20TH FLOOR NEWARK, NEW JERSEY 07102-52207 KNOW ALL MEN BY THESE PRESENTS: That INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing laws of the State of New Jersey, and having its principal office in the City of Newark, New Jersey,does hereby constitute and appoint JOHN C. STARICH, TARA BACON, DALE HARSHAW, BRAD ORR, GEOFFREY SHELTON San Diego, CA. its true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may allowed, required or permitted by law, stature, rule, regulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal office. This Power of Attorney is executed, and may be revoked, pursuant to and by authority of Article 3-Section 3, of the By -Laws adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting called and held on the 7th day of February, 1974. The President or any Vice President, Executive Vice President, Secretary or Assistant Secretary, shall have power and authority (1) To appoint Attorneys -in -fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings, contracts of indemnity and other writings, obligatory in the nature thereof and, (2) To remove, at any time, any such attorney -in -fact and revoke the authority given. Further, this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of said Company adopted at a meeting duly called and held on the 29th day of April, 1982 of which the following is a true excerpt: Now therefore the signatures of such officers and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, INTERNATIONAL FIDELITY INSURANCE COMPANY has caused this instrument to be signed and its corporate seal to be affixed by its authorized officer, this 16th day of October, A.D. 2007. INTERNATIONAL FIDELITY INSURANCE COMPANY STATE OF NEW JERSEY County of Essex On this 16th day of October 2007, before me came the individual who executed the preceding instrument, to me personally known, and, being by me duly sworn, said the he is the therein described and authorized officer of the INTERNATIONAL FIDELITY INSURANCE COMPANY; that the seal affixed to said instrument is the Corporate Seal of said Company; that the said Corporate Seal and his signature wereduly affixed by order of the Board of Directors of said Company, IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my 0 at the City of Newark,' New Jersey the day and year first above written. A NOTARY PUBLIC OF NEW JERSEY CERTIFICATION My Commission Expires Nov. 21, 2010 I, the undersigned officer of INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit, and the copy of the Section of the By -Laws of said Company as forth in said Power of Attorney, with the ORIGINALS ON IN THE HOME OFFICE OF SAID COMPANY, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect IN TESTIMONY WHEREOF, I have Title or Type of Document: CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of On November 5, 2009 before me, Lynda M. Brewer, Notary Public Dale Here menu Name and Title of Inc Officer personally appeared Christopher Armstrong Name(s) of Sinner ls; LYNDA M. BREWER Commission # 1848785 Notary Public - California I '9 San Diego County M Comm. Ex Tres May 23_2013 C Place Notary Seal Auuve who provea to me on the basis of satisfactory evidence to be the perso) whose name) is/are-subscribed to the within instrument and acknowledged to me that ne/94e/trtey executed the same in his/+ rfthreir-authorized capacityftes7, and that by hisflter/their signature,,(st on the instrument the person, or the entity 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. OPTIONAL Thouan the information below is not reouired by law. it main prove valuable to persons retying on the document and could prevent fraudulent removal and reattachment at this form is another document. Description of Attached Document Bond for Faithful Performance, City of National City Marina Lateway Streetarape — Sweetwater Authority Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner — J Limited ❑ General `I Attorney in Fact Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 1e '1.1.. lop of Ihuml, here Signer's Name: ❑ Indlvidua`: ❑ Corporate Officer — Title(s): ❑ Partner— ❑ Limited ❑ General Li Attorney in Fact ,_I-Irustee C'. Guardian or Conservator C Other: Signer Is Representing: • icu lop of 0-ILIUM 1¢mu 52OO7Nat a verw io Cv2071Vationl Notary Association • 9350 De Solu Ave., nU doh. 2402 • Chalsworl . CA 913132402 • v✓wvd.NalionalNolary.org Item 115907 aeortler. Geli Toll -Roc 1-BOU-076-6627 Revised Original Executed in Triplicate Bond No. 0505973 Premium included in Performance Bond LABORERS' AND MATERIALMEN'S PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS, THAT WHEREAS, the Sweetwater Authority of the County of San Diego, State of California, and Koch -Armstrong General Engineering, Inc. hereinafter designated the "Principal", have entered into an agreement whereby Principal agrees to install and complete certain designated water facilities, which said agreement dated September 30 , 20 09 , and identified as project: Marina Gateway Streetscape is hereby referred to and made a part hereof; and WHEREAS, said Principal is required to furnish a bond in connection with said agreement; providing that if said Principal or any of his/her or its Subcontractors shall fail to pay for any materials, provisions, provender, equipment, or other supplies used in, upon, for or about the performance of the work to be done, or for any work or labor done thereon of any kind, or for amounts due under the Unemployment Insurance Code or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of said Principal and his/her Subcontractors with respect to such work or labor the Surety on this bond will pay for the same to the extent hereinafter set forth. NOW THEREFORE, we the Principal and International Fidelity Insurance Company , as Surety, are held and firmly bound unto the Authority, hereinafter called the "District", in the penal sum of TWO HUNDRED SIXTY THREE THOUSAND FIVE HUNDRED AND NO/100DOLLARS ($263,500) payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if said Principal, his/her Subcontractors, his/her or its heirs, executors, administrators, successors, or assigns, shall fail to pay for any materials, provisions, provender, equipment, or other supplies used in, upon, for or about the performance of the work contracted to be done, or for any work or labor thereon of any kind, or for amounts due under the Unemployment Insurance Code or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of the Principal and his/her Subcontractors pursuant to Section 103020 of the Unemployment Insurance Code with respect to such labor, all as required by the provisions of Title XV, Chapter 7, Sections 3247-3252 inclusive, of the Civil Code of the State of California and acts amendatory thereof, and sections of other codes of the State of California referred to therein and acts amendatory thereof, so furnishing said materials, provisions, provender, equipment, or other supplies, appliances or power used in, upon, for or about the performance of the work contracted to be executed or performed, or any person, company or corporation renting or hiring implements or machinery or power for or contributing to said work to be done, or any person who performs work or labor upon the same, or any person who supplies both work and materials therefore, shall have complied with the provisions of said laws, then said Surety will pay the same in an amount not exceeding the sum hereinabove set forth and EXECUTED COPY LABORERS' AND MATERIALMEN'S PAYMENT BOND also will pay, in case suit is brought upon this bond, a reasonable attorney's fee, as shall be fixed by the court. This bond shall inure to the benefit of any and all persons named in Section 3181 of the Civil Code of the State of California so as to give a right of action to such persons or their assigns in any suit brought upon this bond. And the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration, or addition to the terms of the contract or to the work to be performed thereunder or the specifications accompanying the same shall in any wise 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 Contract or to the work or to the specifications. IN WITNESS WHEREOF, the above -bound parties have executed this instrument under their seals this 4th day of November 2009 , the name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representative, pursuant to the authority of its governing body. (ALL SIGNATURES MUST BE NOTARIZED) Koch -Armstrong General Engineering, Inc. Principal By: Vice President International Fidelity Insurance Company ara Bacon, Attorney -in -Fact Address: 13400 Sabre Springs Parkway, Suite 270 San Diego, CA 92128 I:\engr\Dev\Marina Gateway Streetscape\-WATERMAIN-DRAFT-AGMT-PKG\MG_PH2_Laborer_material_bond.doc ACKNOWLEDGMENT State of California County of San Diego On November 4, 2009 before me, Maria Hallmark, Notary Public, personally appeared Tara Bacon, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity 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. Signatu MARIA HALLMARK COMM. #�1810525 NOTARY P IC-CAUFORNIA My 00MmIssien AUGUST 22, 2012 (Seal) Tel'(973) 624-7200 POWER OF ATTORNEY' INTERNATIONAL FIDELITY INSURANCE COMPANY HOME OFFICE: ONE NEWARK CENTER, 20TH FLOOR NEWARK, NEW JERSEY 07102-5207 KNOW ALL MEN BY THESE PRESENTS: That INTERNATIONAL FIDELITY INSURANCE COMPANY, a corporation organize laws of the State of New Jersey, and havingits principal office in the City ofNewark, New Jersey, does hereby constitute and appoint and existing JOHN C. STARICH, TARA BACON, DALE HARSHAW, BRAD ORR, GEOFFREY SHELTON San Diego, CA. its true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, stature, rule, regulation, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply, to all intents and, purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal office. This Power of Attorney is executed, and may be revoked, pursuant to and by authority of Article 3-Section 3, of the By -Laws adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting called and held on the 7th day of February, 1974. The President or any Vice President, Executive Vice President, Secretary or Assistant Secretary, shall have power and authority (1) To appoint Attorneys -in -fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and, (2) To remove, at any time, any such attorney -in -fact and revoke the authority given. Further, this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of said Company adopted at a meeting duly called and held on the.29th day of April, 1982 of which the following is a true excerpt: Now therefore the signatures of such officers and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, INTERNATIONAL FIDELITY INSURANCE COMPANY has caused this instrument to be signed and its corporate seal to be affixed by its authorized officer, this 16th day of October, A.D. 2007. INTERNATIONAL FIDELITY INSURANCE COMPANY STATE OF NEW JERSEY County of Essex On this 16th day of October 2007, before me came the individual who executed the pprecedingg instrument, to me personally known, and, being by me duly sworn, said the he is the therein described and authorized officer of the INTERNATIONAL FIDELITY INSURANCE COMPANY; that the seal affixed to said instrument is the Corporate Seal of said Company; that the said Corporate Seal and his signature were duly affixed by order of the Board of Directors of said Company. 0 MAR IN TESTIMONY WHEREOF, 1 have hereunto set my hand affixed my Offtcial Seal, at the City of Newark, New Jersey the day and year first above written. A NOTARY PUBLIC OF NEW JERSEY CERTIFICATION My Commission Expires Nov. 21, 2010 I, the undersigned officer of INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit;' and the copy of the Section of the By -Laws of said Company as set forth in said Power of Attorney, with the ORIGINALS ON IN THE HOME OFFICE OF SAID COMPANY, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect IN TESTIMONY WHEREOF, I have hereunto set my hand this 4th day o November, 2009 046441 f)4 Assistant Secretary Title or Type of Document. Document Date: CALIFORNIA ALL-PURPOSE ACKN©WLEDGMEISIT State of California County of San Diego On November 5, 2009 Dale } before me, Lynda M. Brewer, Notary Public Here Insert Narnu end line of Ire Oliice personally appeared Christopher Armstrong Ntame(s) of Signorls) LYNDA M. BREWER Commission $ 1848755 z Notary Public - California z San Diego County Comm. Ex fires Ma 23, 2013 Place Notary Seal Above who proved to me on the basis of satisfactory evidence to be the person whose name 5) is/a-subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hisftter/their-authorized capacity(tes), and that by his/I-ref-Ai r signature,(' on the instrument the person), or the entity upon behalf of which the person) acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and corre OPTIO..�L had and official Slonalure. of 1:jCira.rublic Trough the information beiow is not required by lave, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Laborerer's and Materiairien's Payuent Bond — City of National City Marina Gateway Streetscape — Sweetwater Authority Number of Panes. Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Li Individual - Corporate Officer — Title(s): E Partner — J Limited IT General U Attorney in Fact ❑ Trustee O Guardian or Conservator O Other: Signer Is Representing: Signer's Name: ❑ Individual 5 Corporate Office — Title(s): O Partner —CI Limited ❑ General CI Attorney in Fact LI Trustee Guardian or Conservator ❑ Other: Sinner Is Representing: {rIGHTTHUMBPRINT: 9PSIGNER __ _ CXC2i`/J\/v`[%SC%31..C.w'c-fu ✓v�Uc'tivJVwuowww..-_ _,. .. _—_ _. V 2007 National Notary Association • 9350 De Solo Ave. P.O. box 2402 • Chalsworlh GA 91313 2402. www.NalionalNotery.org Ilan V590? Hoarder: Call Toll -Free 1800 876.6[327 Client#: 1263377 303KOCHARM ACORa CERTIFICATE OF LIABILITY INSURANCE DATE (MMDDIYYYY) 9/28/2009 PRODUCER- BB&T-John Burnham Ins Services 750 B Street Suite 2400 San Diego, CA 92101 619 231-1010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Koch Armstrong General Engineering Inc P. O. Box 1190 Lakeside, CA 92E140 INSURER A. Wausau Business Insurance Compa 26069 INSURER B: National Union Fire Ins Co of P INSURERC: Fireman's Fund Insurance Compan 19445 21873 INSURERD: Peerless Insurance Company 24198 INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF. SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSLTR LTR ADM NSRC - -TYPE OF INSURANCE POLICY NUMBER DATE tMM DDCY T) E POLICY IMMDD/YYIN LIMITS A GENERAL LIABIUTY `CR MMERCIAL GENERAL LIABILITY TBKZ91446265029 07/01/09 07/0/110 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occunencel S100,000 $5,000 i! Cf 1MrwMADE n OCCUR MED EXP (Any one person) X BI/PD Ded:10000 PERSONAL & ADV INJURY s1,000,000 GEN'L —1 GENERAL AGGREGATE s2,000,000 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG - $2,000,000 CT ' I LOC POLICY jEj I ( D AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS S BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESSIUMBRELLA X I LIABILITY 6E042884611 07/01/09 07/01/10 EACH OCCURRENCE $1,000,000 OCCUR CLAIMS MADE AGGREGATE $1,000,000 $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? II yes, descdbe under SPECIAL PROVISIONS below WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L: DISEASE • EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ C OTHER Equipment Inland Marine MZI98309324 07/01/09 07/01/10 $1,080,360 Scheduled DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL. PROVISIONS Certificate is subject to policy limits, conditions and exclusions. RE: Marina Gateway-Streetscape FY 09-10, SPEC no. 08-16. Sweetwater Authority, the Board and each member of the Board, its officers, employees, agents, and volunteers are Named as Additional Insured (GL,AL) per the captioned operations of the Named Insured. Coverage is Primary and Noncontributory. CERTIFICATE HOLDER 4140 505 Garrett Avenue Post Office Box 2328 Chula Vista, CA 91912 CANCELLATION 10 Days for Non -Payment SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION DR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTIJOJ IZED REPRESENTATIVE ACORD 25 (2001/08)1 of 2 #S4112340/m3MECUTED COPY CMCRO 9 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(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 (20011013) 2 of 2 #S4112340/M3929871 POLICY NUMBER: TBKZ91446265029 Koch Armstrong General Engineering, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 Name Of Additional insured Person(s) Or OrganizatIon(s): All persons or organizations with whom you have a written agreement to include them as additional insureds, which is signed in advance of the °occurrence" or offense for which the additional insured seeks coverage. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury' or "property damage" caused, in whole or in part, by "your work' at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". POLICY NUMBER: TBKz91446265029 Koch Armstrong General Engineering, Inc. COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insuranr a provided under the following: COh'I MERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional insured Person(s) Or Organtzation(s): All persons or organizations with whom you have a written agreement tD include them as additional insureds, which is signed in advance of the "occurrence" or offense for vrhich the additional insured seeks coverage. A Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply. This insurance does not apply to "bodily injury" or "property damage" occurring after. 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2.. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor enaaged in performing operfons for a principal as a part of the same project Policy Number.BA646BB39 b Insured:Koch Armstrong General Engineering, Inc. COMMERCIAL AUTO GOLD ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ fr CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SECTION l LIABILITY COVERAGE A. COVERAGE 1. WHO IS AN INSURED The following is added: d. Any car za5on, other than a partnership or joint venture, over which you maintain ownership or a majonly interest on the effective date of this Coverage Form, if there is no similar insurance available to that organtafon. e. Any organization you newly acquire or form other than a partnership or joint venture, and over which you maintain ownership of a majority interest However, coverage under this provision does not apply. (1) If there is similar insurance or a seif-insured relation plan available to that organization; or (2) To `bodily injury` or `property damage" that occurred before you acquired or formed the oraanizatiorl. f. Any volunteer or employee of yours while using a covered "auto" you do not own, hire or borrow in your business or your personal affairs. Insurance provided by this endorsement is excess over any other insurance available to any volunteer or employee. g. Any person, organ ation, trustee, estate or governmental entity with respect to the operation, maintenance or use of a covered "auto" by an insured, it (1) You are obligated to add that person, organtation, trustee, estate or governmental entity as an additional insured to this policy by. (a) an expressed provision of an insured contact", or written agreement or (b) an exprmsed condition of a written permit issued to you by a governmental or public authority. (2) The "bodily injury" or"property damage" is caused by an "accident" which takes place after. (a) You executed the insured contact" or written agreement or (b) he permit has been issued to you. MCA 701(01/07) Includes mpyrghtd material oflmemsma Sir' Office, loc. with Its permission Page 1 of 4 2. COVERAGE E)'TEf1S)ONS a. Supplementary Payments. Subparagraphs (2) and (4) are amended as follows: (2) Up to $25DD for cost of bail bonds (including bonds for related traffic law violations) required because of an' accident' we over. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earning up to $500 a day because of lime off from work. SECTION III -PHYSICAL DAMAGE COVERAGE A. COVERAGE The following is added: or 5, Hired Auto Physical Damage a. Any "auto" you lease, hire, rent or borrow from someone other than your employees or partners members of their household is a covered "auto" for each of your physical damage coverages. b. The most we will pay for "loss" in any one "accident" is the smallest of (1) $5D,D00 (2) The actual cash value of the damaged or stolen property as of the time of the "loss"; or (3) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. If you are liable for the "accident", we will also pay up to $5DD per "accident" for the actual loss of use to the owner of the covered "auto". c. Our obligation to pay for, repair, retum or replace damaged or stolen property will be reduced by an amount that is equal to the amount of the largest deductible shown for any owned "auto" for that coverage. However, any Comprehensive Coverage deductible shown In the Declarations does not apply to "loss" caused by fire or lightning. d. For this ooverage, the insurance provided Is primary for any covered "auto" you hire without a driver and excess over any other collectible insurance for any covered "auto" that you hire with a driver. 5. Rental Reimbursement Coverage We will pay up to $75 per day for up to 3D days, for rental reimbursement expenses inn erred by you for the rental of an "auto" because of loss" to a covered "auto". Rental Reimbursement will be based on the rental of a comparable vehicle, which in many cases may be substantially less than $75 per day, and will only be allowed for a period of time it should take to repair or replace the vehicle with reasonable speed and similar quality, up to a maximum of 3D days. We will also pay up to $5DD for reasonable and nPc ssary expenses incurred by you to remove and replace your materials and equipment from the covered "auto". GECA 701 (01/07) Includes copyrighted melrrial of Insurance Semites Office, lot with Its permission PYge 2 of 4 If "loss" results from the total theft of a COVefed "auto" of the private passenger type_, we wU pay under this coverage only that amount of your rental reimbursement expenses which is not already provided under paragraph 4. Coverage Extension. 7. Lease Gap Coverage If a long-term leased "auto" is a covered 'auto' and the lessor is named as an Additional Insured - Lessor, In the event of a total loss, we will pay your additional legal obligation to the 1FDr for any difference between the actual cash value of the "auto" at the time of the loss and the "outstanding balance" of the lease. "Outstanding balance" means the amount you owe on the lease at the time of toss Tess any amounts representing taxes; overdue paymers; penalties, interest or charges resulting from overdue payments; additional mileage charges; excess wear and tear charges; and lease termination fees, B. EXCLUSIONS The following Is added to Paragraph 3 The exclusion for "loss" caused by or resulting from mechanical or electrical breakdown does not apply to the accidental discharge of an airbag. Paragraph 4 is replaced with the following: 4. We will not pay for "loss" to any of the following: a. Tapes, records, disks or other similar audio, visual or data electronic devices designed for use with audio, visual or data electronic equipment b. Equipment designed or used for the detection or location of radar. c. Any electronic equipment that receives or transmits audio, visual or data signals. Exclusion 4.c does not apply to: (1) Electronic equipment that receives or transmits audio, visual or data signals, whether or not designed solely for the reproduction of sound, if the equipment is permanently installed in the covered 'auto" at the time of the "loss" and such equipment is designed to be solely operated by use of the power from the "'auto's" electrical system, in N. upon the covered "auto"; or (2) Any other electronic equipmentthat is: (a) Necessary for the normal operation of the covered 'auto" or the monitoring of the covered "auto's'operating system; or (b) An integral part of the same unit housing any sound reproducing equipment described in (1) above and permanently installed in the opening of the dash or console of the covered "auto" normally used by the manufacturer for installation of a radio. D. DEDUCTIBLE The following is added: No deductible appfles to glass damage ff the glass is repaired rather than replaced. GEC4. 707 (03107) Includes copyrighted material of Irsaraoce Strokes Ofeees, Inmate Ifs permkaeoa Page 3 of 4 SECTION IV. BUSINESS AUTO CONDITIONS A. LOSS CONDITIONS Item 2.a and b. are replaced with: 2. Duties in The Event of Accident, Claim, Suit, or Loss a.. You must promptly notify us. Your duty to promptly notify us is effective when any of your executive officers, partners, members, or legal representatives is aware of the accident claim, "suit", or loss. Knowledge of an accident, claim, "suit", or loss, by other employee(s) does not imply you also have such knowledge. b. To the extent possible, notice to us should include: (1) How, when and where the accident or loss took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the accident or loss. The following is added to 5. We waive any right of recovery we may have against any additional insured under Coverage A. 1. Who Is An Insured g., but only as respects loss arising out of the operation, maintenance or use of a covered "auto' pursuant to the provisions of the insured contract', written agreement, or permit B. GENERAL CONDf1TDNS 9. is added 9. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Your unintentional failure to disclose any hazards existing at the effective date of your policy will not prejudice the coverage afforded. However, we have_ the rightto collect additional premium for any such hazard. COMMON POLICY CONDITIONS 2.b. is replaced by the following: b. 60 days before the effective date of cancellation If we cancel for any other reason. MCA 701 (01/07) Includes topprigdted material of loseraoce Services Offices, ln. with Its permission Page 4 of 4 Poricyminb_ TBKZ91446265029 Issued by T'HLS EN1>DRSEh4ENT CHANCES THE PDLICi'. PLEASE READ iT CAREF'ULLI'. Additional Insured Endorsement — Primary And Noncontributory This endorsmn mi mmiifies intTanct prnhded under the fallowing COMMERCIAL GENERAL LIABJLiTY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILMY CDVERAGE PART WHO IS AN 1NFURED (Section ll J is amended to include as an insured the person or organization shown in the Schedule but only sdrth respect to tiahirhy arinine out of 'your Ht rk" for that insured by nr for you. Thu insurance is primary insurance with) ni, t to the interests of the additional insured sthrnon in the Schedule and any other insurance maintained by the additional insured is excess and not contributory udth this insurance. The envcrage afforded by this endorsement does rent apply in "hndi)y injure" or "pmm party daa;e" included in the "prnducts/compined opta4ans hazard; unless such coverage is required 1r- an "insured contract" between you and the additional insured drown in the Schedule. St teduie 1,!amc of Pcison or Dr ani2=1Gon All persons Dr organizations with whom you have a written agreement to include them as additional insureds, which is signed in advance of the °occurrence" or offense for which the additional insured seeks coverage. BUM os-(r Paec 1 of 1 Best's Rating Center - Company Information for Wausau Business Insurance Company Page 1 of 1 Best's Rating Center United States Asia Pacific Canada Europe Wausau Business Insurance Company (a member of liberty Mutual Insurance_ctumpames) : This rating is A.M. Best e: 02550 NAIL IC 26069 FEIN 8: 363522250 assigned to '.BEST companies that have 2 A,- - <. Phone. 715-845-5211 in our opinion, an Fax: 715-847-8931 excellent ability, to meet their ongoing Web: www.wausau,mm i obligations to policyholders. Prinl this page Address: P.O. Box 8017 Wausau, WI 54402-8017 UNITED-SSATES Best's Ratings Financial Strength Ratings View Definitions Rating: A (Excellent) Affiliation Code: p (Pooled) Financial Size Category: XV ($2 Billion or greater) Outlook: Negative Action: Affirmed Effective Date: April 09, 2009 • Denotes Under Review Ratings. Soo rating definitions. Issuer Credit Ratings View Definitions Long -Term: a Outlook: Negative Action. Affirmed Date: April 09, 2009 Reports and News Visit our NewsRooM for the latest ngws and plass releases for this company and its A.M. Best Group. AMB Credit Report - Insurance Professional - includes Best's Financial Strength Rating and -:1 rationale along with comprehensive analytical commentary, detailed business overview and key financial data. Report Revision Date, 06/012009 (represents the lalesl significant charge). Historical Reports are available In AMB Credit Report - Insurance Professional Archive Best's Executive Summary Reports (Financial Overview) - available in three versions, these presentation style reports feature balance sheet, income statement, key financial performance tests including profitability, liquidity and reserve analysis. Data Status: 2009 Best's Statement File - P/C, US. Contains data compiled as of 11/7/2009 (Quality Cross Checked). • Single Compare - five years of financial data specifically on this company. • Comparison - side -by -side financial analysis of this company with a peer group of up to five other companies you select. • CerBRefite - evaluate this company's financials against a peer group composite. Report displays both the average and total composite of your selected peer group. AMB Credit Report - Business Professional - provides three years of key financial data presented 10•1 with colorful charts and tables. Each report also features the latest Best's Ratings, Rating Rationale and an excerpt from our Business Review commentary. Data Status: Contains data compiled es of 11/7/2009 (Quality Cross Checked). SBest's Key Han -guide Presentation Report - includes Best's Financial Strength Rating and )financial data as provided in Best's Key Rating Guide products. Data Status: 2008 Financial Data (Quality Crass Checkedj. About Contact Sitemap Raring Center Home Financial and Analytical Products Best's Properly/Casually Center - Premium Data & Reports §0 9 Key Ratir3g Guide - P/C U$ & Canada Best's Statement File -PJQ US Best's Statement File - Global Best's Insurance Reports - P/C US & Canada Best's State Line-_P(G, US Besl'g Insurance ExwMg_EXhiitii.1EE),- P/C US Roll's Schedule F (Reinsurance). P/C. U5 BWSt's_) Qrporate Changes and Retirements - P/C, 115/CN Best's Schedule PjLoss Reserved- PIC, US Best's Schedule D - Hybrid - P/C & L/H US Best's Schedule D (Corporate Bonds) - US Dest's Insurance Reports - Online - P/C. US$ Canada Important Notice: Best's Ratings retied our independent epinion, based on a comprehensive quantitative and qualitative evaluation eta company's balance sheet strength, operating performance and business profile. These ratings are neither a warmly of a company's financial strength nor its ability to meet its financial obligations. Including those to policyholders. View our entire notice for complete details_ Customer Service I Product Support I hlembel Center 1 Contact Info I Careers About A.M. Best I Site Map I Privacy Pdiey Security 1 Terms of Use !Legal & Licensing Copyright C 2009 A.M. Best Company, Inc. At rights reserved. A.M. Best Worldwide Headquarters. Ambest Road, Oldwick, New Jersey. 08856, USA. http://www3.ambest.com/ratings/fullprofile.asp?ambnum=2550&URATINGID=1866771 &NP= 1 11 /12/2009 Best's,Rating Center - Company Information for National Union Fire Insurance Co of LA Page 1 of 1 United States ! Asia Pacific i Caned Europe Best's Rating Center National Union Fire Insurance Co of LA ..-.._....._...... (a member of Ameica� lnlemational Group) A.M. Best #: 10725 NAIC #: 32298 FEIN #: 222940485 Address'.4150 South Sherwood Forest Blvd Baton Rouge, LA 70816 UNITED STATES Best's Ratings Phone: 212-770-7000 Web: www_aio.cnm Financial Strength Ratings View Definitions Rating: A (Excellent) Affiliation Code: g (Group) Financial Size Category: XV ($2 Billion or greater) Outlook: Negative Action: Affirmed Effective Date: November 10, 2008 ` Denotes Under Review Ratings. See rating definitions. tel Print this Pace ' This rating is 'Mammal assigned to companies that have, '. in our opinion, an excellent ability to meet their ongoing obligations to policyholders Issuer Credit Ratings View Definitions Long -Term: a Outlook: Negative Action: Affirmed Dote: November 10, 2008 Reports and News Visit our News Room for the latest news ondpress releases for this company and its A.M. Best Group. AMB Cre51i2Report - Insurance_PP107EE8i0nal - includes Best's Financial Strength Rating and rationale along with comprehensive analytical commentary, detailed business overview and key financial data. Report Revision Date: 07/20/2009 (represents the latest significant change). Historical Reports are available in AMB Credit Report - Insurance Profession Archive. Best's Executive Summary Reports (Financial Overview) - available in three versions, these presentation style reports feature balance sheet, income statement, key financial performance tests including profitability, liquidity and reserve analysis. Data Status: 2009 Best's Statement File - P/C, US. Contains data compiled as of 11/7/2009 (quality Cross Checked). • Single Company - five years of financial data specifically on this company. • Comparison - side -by -side financial analysis of this company with a peer group of up to five other companies you select. • Composite - evaluate this company's financials against a peer group composite. Report displays both the average and total composite of your selected peer group- °'., AMB Credit Report - Business Professional - provides three years of key financial data presented In. `. with colorful charts and tables. Each report also features the latest Best's Ratings, Rating Rationale and an excerpt from our Business Review commentary. Data Status: Contains data compiled es of 11/7/2009 (Quality Cross Checked). lid Best's Key Rating Guide Presentation RepOrt - includes Best's Financial Strength Rating and q financial data as provided in Best's Key Rating Guide products. Data Status: 2008 Financial Data (Quality cross Checked). About Contact Sitemap Rating Censer Home Financial and Analytical Products Best's Property/Casualty Center - Premium Reports Best's Key Rating Guide • P(C US & Canada Best's Statement File - P/C US Best's Statement File - Global Best:L sd@Oce Reports - P/C US & Canada Best's State Line - PLC US Best's insuraneg,..Expense Exhibit OBE) - P/C US Best's Schedule F (Reinsurance) - P/C, US Best's Schedule D LMunicipal Bonds) - US Best's Sob/duke P (Loss Reserves) - PLG US Best's Schedule D (Corporate Bonds) - US Bests. Insurap-ge Reports_-Qntino,:P/c, US$ canasta Important Notice: Best's Ratings reflect our independent opinion, based on a comprehensive quantitative and qualitative evaluation of a company's balance sheet strength, operating performance and business profile. These ratings are neither a warranty of a company's financial strength nor its abilay to meet its financial obligations, including those to policyholders. View our entire notice for complete details. customer Service I Product Support 1 Member Center 1 Contact Info I Careers About A.M. Best I Site Map I Privacy Policy I Security Terms of Use 1 Legal S. Licensing Copyright @ 2009 A.M. Best Company, Inc. All tights reserved. A.M. Best Worldwide Headquarters, Ambest Road, 0Mwkk, New Jersey, 08858, U.S.A. http://www3.ambest.com/ratings/FullProfile. asp?B1=0&AMBNum=10725&AltSrc=1 &AltNum=... 11/12/2009 Best's Rating Center - Company Information for Firemans Fund Insurance Companies Page 1 of 1 Best's Rating Center United States Asia Pacific Canada : Europe Firemans Fund Insurance Companies Print this page (a member of Allianz of America) This rating is = A.M. Best #: 00034 assigned tocompanies that have, in our opinion, an excellent ability to meet their ongoing obligations to policyholders. Address:777 San Marin Drive Novato, CA 94998 UNITED STATES Rest's Ratings Phone: 415-899-2000 Fax: 415-899-3E00 Web: www_firemansfundcom' Financial Strength Ratings View Definitions Rating: A (Excellent) Financial Size Category: XV ($2 Billion or greater) Outlook. Stable Action: Affirmed Effective Date: December 18, 2008 Denotes Under Review Ratings- See rating definitions. Issuer Credit Ratings View Definitions Long-Term:a Outlook: Stable Action: Affirmed Date: December 18, 2008 Reports and News Visit our NewsRoom for the latest news and press releases for this company and its A.M. Best Group. Ary18_redit Report -Insurance Drofessional - includes Bests Financial Strength Rating and 1:.1 rationale along with comprehensive analytical rxtmmentary, detailed business overview and key financial data, Report Revision Date: 01/16/2009 (represents the latest significant change). Historical Reports are available in AMB Credit Report - Insurance Professional Archive_ Best's Executive Summary Reports (Financial Overview) - available in three versions. these presentation style reports feature balance sheet, income statement, key financial performance tests including profitability, liquidity and reserve analysis. Data Status: 2009 Best's Statement File - P/C, US. Contains data compiled as of 11/7/2009 (Duality Cross Checked). • Simile Company - five years of financial data specifically on this company. • Comparison - side -by -side financial analysis of this company with a peer group of up to five other companies you select, • CQmposite - evaluate this company's financials against a peer group composite. Report displays both the average and total composite of your selected peer group. AMB Credit Report • Business Professional - provides three years of key financial data presented with colorful charts and tables. Each report also features the latest Best's Ratings, Rating Rationale and an excerpt from our Business Review commentary. Data Status: Contains data compiled as of 11/7/2009 (Quality Cross Checked). Best's Key RatingGyide Presentation Repoi - includes Best's Financial Strength Rating and financial data as provided in Best's Key Rating Guide products. Data Status: 200E Financial Data (Quality crass checked 1. About Contact Sitemap Rating Center Horne Financial and Analytical Products Best's PropertyJCasualty Center - Premium Data & Reports Bests Key Ratino Guide - P/C. US & Canada Bests Statement File - P/C, US Best's Statement File - Global Best's Insurance Reports - P/C US & Canada Best's State Line - P/C, US Best's Insurance Expense Exhibit (LEE) • P/C US Best's Schedule P (Loss Reserves) - P/C. US Best's Insurance Reports - Online - P!C US & Canada Important Notice: Best's Ratings reflect our independent opinion, based on a comprehensive quantitative and qualitative evaluation of a company's balance sheet strength, operating performance and business profile. These ratings are neither a warranty of a company's financial strength nor its ability to meet its financial obligations, including those to policyholders. View our entire notice for complete details. Customer Service I Product Support I Member Center I Content Info 1 Careers About A.M. Best I Site Map I Privacy Policy I Security I Terms of Use 1 Legal Si Licensing Copyright Ci 2009 A.M. Best Company, Inc. All rights reserved. A.M. Best Worldwide Headquarters, Ambest Road, Oldwick, New Jersey, 08858, U.S.A. http://www3.ambest.com/ratings/FullProfile.asp?B1=0&AMBNum=34&AltSrc=1 &AltNum=&U... 11 /12/2009 Best's Rating Center - Company Information for Peerless Insurance Company Page 1 of 2 Best's Rating Center United States Asia Pacific Canada ' Europe Peerless Insurance Company (e member of Liberty MuteaLlosetance Companies) A.M. Best #: 02394 NAIC #: 24198 FEIN #: 020177030 Address:62 Maple Avenue Keene. NH 03431 UNITED_STATES Best's Ratings tg3 Print this eaue This rating is l•�rcY assigned to If companies that have. Plant 603-352-3221 in our opinion, an Fax: 603-357-4889 excellent ability to meet their ongoing obligations to policyholders. Financial Strength Ratings Vigw 4efinition_s Rating: A (Excellent) Affiliation Code: p (Pooled) Financial Size Category: XV ($2 Billion or greater) Outlook: Negative Action: Affirmed Effective Date: April 09, 2009 * Denotes Under Review Ratings. See rating definitions. Issuer Credit Ratings Long-Term:a Outlook: Negative Action: Affirmed Date: April 09, 2009 View_Definitions Reports and News Visit our NewsRoom for the latest news and press releases for this company and its A.M. Best Group. AMB Credit_ Repert._Insurence Professional - includes Best's Financial Strength Rating and rationale along with comprehensive analytical commentary, detailed business overview and key financial data. Report Revision Date: 06/01/2009 (represents the latest significant change). Historical Reports are available in AMB Credit Report - Insurance Professional Archive. Best's Executive Summary Reports (Financial Overview) -available in three versions, these presentation style reports feature balance street, income statement, key financial performance tests including profitability, liquidity and reserve analysis. Data Status: 2009 Bests Staterent File - P/C, US. Contains data compiled as of 11(7/2009 (Quality Cross Checked). • Single Company - five years of financial data specifically on this company. • Comparison - side -by -side financial analysis of this company with a peer group of up to five other companies you select. • Composite - evaluate this company's financials against a peer group composite. Report displays both the average and total composite of your selected peer group. AMB C.>•_etttReport • Business -Professional - provides three years of key financial data presented with colorful charts and tables- Each report also features the latest Best's Ratings, Rating Rationale and an excerpt from our Business Review commentary. Data Status: Contains data compiled as of 11/7/2009 (Quality Cress Checked). Best's Kee Rating Guide Presentatign Report- includes Best's Financial Strength Rating and financial data as provided in Best's Key Rating Guide products. Data Status: 2008 Financial Data (Quality cross checked). Financial and Analytical Products Best's Property/Casualtx Cantet_ Premium Data & Reports Best's Key RatingGuide - P/C, US $Canada Bests Statement File - P/C, US Best's Statement File - GIQ_bel Bests_Insurance Reports - PLC US & Canada Bests State Line =P/G tjS Best's Insurance Expense Exhibit (fEE)- P/G_US Best's Schedule F_(Reinsur_ance.)_rfC,US Best's Schedule DjMunicipal Bonds).- US Best's ScheduleD(common Stocksj_US Best's Schedule D (Preferred Stocks) _ US Best's Cory-orale_Gbanges and Retirements - P/C US/CN Be is Schedule P (Loss Reserves),- P/C. US Best's Schedule D - Hybrid -P/C & LR. US Belts Schedule_ D jC-atporate Bonds) -US Bests Insurance Reports -Online P/C, US & Canada About Contact Sitemap Rating Center Horne http://www3.ambest.comlratings/FullProile.asp?B1=0&AMBNum=2394&A1tSrc=1 &A1tNum=&... 11/12/2009 Client#: 1263377 303KOCHARM A MORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 9/28/2009 PRODUCER BB&T-John Burnham Ins Services 750 B Street Suite 2400 San Diego, CA 92101 619 231-1010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Koch Armstrong General Engineering Inc P. O. Box 1190 Lakeside, CA 92040 INSURER A: SeaBrlght Insurance Company 15563 INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L NSRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDDIYY) POLICY EXPIRATION DATE (MMIDDIYYI LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES lEa occurrence' $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL S. ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n jER8-1- n LOC PRODUCTS- COMP/OP AGG $ n AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) _ $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY; AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ nOCCUR ri CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? PROVISIONS below SPECIALII PdePribeRO ISIO BB1092297 04/01/09 04101/10 X WCSTATU- OTH- ER ER E.L EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT ! SPECIAL PROVISIONS Certificate Is subject to policy limits, conditions and exclusions. RE: Marina Gateway Streetscape FY 09-10, SPEC no. 08-16. Waiver of Subrogation applies (WC). CERTIFICATE HOLDER ���ir�hyrity 505 Garrett Avenue Post Office Box 2328 Chula Vista, CA 91912 CANCELLATION 10 Days for Non -Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL en DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AU O IZD REPRESENTATIVE ACORD 25 (2001/08)1 of 2 #54112346/M3365456 EXECUTED COPY CMCRO © ACORD CORPORATION 1988 IMPORTANT if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(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 (2001/D8) 2 of 2 #541123461M3365456 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC04030-8 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from US.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be * % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description WHERE YOU ARE REQUIRED BY WRITTEN CONTRACT TO OBTAIN THIS AGREEMENT FROM US, PROVIDED THE CONTRACT IS SIGNED AND DATED PRIOR TO THE DATE OF LOSS TO WHICH THIS WAIVER APPLIES. IN NC) INSTANCE SHALL THE PROVISIONS AFFORDED BY THIS ENDORSEMENT BENEFIT ANY COMPANY OPERATING AIRCRAFT FOR HIRE. *The premium charge for this endorsement shall be 2% of the premium developed in the State of California, but not less than $500 policy minimum premium. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 04/01/09 Policy No. BB1092297 Insured Koch Armstrong General Engineering Inc Insurance Company SeaBright Insurance Company Endorsement No. Policy Effective Date 04/01/09 Countersigned By 1 WC 04 03 06 (Ed. 4-84) ®7998 by the Workers' Compensation Insurance Rating Bureau of California All rights resented. Best's Rating Center - Company Information for SeaBright Insurance Company Page 1 of 2 Best's Rating Center United States ` Asia Pacific Canada Europe SeaBright Insurance Company A.M. Best #: 11755 NAIC #: 15563 FEIN #: 431436329 Stock Ticker New York Stock Exchange NYSE SEX Address: P.O. Box 91100 Phone: 206-269-8500 Seattle, WA 98111 Fax. 206-269-8904 UMTEBSTATES Web: www.sbic.com Bests Ratings Financial Strength Ratings View Definitions Rating: A- (Excellent) Financial Size Category: IX ($250 Million to $50o Million) Outlook: Stable Acton: Affirmed Effective Date: January 22, 2009 • Denotes Under Review Ratings. See rating definitions. L Bent this oaae This rating is assigned to companies that have, in our opinion, en excellent ability to meet their ongoing obligations to policyholders. Issuer Credit Ratings Definitions Long -Term: a - Outlook: Stable Action: Affirmed Date: January 22, 2009 View Reports and News Visit our NewsRoom for the latest news and press releases for this company and its AM. Best Group. ..{.....,, AMB t R Credieport -Insurance Professional - includes Best's Financial Strength Rating and �_ f rationale along with comprehensive analytical commentary. detailed business overview and key financial data. Report Revision Date: 06l16/2009 (represents the latest significant change). Historical Reports are available in AMB Credit Report - Insurance Professional Archive. Best's Executive Summary Reports (Financial Overview) - available in three versions, these presentation style reports feature balance sheet, income statement, key financial performance tests including profitability, liquidity and reserve analysis. Data Status: 2009 Best's Statement File - PIC, US. Contains data compiled as of 11/7/2009 (Quality Cross Checked). • Single Company - five years of financial data specifically on this company. • Comparison - side -by -side financial analysis of this company with a peer group of up to five other companies you select. • Fornposite - evaluate this company's financials against a peer group composite. Report displays both the average and total composite of your selected peer group. AMB Credit Report _ Business Professional - provides three years of key financial data presented with colorful charts and tables. Each report also features the latest Best's Ratings, Rating Rationale and an excerpt from cur Business Review commentary. Data Status: Contains data compiled as of 11/7/2009 (Quality Cross Checked). lig Best's Key_Ratiog Guide PresentattonEeport -includes Best's Financial Strength Rating and refinancial data as provided in Bests Key Rating Guide products. Data Status: 2008 Financial Data (Quality Cross Checked). Financial and Analytical Products Bests PropertyfCasualty Center - Premium Data 8 Reports Best's Key Rating Geide_-PLC US& Canada Bests Statement File- PiC US Best's Statement Fite- Global Bests Insurance Reports - PLC., US & Canada Bests State Line - P/C. US Best's Insurance Expense Exhibit f!BE) - P/C, US Best's ghedule F (Reinsurance-PIC, US Best's Schedule D (Municipal Bonds) - US Best's Schedule D !.Common Stocks). -.US Best's Schedule D (Preferred Stocks) - US Best's Corporate Changes and Retirements - P/C. US/CN Best's Schedule P---(Loss Reserves)_ P/CUS Best's Schedule D (Corporate Bonds) - US Bests Insurance Reports - Online - PIC, US &Canada About Contact Sitemap Rating Censer Horne important Notice. Best's Ratings reflect our independent opinion. based on a comprehensive quantitative and qualitative evaluation of a company's balance sheet strength. operating performance and business http://www3.ambest.com/ratings/FullProfile.asp?B1=0&AMBNum=11755&A1tSrc=1 &AltNum=... 11/12/2009 WORK ORDER NUM1340" I 11;6 VENDOR NUMBER �ff Sweetwater Authority ! PRESSURE ZONE 1- (LV C (� ( V) ! L PRESSURE ) - 160 PSI BLOCK MAP NUMBER I hereby request the Sweetwater Authority to install a I To serve (A.P.N.): '5 / // < D 04 Located on we Between 3 co; and Da a Service A plication Service address: 360 C%1fr ylo Bill to (name): C(2 KIA-noJAL C,iY, ArTri.0 en + 3 Mailing address: 2100 vc2v ?- - Jk- 1.Lvr 1 C4 �IGS� SERVICE NUMBER"/6G1 ACCT NUMBER MAIN SIZE THIS SERVICE IS TO REPLACE SERVICE NUMBER /6 41/75 " service with a 5�f " meter: side of C l?Ia Kiel fi j'1'1R rim, w L9u RESIDENTIAL COMMERCIAL X NO. OF UNITS OWNER Purpose APARTMENT GOVERNMENT INDUSTRIAL AGRICULTURE (If 2 or more units: Attached or Unattached) Applicant AGENT TENANT SWA DOMESTIC ❑ LANDSCAPE ❑ PRIVATE FIRE PROTECTION 0 INTERNAL FIRE PROTECTION ❑ OTHER (AGRICULTURAL. INDUSTRIAL, Type of Use ,� 1 (LFro�rn N /4, 445 EDU's SERVICE WILL BE INSTALLED WEEKS AFTER PAYMENT OF FEES. Fee Summary METER FEE $ g� LAT. EST. DEPOSIT $ ( 't ft • CAPACITY FEE $ R/�j /✓Jq� C.W.A. FEE $ PERMIT FEE $ TOTAL $ Cross Connection Control BACKFLOW PREVENTION REQUIRED: YES X NO (PRELIMINARY ONLY) ❑ EXISTING SERVICE(S) TO REMAIN ACTIVE: SERVICE # (S) TYPE OF USE: BACKFLOW PREVENTION REQUIREMENT CONFIRMATION: YES NO BY DATE (WATER QUALITY EMPLOYEE) ❑ AIR GAP 0 REDUCED PRESSURE PRINCIPAL DEVICE ❑ RPDA ❑ PVB - AVB 0 DOUBLE CHECK VALVE ASSEMBLY 0 DCDC LOCATION OF BACKFLOW DEVICE INSPECTED BY DATE SERVICE NOT TO BE TURNED ON UNTIL BACKFLOW PREVENTION DEVICE IS INSTALLED THE UNDERSIGNED HEREBY: 1. Requests water service and agrees to pay therefore in accordance with the rates, rules, and regulations of Sweetwater Authority, as said rates, rules, and regulations may be in effect from time to time. 2. Acknowledges and understands that the Authority's water system supplies customers at widely varying elevations, and therefore, the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures and agrees that there may be occasions when pressure at the service connection may be less than 25 pounds per square inch gauge (PSIG) or more than 150 PSIG. 3. Acknowledges and understands that the location for new service must be marked at the site by consumer and the Authority's operations center must be notified at (619) 409-6851 prior to installation. 4. Installation will begin only after location is painted with a white "W" on curb or in paved street (Initials). If no curb or paving exist, applicant or agent must call and make arrangements to meet with Sweetwater Authority on job site, and consumer mark location with both present. 5. Acknowledges fire service monthly rate: $ 6. Meter will be set at time of water service installation and a bimonthly service charge of ($ ) will apply. Billing will begin the day the meter is set. If you agree to have the meter set check yes, if you prefer to have the meter set at a la , date ck no. YES NO)`. If you check no, you will need to call the Customer Service at : % 42 3 when you are ready to have the meter set. DATED 444__IC NATURE CONTRACTORnC9�Y i APPLI T'S PRINTED AM TELEPHONE NO.( CO -5(e l - aoo OFFICE USE .ONLY.))�� y� PREPARED BY / tp 7o/- -"'I id DATE / 2//S/0 rg� CHECK NUMBER 2)'01//I �p RECEIPT NUMBER �� y REVENUE CODE �3 CITY CODE CALC CODE ZIP CODE + 4 COMMENTS LOCATION & LABOR REPORT (must be completed): SERVICE NUMBER yf 6Ak The Corp. stop is feet of of The Gate Valve is feet of of The Service Stop is feet of of Compound/Fire Meter # Mfr Size Read Meter On ❑ Off 0 If this is a Fire Service: The Service is On ❑ Off ❑ Backflow Prevention Device in place: YES 0 NOD Meter Off & Locked: YES 0 NO 0 Employee Name Date NAME LABOR REPORT HOURS ❑ Service installed by contractor N/A Inspector/Foreman Date Installed DATE INITIALS Assigned account number Posted to new service book Created AMFM Created AMM Posted to NEW SERV Original paper rec'd back from WQ for Final Backflow CAN/ABFM Approved by Posted to block map Service Report: MATERIALS USED Qty Sipe Bronze Saddle, Service Bronze Bushing Bronze Corporation Stop Bronze Street ELL Bronze Union Pipe, Lateral Pipe, Rise Copper Coupling Copper 90 Deg. ELL Bronze Angle Meter Stop Bronze Meter Adapter Bronze Ball Valve Cement Meter Box Bronze Nipple Decomposed Granite Base Material Temporary Asphalt EQUIPMENT TYPE CREW TRUCK DUMP TRUCK UNI-LOADER BACKHOE COMPRESSOR POWER MOLE TAMPER 1 TON UTILITY TRUCK UNIT # HOURS CONCRETE PATCH ASPHALT PATCH COMMENTS D:1My Documents\Work\word\Service papers\New Service App Seat 2006.doc VENDOR NUMBS.., W.O. NUMBER ati l&[/C9 PERMIT NUMBER BLOCK MAP NUMBER 1 Sweetwater Authority Service Modification SERVICE NUMBER / (o4 "2 ACCT NUMBER / (1111.- 1(JO__�� / '' ( i MAIN SIZE REPLACED BY ` // / 6 SERVICE NUMBER y 0 0, Abandon Lateral Existing inch MODIFICATION ❑ Adjust Riser ❑ Lower ❑ Extend ❑ Shorten to be modified with O Reconnect ❑ Renew inch To serve (APN): Located on W e Y Between GU • 2 3 rd Service address: and ( 1 i)Igrikv, IJ r( L< 6,,o3 t (-etewd side of C (`u`e: /6'14d i.7\t)te Bill to (name): 1.1 ice( Oc tAT10 (IT` 4 rts0 cj ti2 F �T Mailing address: 2100-4-6.ov ,/�vG 4110taq— CtTom( I C4 cliqo Meter Information Existing New METER NO. METER NO. METER SIZE METER SIZE READING READING Cross Connection Control EXISTING BACKFLOW PREVENTION DEVICE? O YES O NO Type of Use DOMESTIC O LANDSCAPE • PRIVATE FIRE PROTECTION O OTHER (AGRICULTURAL, INDUSTRIAL, Meter Fee Lateral Fee Lat. Est. Deposit Abandonment Fee Assessment Fee CWA Fee Permit Fee Fee Summary $ <��7 $ b2 CaA1Y, $ ti $ ( , ao $ Total $ Sweetwater Authority Check Number Receipt Number Purchase Order Number Agreement Number Deposits: Participation Fees: Participation Comments: 5-ef1/i6Q, j7G/ 4 T'S PREPARED BY APPLICANT'S PRINT DAT D TE TELEPHONE NCI FE OLLECTED BY DATE NEW LOCATION and LABOR Report (must be completed): SERVICE NUMBER 11P 4' 1 The Corp. Stop is feet of of The Service Stop is feet of of Labor Report Name Hours Inspector/Foreman Date Work Completed Posted to the MIS Customer Accts Date Posted to ABFM Customer Accts Date Posted to Block Map: Engineering Date Service Report: Materials New Materials Used Materials Reused EQUIPMENT TYPE HRS DESCRIPTION Qty Size Type +Lengthen -Shorten Qty Size Type Crew Truck Dump Truck Saddle, Service Bronze Uni-Loader BUSHING Bronze Backhoe Corporation Stop Bronze Compressor Street Ell Bronze Power Mole UNION Bronze Tamper Pipe, Lateral 1 Ton Utility Truck Pipe, Rise Concrete Patch COUPLING Copper 90 Deg. Ell Copper Asphalt Patch Angle Meter Stop Bronze Meter Adapter Bronze Ball Valve Bronze ABANDONMENT INFO: Cement Meter Box / Cover / Lid Nipple Bronze Decomposed Granite Base Material Temporary Asphalt COMMENTS: :\CUS 11New .l'emcee ervice MOAnleation ttevis • CORONADO SWEETWATER California Woter & Telephone Co. San Diego Bay Division Serv. No 2J c Accf No / NEW SERVICEAPPLICATION ORDER j / '� l I9 0 Install anew // � `/ w ''service wi 1/ "Meter on the z 4 s side wigmil' of e/v dv ��.vecwil 14i/ between c)1 J to serve Lots /5" if .20 at qr z - Block v In de/ in1/4Sec t%G do� it/y/ st. Tract or Sub. or - c 23/ -2 Street Andress Service is desired f I��-� .c C�_purpos Approved By on Ape cant Install the above service, using or manifold one/o r / •-+ MATERIAL USED-1. ORDER pipe on the St. Ave. !n'`,'/. TAPPING REPORT OUAN. SIZE KIND ITEMS 4 1 ('oPY75/i Pipe Pipe / / A,,,,,„! , r - Corp Cock No0 —6-70 % /- I . Serv. Cock Nolg":j03,q Saddle Union No. Bushing Coupling Com ell No. St ell No. Nipple Cop Conn No. 1/4 Bend Ins. Thr. . �I/ Bend Out Thr. Coup No. ..? Meter Box • TORN-.90..6M..STAR 0.53 The Corporation Cock is i Foot s oP5. PREY uNE .234)1ST 47fV Vv. Cr471 `4.4/» Vic, main' Supt. Meter No. en 36 6 e Size �` Kind lrur ReedingD. Name t _ l f nstalled ..% 7 r LABOR Hours Cost- ' 714, s 90 .�eGws.C/-ram'` 19(7 PAVEM e IT t a.. Patch Card ENT CUT p k r.r Size I y/S' County Rept ' WORK ORDER NUMBED Vd!'="° VENDOR NUMBER Sweetwater Authority PRESSURE ZONE 1(pc �6MM V PRESSURE 74 - /uv / PSI BLOCK MAP NUMBER / i2 Servi e /a6 ?.pp1ication I hereby request the Sweetwater Authority to install a To serve (A.P.N.): 5561 11 7 Oh o� Located on S -1)1 side of (,(1. 713rd` Between Hfirr/561 fit , and G /t/d Service address: ,a9r9/ Bill to (name): CITY or-- 013,1100 AL CITY Mailing address: 21C0 NoOv� 1Z Avc l�u� , SERVICE NUMBER 44, ACCT NUMBER MAIN SIZE 8' RUC THIS SERVICE IS TO REPLACE SERVICE NUMBER ,...- " service with a /�j " meter: -no oAL Ctrr , CA Q��i� Purpose RESIDENTIAL APARTMENT GOVERNMENT COMMERCIAL INDUSTRIAL AGRICULTURE NO. OF UNITS (If 2 or more units: Attached or Unattached) Applicant OWNER AGENT TENANT SWA Type of Use ❑ DOMESTIC EDU's O LANDSCAPE PRIVATE FIRE PROTECTION 54TNTERNAL FIRE PROTECTION. ❑ OTHER (AGRICULTURAL. INDUSTRIAL, ) SERVICE WILL BE INSTALLED WEEKS AFTER PAYMENT OF FEES. Fee Summary METER FEE $ D LAT. EST. DEPOSIT $ (At CAPACITY FEE $ C.W.A. FEE $ PERMIT FEE $ TOTAL $ Cross Connection Control BACKFLOW PREVENTION REQUIRED: YES_,S NO (PRELIMINARY ONLY) ❑ EXISTING SERVICE(S) TO REMAIN ACTIVE: SERVICE # (S) TYPE OF USE: BACKFLOW PREVENTION REQUIREMENT CONFIRMATION: YES NO BY (WATER QUALITY EMPLOYEE) 0 AIR GAP 0 REDUCED PRESSURE PRINCIPAL DEVICE ❑ PVB - AVB 0 DOUBLE CHECK VALVE ASSEMBLY DATE ❑ RPDA 0 DCDC LOCATION OF BACKFLOW DEVICE INSPECTED BY DATE SERVICE NOT TO BE TURNED ON UNTIL BACKFLOW PREVENTION DEVICE IS INSTALLED THE UNDERSIGNED HEREBY: 1. Requests water service and agrees to pay therefore in accordance with the rates, rules, and regulations of Sweetwater Authority, as said rates, rules, and regulations may be in effect from time to time. 2. Acknowledges and understands that the Authority's water system supplies customers at widely varying elevations, and therefore, the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures and agrees that there may be occasions when pressure at the service connection may be less than 25 pounds per square inch gauge (PSIG) or more than 150 PSIG. 3. Acknowledges and understands that the location for new service must be marked at the site by consumer and the Authority's operations center must be notified at (619) 409-6851 prior to installation. 4. Installation will begin only after location is painted with a white "W" on curb or in paved street (Initials). If no curb or paving exist, applicant or agent must call and make arrangements to meet with Sweetwater Authority on job site, and consumer mark location with both present. 5. Acknowledges fire service monthly rate: $ and, 6. Meter will be set at time of water service installation and a bimonthly service charge of ($ -/ ) will apply. Billing will begin the day the meter is set. If you agree to have the meter set check yes, if you prefer to have the meter set at a later date, check no. YES_ NO . If you check no, you will need to call the Customer Se 9) 420-1413 when you are ready to have the meter set. tnf40 6, as.4650 APPLICANT'S PRINTED N E EPHONE NO. TELEPHONE NO.((.019,S61 ' 200. OFFICE USE ONLY PREPARED BY T Wei DATE �I/31 i% CHECK NUMBER ' / // RECEIPT NUMBER/►/ 6✓t xC REVENUE CODE 3 CITY CODE 11 CALC CODE ZIP CODE + 4 COMMENTS LOCATION & LABOR REPORT (must be completed): SERVICE NUMBERZ-a4 The Corp. stop is feet of of The Gate Valve is feet of of The Service Stop is feet of of Compound/Fire Meter # Mfr Size Read Meter On ❑ Off 0 If this is a Fire Service: The Service is On 0 Off 0 Backflow Prevention Device in place: YES ❑ NOD Meter Off & Locked: YES 0 NO 0 Employee Name Date NAME LABOR REPORT HOURS 0 Service installed by contractor N/A Inspector/Foreman Date Installed DATE INITIALS Assigned account number Posted to new service book Created AMFM Created AMM Posted to NEW SERV Original paper rec'd back from WQ for Final Backflow CAN/ABFM Approved by Posted to block map Service Report: MATERIALS USED Qty Size Bronze Saddle, Service Bronze Bushing Bronze Corporation Stop Bronze Street ELL Bronze Union Pipe, Lateral Pipe, Rise Copper Coupling Copper 90 Deg. ELL Bronze Angle Meter Stop Bronze Meter Adapter Bronze Ball Valve Cement Meter Box Bronze Nipple Decomposed Granite Base Material Temporary Asphalt EQUIPMENT TYPE CREW TRUCK DUMP TRUCK UNI-LOADER BACKHOE COMPRESSOR POWER MOLE TAMPER 1 TON UTILITY TRUCK UNIT # HOURS CONCRETE PATCH ASPHALT PATCH COMMENTS D:\My Documents\Work\word\Service papers\New Service App Sept 2006.doc WORK ORDERNUMBERikUt^ VENDOR NUMBER PRESSUREZONE I (, kit 6 y()v) PRESSURE 16 - 100 PSI BLOCK MAP NUMBER Sweetwater Authority Service Application I hereby request the Sweetwater Authority to install a To serve (A.P.N.): I H3-02_00 Located on Between and Service address:.g 3 0 I) (% .6 /(t,1)q ' �U- Bill to (name): Crr`( ATtO KIAL CITY N' &tQi= Mailing address: 2100 /Dove:(Z �1��-1,1�1� NJAi1OUAL (ir( e# g1�15p SERVICE NUMBER /e.0,f2 ACCT NUMBER MAIN SIZE ( ` J iC THIS SERVICE IS TO REPLACE SERVICE NUMBER // " service with a 54 " meter: side of C/(oe ar �)101, roue Purpose RESIDENTIAL APARTMENT COMMERCIAL INDUSTRIAL GOVERNMENT AGRICULTURE NO. OF UNITS (If 2 or more units: Attached or Unattached) Applicant OWNER AGENT TENANT SWA O DOMESTIC ❑ LANDSCAPE $,, PRIVATE FIRE PROTECTION g INTERNAL FIRE PROTECTION. D OTHER (AGRICULTURAL. INDUSTRIAL, Type of Use EDU's O l (Ay SERVICE WILL BE INSTALLED WEEKS AFTER PAYMENT OF FEES. Fee Summary METER FEE $ �b LAT. EST. DEPOSIT $ % �:4r- CAPACITY FEE $ C.W.A. FEE PERMIT FEE $ TOTAL Cross Connection Control BACKFLOW PREVENTION REQUIRED: YES.. NO (PRELIMINARY ONLY) ❑ EXISTING SERVICE(S) TO REMAIN ACTIVE: SERVICE # (S) TYPE OF USE: BACKFLOW PREVENTION REQUIREMENT CONFIRMATION: YES NO BY DATE (WATER QUALITY EMPLOYEE) 0 AIR GAP 0 REDUCED PRESSURE PRINCIPAL DEVICE 0 RPDA ❑ PVB — AVB ❑ DOUBLE CHECK VALVE ASSEMBLY 0 DCDC LOCATION OF BACKFLOW DEVICE INSPECTED BY DATE SERVICE NOT TO BE TURNED ON UNTIL BACKFLOW PREVENTION DEVICE IS INSTALLED THE UNDERSIGNED HEREBY: 1. Requests water service and agrees to pay therefore in accordance with the rates, rules, and regulations of Sweetwater Authority, as said rates, rules, and regulations may be in effect from time to time. 2. Acknowledges and understands that the Authority's water system supplies customers at widely varying elevations, and therefore, the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures and agrees that there may be occasions when pressure at the service connection may be less than 25 pounds per square inch gauge (PSIG) or more than 150 PSIG. 3. Acknowledges and understands that the location for new service must be marked at the site by consumer and the Authority's operations center must be notified at (619) 409-6851 prior to installation. 4. Installation will begin only after location is painted with a white "W' on curb or in paved street (Initials). If no curb or paving exist, applicant or agent must call and make arrangements to meet with Sweetwater Authority on job site, and Aonsumer mark location with both present. 5. Acknowledges fire service monthly rate: $ S'l . 6. Meter will be set at time of water service installation and a bimonthly service charge of ($ ) will apply. Billing will begin the day the meter is set. If you agree to have the meter set check yes, if you prefer to have the meter set at a later date, check no. YES NO_. If you check no, you will need to call the Customer Service at 619�420' 113 when you are ready to have the m ter set. na u '3 At - AM TELEPHONE NO. y56O APPLICANT'S PRINTED N TELEPHONE NO. cergJ 5'1- 2OO OFFICE USE ONLY �� b PREPARED BY DATE Pldg' A J�/ CHECK NUMBER) 3JLit RECEIPT NUMBERI116 06 REVENUE CODE 9 CITY CODE I CALC CODE 2f ZIP CODE + 4 COMMENTS LOCATION & LABOR REPORT (must be completed): SERVICE NUMBER //6 2 ' The Corp. stop is feet of of The Gate Valve is feet of of The Service Stop is feet of of Compound/Fire Meter # Mfr Size Read Meter On ❑ Off 0 If this is a Fire Service: The Service is On 0 Off 0 Backflow Prevention Device in place: YES 0 NOD Meter Off & Locked: YES 0 NO 0 Employee Name Date NAME LABOR REPORT HOURS ❑ Service installed by contractor N/A Inspector/Foreman Date Installed DATE INITIALS Assigned account number Posted to new service book Created AMFM Created AMM Posted to NEW SERV Original paper rec'd back from WQ for Final Backflow CAN/ABFM Approved by Posted to block map Service Report: MATERIALS USED Qty Size Bronze Saddle, Service Bronze Bushing Bronze Corporation Stop Bronze Street ELL Bronze Union Pipe, Lateral Pipe, Rise Copper Coupling Copper 90 Deg. ELL Bronze Angle Meter Stop Bronze Meter Adapter Bronze Ball Valve Cement Meter Box Bronze Nipple Decomposed Granite Base Material Temporary Asphalt EQUIPMENT TYPE CREW TRUCK DUMP TRUCK UNI-LOADER BACKHOE COMPRESSOR POWER MOLE TAMPER 1 TON UTILITY TRUCK UNIT # HOURS CONCRETE PATCH ASPHALT PATCH COMMENTS D:\My Documents\Work\word\Service papers\New Service App Sept 2006.doc WORK ORDER NUMBERk 1 '°6 VENDOR NUMBER PRESSURE ZONE 4 1/./C,{ L� (d gV) PRESSURE ! - /u O PSI BLOCK MAP NUMBER Sweetwater Authority Service Application /2,//6/o SERVICE NUMBER`d63 t-I ACCT NUMBER MAIN SIZE /7 ///`I e THIS SERVICE IS TO REPLACE SERVICE NUMBER I hereby request the Sweetwater Authority to install a o& " service with a To serve (A.P.N.): 5$9 //$ 0 a Located on ed side of ae Between CCJ. a 3l'0( and j]7'4', L Service address: 3.3 7 C/et.3-e414/1,-I Bill to (name): Crr; pr C -r' I P.4 Awv'. Mailing address: e/00 )ovd_2 �',��ni J i for tP- (Ire' - glco-o Purpose RESIDENTIAL APARTMENT GOVERNMENT COMMERCIAL INDUSTRIAL AGRICULTURE NO. OF UNITS (if 2 or more units: Attached or Unattached) OWNER / AGENT Applicant TENANT SWA cel DOMESTIC Type of Use EDU's f ire t t'1 I S/O,5) LANDSCAPE 1 PRIVATE FIRE PROTECTION ❑ INTERNAL FIRE PROTECTION. OTHER (AGRICULTURAL. INDUSTRIAL, SERVICE WILL BE INSTALLED WEEKS AFTER PAYMENT OF FEES. Fee Summary METER FEE LAT. EST. DEPOSIT $ % G CAPACITY FEE ✓✓ C.W.A. FEE PERMIT FEE TOTAL Cross Connection Control BACKFLOW PREVENTION REQUIRED: YES )- NO (PRELIMINARY ONLY) ❑ EXISTING SERVICE(S) TO REMAIN ACTIVE: SERVICE # (S) TYPE OF USE: BACKFLOW PREVENTION REQUIREMENT CONFIRMATION: YES NO BY (WATER QUALITY EMPLOYEE) 0 AIR GAP ❑ REDUCED PRESSURE PRINCIPAL DEVICE DATE O RPDA 0 PVB - AVB 0 DOUBLE CHECK VALVE ASSEMBLY 0 DCDC LOCATION OF BACKFLOW DEVICE INSPECTED BY DATE SERVICE NOT TO BE TURNED ON UNTIL BACKFLOW PREVENTION DEVICE IS INSTALLED THE UNDERSIGNED HEREBY: 1. Requests water service and agrees to pay therefore in accordance with the rates, rules, and regulations of Sweetwater Authority, as said rates, rules, and regulations may be in effect from time to time. 2. Acknowledges and understands that the Authority's water system supplies customers at widely varying elevations, and therefore, the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures and agrees that there may be occasions when pressure at the service connection may be less than 25 pounds per square inch gauge (PSIG) or more than 150 PSIG. 3. Acknowledges and understands that the location for new service must be marked at the site by consumer and the Authority's operations center must be notified at (619) 409-6851 prior to installation. 4. Installation will begin only after location is painted with a white "W" on curb or in paved street (Initials). If no curb or paving exist, applicant or agent must call and make arrangements to meet with Sweetwater Authority on job site, andd c l .umer mark location with both present. 5. Acknowledges fire service monthly rate: $ 6. Meter will be set at time of water service installation and a bimonthly service charge of ($ ) will apply. Billing will begin th day the meter is set. If you agree to have the meter set check yes, if you prefer to have the meter set at a la date, ck YES NO X If you check no, you will need to call the Customer Service at 42 wh you are ready to have the meter set. PUCANT'S Sf6AlA R&--APPPL CPNr'S PRINTED NAME TELEPHONE NO. CONTRACTOR hT Arl ! `J ` TELEPHONE NO. tl(I Cy, IJ� I - ZO bS DATIjf ij(o' �Sf " meter: J /_auc 4 '61 OFFICE USE ONL PREPARED BY. DATE I 24623 CHECK NUMBER) RECEIPT NUMBER 11766 3,60 p REVENUE CODE 3 CITY CODE if CALC CODE .62 ZIP CODE + 4 COMMENTS LOCATION & LABOR REPORT (must be completed): SERVICE NUMBER/76' a+ 9 The Corp. stop is feet of of The Gate Valve is feet of of The Service Stop is feet of of Compound/Fire Meter # Mfr Size Read Meter On 0 Off 0 If this is a Fire Service: The Service is On 0 Off 0 Backflow Prevention Device in place: YES 0 NO❑ Meter Off & Locked: YES 0 NO 0 Employee Name Date NAME LABOR REPORT HOURS ❑ Service installed by contractor N/A Inspector/Foreman Date Installed DATE INITIALS Assigned account number Posted to new service book Created AMFM Created AMM Posted to NEW SERV Original paper rec'd back from WQ for Final Backflow CAN/ABFM Approved by Posted to block map Service Report: MATERIALS USED Qty Size Bronze Saddle, Service Bronze Bushing Bronze Corporation Stop Bronze Street ELL Bronze Union Pipe, Lateral Pipe, Rise Copper Coupling Copper 90 Deg. ELL Bronze Angle Meter Stop Bronze Meter Adapter Bronze Ball Valve Cement Meter Box Bronze Nipple Decomposed Granite Base Material Temporary Asphalt EQUIPMENT TYPE CREW TRUCK DUMP TRUCK UNI-LOADER BACKHOE COMPRESSOR POWER MOLE TAMPER 1 TON UTILITY TRUCK UNIT # HOURS CONCRETE PATCH ASPHALT PATCH COMMENTS D:\My Documents \ Work \word\Service papers\New Service App Sept 2006.doc VENDOR NUMBEK W.O. NUMBERQ'60 q PERMIT NUMBER i 0 BLOCK MAP NUMBER 6g" Sweetwater Authority Service Mo ification SERVICE NUMBER (5 ACCTNUMBER / Jy , <dti-} MAIN SIZE / /'i'l_am, REPLACED BY SERVICE NUMBER 7Abandon Lateral MODIFICATION ❑ Adjust Riser ❑ Lower ❑ Extend ❑ Shorten ❑ Reconnect ❑ Renew Existing Vi4 inch L. cppCr--- to be modified with inch To serve (APN): f (, 0 g- 0 6 Located on side of CkVela WI A [- Between (i{l 2-3 id_ and baf j Co C Ig )rt `C Service address: 3G/7 (:, /e}e/2zrn' 4 Bill to (name): C'?'( O F Nil O F LA 1, C I re AIN Mailing address: 2100 ,/I'ICUvh' j f� Cjt.U�l� ( 1100AL (.i-'T . C ( { Meter Information Existing New METER NO. METER NO. METER SIZE METER SIZE READING READING Cross Connection Control EXISTING BACKFLOW PREVENTION DEVICE? 0 YES 0 NO Type of Use DOMESTIC O LANDSCAPE O PRIVATE FIRE PROTECTION O OTHER (AGRICULTURAL, INDUSTRIAL, Fee Summary Meter Fee $ �G Lateral Fee $ i C% Lat. Est. Deposit $ Abandonment Fee $ tl Assessment Fee $ <.230(1 CWA Fee $ ��/�114,02% Permit Fee $ Total $ Sweetwater Authority Check Number Receipt Number Purchase Order Number Agreement Number Deposits: Participation Fees: Participation Comments: AL�S PRINTED NAME4DD"td 0 '33- `t3 n3 TELEPHONE NO ./ F FEES C LLECTED BY D E NEW LOCATION and LABOR Report (must be completed): SERVICE NUMBER The Corp. Stop is feet of The Service Stop is feet of of of Labor Report Name Hours Inspector/Foreman Date Work Completed Posted to the MIS Customer Accts Date Posted to ABFM Customer Accts Date Posted to Block Map: Engineering Date �ervlce Report: iviateriais New Materials Used Materials Reused DESCRIPTION Qty Size Type -Shorten+Lengthen Qty Size Type Saddle, Service Bronze BUSHING Bronze Corporation Stop Bronze Street Ell Bronze UNION Bronze Pipe, Lateral Pipe, Rise COUPLING Copper 90 Deg. Ell Copper Angle Meter Stop Bronze Meter Adapter Bronze Ball Valve Bronze Cement Meter Box / Cover / Lid Nipple Bronze Decomposed Granite Base Material Temporary Asphalt e�gjr i EQUIPMENT TYPE , Crew Truck HRS Dump Truck Uni-Loader Backhoc Compressor Power Mole Tamper 1 Ton Utility Truck Concrete Patch Asphalt Patch ABANDONMENT INFO: COMMENTS: 1:\CUST\New Services\Service Modification Revised CALIPPRVIA WATER & TELEPHONE COMPANY .�L,ra-ems :r District 19 ORDER TO RENEW, ENSARGE- -ORhON SERVICE NO / Replace)present '/ inch, service originally in - Abandon ec•ate) (Size) (Kind) stalled'-A`C-El-with a new 'FA/ inch, service. (size) (Kind) Reason s c/36 14 "L'A Mo; '6 4.. Location sc`a r 3-.0 .a rr 23a7 6!5 Signed TAPPIDG REPORT ,n,,Y,.n cite ui.�a Tt.mm l'i1i1f ullt I Pine /`°" �4%. 7: �,,-,. yipe 34, Corporation Cock =,,„ Service Cock Saddle Union Bushing Coupling Common Ell Street Ell Nipple Nipple ="' Copper Connection Copper 1/4 Bend Ins.Thr. • .5,4� Copper 1/4 Bend Out.Thr. Copper Coupling t Meter Box1.3:•. TOTAL LOCATION ✓ The corporation cock is now f t Meter In Meter Out Size Number 5I7900,37 Reading Name LABOR Hours I/ ill/ SSC�A,etany MAT'L RECOVERED OR RE -USED Quan Item Valuel 7 �L !.c••,.Fr� f".I."^G./' f ••.• r ir:vz G'r Remarks Date !o Signed '={y4(04M WORK ORDER NUMBEJ09 " VENDOR NUMBER /&'-4 1 PRESSURE ZONE T (AL. � / PRESSURE q Gl - Cl PSI BLOCK MAP NUMBER q Sweetwater Authority Service Application SERVICE NUMBER 7/636 ACCT NUMBER MAIN SIZE l�i qC THIS SERVICE IS TO REPLACE SERVICE NUMBER 3? • l/, C I hereby request the Sweetwater Authority to install a A " service with a � " meter: To serve (A.P.N.): 556i I I `6 O a C 0 Located on =1l side of L4,/ - 2 3 i- Between C 1,e u�'/G} 6:-/ A Uf' and P' c / 71 C- 9 !a Gte.._ Service address: 7) (1 /Al. ) 3 rcl ± Bill to (name): C li-1 of L TkotUAl- (. ► T `( Aicw. STrzt=l�� h Mailing address: Z100 IAoovErz 4,.�1-`1.I4-not4AL (i-N cA 950 Purpose RESIDENTIAL APARTMENT GOVERNMENT COMMERCIAL INDUSTRIAL AGRICULTURE NO. OF UNITS (If 2 or more units: Attached or Unattached) Applicant OWNER AGENT TENANT SWA Type of Use ,,k v L 1. 7.Frwt 7,, 3&7�J ❑ DOMESTIC EDU's (1 )pal,', /C1e:=1 Lit ----e,5 • ❑ LANDSCAPE bor.1G?IP• I 771tiee:22,0Fti7s celle/ o PRIVATE FIRE PROTECTION 0 IIUTERNAL FIRE PROTECTION ❑ OTHER (AGRICULTURAL. INDUSTRIAL, ) SERVICE WILL BE INSTALLED WEEKS AFTER PAYMENT OF FEES. Fee Summary METER FEE $__� LAT. EST. DEPOSIT $?�'f (.(. CAPACITY FEE $ ;Z1%'0 C.W.A. FEE PERMIT FEE $ TOTAL $ Cross Connection Control BACKFLOW PREVENTION REQUIRED: YES X NO (PRELIMINARY ONLY) O EXISTING SERVICE(S) TO REMAIN ACTIVE: SERVICE # (S) TYPE OF USE: BACKFLOW PREVENTION REQUIREMENT CONFIRMATION: YES NO BY (WATER QUALITY EMPLOYEE) ❑ AIR GAP 0 REDUCED PRESSURE PRINCIPAL DEVICE O PVB - AVB 0 DOUBLE CHECK VALVE ASSEMBLY LOCATION OF BACKFLOW DEVICE INSPECTED BY DATE SERVICE NOT TO BE TURNED ON UNTIL BACKFLOW PREVENTION DEVICE IS INSTALLED THE UNDERSIGNED HEREBY: 1. Requests water service and agrees to pay therefore in accordance with the rates, rules, and regulations of Sweetwater Authority, as said rates, rules, and regulations may be in effect from time to time. 2. Acknowledges and understands that the Authority's water system supplies customers at widely varying elevations, and therefore, the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures and agrees that there may be occasions when pressure at the service connection may be less than 25 pounds per square inch gauge (PSIG) or more than 150 PSIG. 3. Acknowledges and understands that the location for new service must be marked at the site by consumer and the Authority's operations center must be notified at (619) 409-6851 prior to installation. 4. Installation will begin only after location is painted with a white "W" on curb or in paved street (Initials). If no curb or paving exist, applicant or agent must call and make arrangements to meet with Sweetwater Authority on job site, and consumer mark location with both present. 5. Acknowledges fire service monthly rate: $ 6. Meter will be set at time of water service installation and a bimonthly service charge of ($ ) will apply. Billing will begin the day the meter is set. If you agree to have the meter set check yes, if you prefer to have the meter set at a later date, check no. YES_ NO )X . If you check no, you will need to call the Customer Service at 619 420 1413 when y u are ready to have the.meter set. DATE a-t--001 ▪ APPLIC T'S SIGN RE APPLICANT'S PRINTED NAMMI /EPHONENO. i CONTRACTOR KOCH- A s�t�or.161 TELEPHONE NO.(6eICO 5(7I "zbo5 DATE ❑ RPDA 0 DCDC OFFICE U,S ONLY , PREPARED BY L-41L Cia DATE I/Ig�IiZS CHECK NUMBER a304/ I RECEIPT NUMBER PI 002� REVENUE CODE CITY CODE -7 CALC CODE oZ ZIP CODE + 4 COMMENTS LOCATION & LABOR REPORT (must be completed): SERVICE NUMBER 77/// The Corp. stop is feet of of The Gate Valve is feet of of The Service Stop is feet of of Compound/Fire Meter # Mfr Size Read Meter On 0 Off 0 If this is a Fire Service: The Service is On ❑ Off 0 Backflow Prevention Device in place: YES 0 NOD Meter Off & Locked: YES 0 NO 0 Employee Name Date NAME LABOR REPORT HOURS 0 Service installed by contractor N/A Inspector/Foreman Date Installed DATE INITIALS Assigned account number Posted to new service book Created AMFM Created AMM Posted to NEW SERV Original paper rec'd back from WQ for Final Backflow CAN/ABFM Approved by Posted to block map Service Report: MATERIALS USED Qty Size Bronze Saddle, Service Bronze Bushing Bronze Corporation Stop Bronze Street ELL Bronze Union Pipe, Lateral Pipe, Rise Copper Coupling Copper 90 Deg. ELL Bronze Angle Meter Stop Bronze Meter Adapter Bronze Ball Valve Cement Meter Box Bronze Nipple Decomposed Granite Base Material Temporary Asphalt EQUIPMENT TYPE CREW TRUCK DUMP TRUCK UNI-LOADER BACKHOE COMPRESSOR POWER MOLE TAMPER 1 TON UTILITY TRUCK UNIT # HOURS CONCRETE PATCH ASPHALT PATCH COMMENTS D:\My Documents\Work\word\Service papers\New Service App Sent 2006.doc VENDOR NUMBER W.O. NUMBER 2 UU 14:0 PERMIT NUMBER 60 BLOCK MAP NUMBER 1 58 Sweetwater Authority 1 Seryjce Modification SERVICE NUMBER 3 D �� + ACCT NUMBER MAIN SIZE (D REPLACED BY SERVICE NUMBER LTILa %Abandon Lateral MODIFICATION O Adjust Riscr O Lower ❑ Extend O Shorten O Reconnect O Renew Existing inch to be modified with inch To serve (APN): jGC ' 'e/() Oa60 Located on 5CU4 \ side of Between G icerfe I Cz. and M GIG/N t /qCl Service address: 16 L tAi . 2 3 rd S( • Bill to (name): C iT`t/ 0 N ATI° rr(411T11-)', SAC t I Mailing address: _ 100—Pro u\/, jL �lt� i IdATV) IJAL (17-( %4 Meter Information Existing New METER NO. METER NO. METER SIZE METER SIZE READING READING Cross Connection Control EXISTING BACKFLOW PREVENTION DEVICE? O YES O NO Type of Use O DOMESTIC O LANDSCAPE O PRIVATE FIRE PROTECTION O OTHER (AGRICULTURAL, INDUSTRIAL, Fee Summary Meter Fee $ Lateral Fee $ Lat. Est. Deposit $ Abandonment Fee $ kjCOM- Assessment Fee $ , 3 DC CWA Fee $ 4 qr.�7 Permit Fee $ Total $ Sweetwater Authority Check Number Receipt Number Purchase Order Number Agreement Number Deposits: Participation Fees: Participation Comments: CAN 'S SIGNATUR Lu,r4 ioA,Lt o PREPARED BY AP LICA T'S PRINTED NAME ATE DA FEES OLLECTED BY TELEPHONE NO aDATE(a� NEW LOCATION and LABOR Report (must be completed): SERVICE NUMBER 3 5I The Corp. Stop is feet of of The Service Stop is feet of of Labor Report Name Hours Inspector/Foreman Date Work Completed Posted to the MIS Customer Accts Date Posted to ABFM Customer Accts Date Posted to Block Map: Engineering Date service Keport: iviateriais New Materials vseu Materials Reused DESCRIPTION Qty Size Type -Sho+Lonrteghenn Qty Size Type Saddle, Service Bronze BUSHING Bronze Corporation Stop Bronze Street Ell Bronze UNION Bronze Pipe, Lateral Pipe, Rise COUPLING Copper 90 Deg. Ell Copper Angle Meter Stop Bronze Meter Adapter Bronze Ball Valve Bronze Cement Meter Box / Cover / Lid Nipple Bronze Decomposed Granite Base Material Temporary Asphalt EQUIPMENT TYPE Crew Truck HRS Dump Truck Uni-Loader Backhoe Compressor Power Mole Tamper 1 Ton Utility Truck Concrete Patch Asphalt Patch ABANDONMENT INFO: COMMENTS: I:\CUST\New Services\Service Modification Revised WORK ORDER NO ,PERMIT NO. PRESSURE ZONE PRESSURE — PSI �BLOCK MAP NO I tJS cL557Fr� • 1 'Sweetwater Authority SERVICE APPLICATION ow 2 p 't98g ��ETwq ey t1v trf J19�9 O Y►1Gi . tk8e' 1986 S 3f��Gf SERIVCENO ACCT. NO.402- I '�Ol — 199,0 MAIN SIZE Gy,l AG THIS SERVICE IS TO REPLACE SERVICE NUMBER J P,ERMtT APPUED FOR • I hereby request the Sweetwater Authority to Install a " To serve" service with ' ,o evbirz.� L.vtt C' Uvv112 (Additional Location Information) Located or ec. Tt+ side of %R.-17 between and r `tA-7-1 it LV `i Service address' 10 O - (stre XBill 1 (mailing add (city) a 6�g' y--mod(1:1771 �- ter. .. z C' „+ {zip). e % j? tYrrJ �o , PURPOSE TYPE OF USE Residential Apartment Commercial _ No. Bldgs Agriculture No. Units Industrial .._ Owner ! Present Service Installation Lead Time Schedule Weeks Fee Summary APPLICANT Agent Tenant ht/ (alp) ya..Domestic 0 Private Flre Hydrant No U Landscape 0 Multi Purpose Fire Protection ❑ Private Fire 0 Manifold Protection ❑ Other (Agricultural, Industrial---) Meter Fee $ -211 . n r7 Lateral F.e. $ SOO .0-0 Lateral Est. Deposit $ Assessment Fee $ 300.O O Total 5 tt1,0,00 Check No. 1G44-9, ' Receipt No 0e2-5V-7 Cross Connection Control Backflow Prevention Required Yes No (Pteliminary Only) Backflow eve n RegNiyement Confirmation Yes No y tf/ Date % (Water Ou;lity Employee) RECEIVE ❑ Air Gap Qa'Reduced Pressure Principal Device 0 Vacuum Breaker 0 Double }Check Valve Assembly Location Of Back Flow Device 10i97ec0..44 R.9�Eerie.P Cress f`nnn eiinn Cantr0 MAY 1 7 1988 Inspected By.�.�� Date 6-/6- !i {water Quality" 1 yee) Note: Service Not To Be Turned•On Until Backflow Prevention Device Is Installed J / The undersigned hereby: 1. Requests water service and agrees to pay therefore in accordance with the rates, and regulations of SWEETWATER AUTHORITY, as Said rates. rules and regulations may be in effect from time to time. 2. Acknowledges and understands that the water system of the Authority supplies customers at widely varying elevations and, therefore, that the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures and agrees that there may be occasions when pressure at the service connection may be less than 25 pounds per square inch gauge (psig) or more than 150 psig. 3. Acknowledges and understands that the location for new service must be marked at the site by consumer and Authority Operations Center notified al 422-8395 prior to Installation. INSTALLATON WILL BEGIN ONLY AFTER LOCATION IS PAINTED WITH A RED "W" ON CURB OR IN PAVED STREET. If no curb or paving exist, applicant or agent must call and make arrangements to meet with Sweetwater Authority employee on job site, and consumer mark location with both present. 4. Acknowledges Fire Service month!-te: $ ate e d 2 .y Accepted: SWEETWATER AUTHORITY Be Date ant's W It =n Signature By 'ALO-u-41"&--^e Authority Employee rot 546 .4(6 Applicant's Printed Name. " Telephone No. Fees Collected? D WORK ORDER NUMBE Ua Sweetwater Authority VENDOR NUMBER PRESSURE ZONE 1 CNC 6-0-1))PRESSURE 1 b - 160 PSI BLOCK MAP NUMBER n I hereby request the Sweetwater Authority to install a To serve (A.P.N.): 55q l/6 /% D Q Located on 40IV j side of /At, Between /Q �__land C/t° L /C2 ( Le Service address: G a 3 (ij, a,3 r2 A-t- she-TS Bill to (name): Girl of Mailing address: &I-7i-- ZIbO 1-I0oV6lz CIT-((CA c ct57� cation SERVICE NUMBER Oh ACCT NUMBER MAIN SIZE THIS SERVICE IS TO REPLACE SERVICE NUMBER SJy� " service with a / " meter: Purpose RESIDENTIAL APARTMENT GOVERNMENT COMMERCIAL INDUSTRIAL AGRICULTURE NO. OF UNITS (If 2 or more units: Attached or Unattached) Applicant OWNER AGENT )( TENANT SWA Type of Use colt Old A. DOMESTIC EDU's J Gp / ± afi%7 e 5 4( ElLANDSCAPE sii-fa ❑ PRIVATE FIRE PROTECTION ❑ INTERNAL FIRE PROTEC ION. ❑ OTHER (AGRICULTURAL. INDUSTRIAL, ) SERVICE WILL BE INSTALLED WEEKS AFTER PAYMENT OF FEES. Fee Summary METER FEE $ I l. 5 LAT. EST. DEPOSIT $ UJt t CAPACITY FEE $ 2 ' j J 68 $ yI� C.W.A. FEE PERMIT FEE TOTAL Cross Connection Control BACKFLOW PREVENTION REQUIRED: YES )L ' NO (PRELIMINARY ONLY) ❑ EXISTING SERVICE(S) TO REMAIN ACTIVE: SERVICE # (S) TYPE OF USE: BACKFLOW PREVENTION REQUIREMENT CONFIRMATION: YES NO BY DATE (WATER QUALITY EMPLOYEE) ❑ AIR GAP 0 REDUCED PRESSURE PRINCIPAL DEVICE 0 RPDA ❑ PVB -AVB ❑ DOUBLE CHECK VALVE ASSEMBLY 0 DCDC LOCATION OF BACKFLOW DEVICE INSPECTED BY DATE SERVICE NOT TO BE TURNED ON UNTIL BACKFLOW PREVENTION DEVICE IS INSTALLED THE UNDERSIGNED HEREBY: 1. Requests water service and agrees to pay therefore in accordance with the rates, rules, and regulations of Sweetwater Authority, as said rates, rules, and regulations may be in effect from time to time. 2. Acknowledges and understands that the Authority's water system supplies customers at widely varying elevations, and therefore, the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures and agrees that there may be occasions when pressure at the service connection may be less than 25 pounds per square inch gauge (PSIG) or more than 150 PSIG. 3. Acknowledges and understands that the location for new service must be marked at the site by consumer and the Authority's operations center must be notified at (619) 409-6851 prior to installation. 4. Installation will begin only after location is painted with a white "W" on curb or in paved street (Initials). If no curb or paving exist, applicant or agent must call and make arrangements to meet with Sweetwater Authority on job site, and consumer mark location with both present. 5. Acknowledges fire service monthly rate: $ �I 6. Meter will be set at time of water service installation and a bimonthly service charge of ($ 1 S•t./ ek) ) will apply. Billing will begin the day the meter is set. If you agree to have the meter set check yes, if you prefer to have the meter set at a later date, check no. YES NO,. If you check no, you will need to call the Customer Service at (619) 420-1413 w1 n you ar . • o have the meter set. DATE t((30(06k 3 >- 550 APPLICANT'S S ' ' ' 1 " PPLICANT'S PRINTED NAME EL PHONE NO. TELEPHONE NO.(( ( CI) 56 I- z o o CONTRALTO OFFICE USE ��ONLY rr�� PREPARED BY LUti1J} *Nod DATE 12 I I51 ©/ CHECK NUMBER/br1 111I RECEIPT NUMBER f1 6o(/(6 REVENUE CODE CITY CODE 41 2 CALC CODE 'J ZIP CODE + 4 COMMENTS '1 t-to eX Poyi ['i- -Hit, Loa Gear sN Siu� was +►r� `r -5- - kt of beirye to caa). LOCATION & LABOR REPORT (must be completed): SERVICE NUMBER 063/ The Corp. stop is feet of of The Gate Valve is feet of of The Service Stop is feet of of Compound/Fire Meter # Mfr Size Read Meter On ❑ Off ❑ If this is a Fire Service: The Service is On 0 Off 0 Backflow Prevention Device in place: YES 0 NOD Meter Off & Locked: YES 0 NO 0 Employee Name Date NAME LABOR REPORT HOURS ❑ Service installed by contractor N/A Inspector/Foreman Date Installed DATE INITIALS Assigned account number Posted to new service book Created AMFM Created AMM Posted to NEW SERV Original paper rec'd back from WQ for Final Backflow CAN/ABFM Approved by Posted to block map Service Report: MATERIALS USED Qty Size Bronze Saddle, Service Bronze Bushing Bronze Corporation Stop Bronze Street ELL Bronze Union Pipe, Lateral Pipe, Rise Copper Coupling Copper 90 Deg. ELL Bronze Angle Meter Stop Bronze Meter Adapter Bronze Ball Valve Cement Meter Box Bronze Nipple Decomposed Granite Base Material Temporary Asphalt EQUIPMENT TYPE CREW TRUCK DUMP TRUCK UNI-LOADER BACKHOE COMPRESSOR POWER MOLE TAMPER 1 TON UTILITY TRUCK UNIT # HOURS CONCRETE PATCH ASPHALT PATCH COMMENTS D:\My Documents \Work\word\Service papers\New Service App Sept2006.doc VENDOR NUMBER W.O. NUMBER 11id9/ 'v PERMIT NUMBER BLOCK MAP NUMBER L� Sweetwater Authority Serv'ce Modification SERVICE NUMBER ✓i �, ACCT NUMBER) W I - 100 {9 MAIN SIZE ?Y REPLACED BY SERVICE NUMBER $-Abandon Lateral Existing inch o Adjust Riser O Lower MODIFICATION O Extend O Shorten to be modified with O Reconnect O Renew inch To serve (APN): I + 55 / / (p / 1 �,6I Located on 17 ci 4 h side of W - l r /, Between F/i2Y'�ISGI/ A !Jr,r. and / eve I )47i Service address: 2 GO, a Bill to (name): C. ( -}- a V- N c -,�, ( C (�i{ Mailing address: .2.1 o t'�a 2? �_ - '(1 tW .� I(1J c Meter Information Existing New METER. NO. METER NO. METER SIZE METER SIZE READING READING Cross Connection Control EXISTING BACKFLOW PREVENTION DEVICE? 0 YES 0 NO Type of Use rie DOMESTIC O LANDSCAPE O PRIVATE FIRE PROTECTION O OTHER (AGRICULTURAL, INDUSTRIAL, Meter Fee Lateral Fee Lat. Est. Deposit Abandonment Fee too.4141 , Fee CWA Fee Permit Fee Fee Summary $ 00157 $ by (&I.f t $ 11 $ Total $ Sweetwater Authority Check Number Receipt Number Purchase Order Number Agreement Number Deposits: Participation Fees: Participation ova Comments: APPLICANT'S SIGNATUR Lauri ar0t. PREPARED BY 11kA lrnia I'���,WlWI[FW I (1 30 D ei APPLICANT'S PRINTED NAME 41 DATE DATE FENS COLLECTED BY TELEPHONE NO �z) DA ��� E NEW LOCATION and LABOR Report (must be completed): SERVICE NUMBER 5/ 1-1 The Corp. Stop is feet of of The Service Stop is feet of of Labor Report Name Hours Inspector/Foreman Date Work Completed Posted to the MIS Customer Accts Date Posted to ABFM Customer Accts Date Posted to Block Map: Engineering Date • service Report: iviateriais New Materials u sea Materials Reused DESCRIPTION Qty Size Type +Lengthen -Shorten Qty Size Type Saddle, Service Bronze BUSHING Bronze Corporation Stop Bronze Street Ell Bronze UNION Bronze Pipe, Lateral Pipe, Rise COUPLING Copper 90 Deg. Ell Copper Angle Meter Stop Bronze Meter Adapter Bronze Ball Valve Bronze Cement Meter Box / Cover / Lid Nipple Bronze Decomposed Granite Base Material Temporary Asphalt EQUIPMENT TYPE Crew Truck HRS Dump Truck Uni-Loader Backhoe Compressor Power Mole Tamper 1 Ton Utility Truck Concrete Patch Asphalt Patch ABANDONMENT INFO: COMMENTS: I:\CUSTWew Services\Service Modification Revised 'A Section No. ` 7c9 California Water & 'Telephone y/ _ephone Company' �,17 4 Q�"i 1 V3Z.. � QSv District Service No \4' )ia. tL , l Acct. No. t k Present t- inch \ service originally installer' \-5: I KIND) YEAR ervice. Qdla.hs0. ilLQ'Reason: ���cb. ` 1 0.Q1�3113, 4M.h, ""RhC; v 1gni TYCL01ty 411ST1413.� 3 K t-Auma ltA. c 6(A 1 rJ al)h n 1..� c1ii 14�9_.l ,�ri#i_im., lt-ao-(S,b OC'L9 ORDER TO: RENEW Alp RECONNECT ❑ RELOCATE ❑ ABANDON ❑ ENLARGE ❑ Present Location with o new (5IY),i VU 3� �34 of Service — t ict) Signed- 1C' A r1 rn • TAPPING REPORT Item of Material NEW AND REUSED MATERIAL RENEWING SERVICE MAtERGLS REUSED OR RECOVERED WAN. SIZE KI NDD DUAN. 912E KIND Pipe /r / rT Col Pipe Corporation Cock / -2" � f / , / a- . S�/ [ f Service Cock / /'. j11U' Saddle a. Union / Otok$'10 ate Coupling Str. Ell Copper to Copper • Str. Ell Copper to Iron Pipe Street Ells Nipple Copper Connection / {'4 7 5 ) Copper '/a Bend Ins. Thr. , Copper % Bend O. T. / 7 ' T / co Copper Coupling 1 Copper Sleeve Meter Box ;•. ! // / G The corporation cock is now ,/ 4 t'ft 5.. of S - EXCAVATION Kind of surface cr'* H! st. nve t_engti, ?s widtti a dept' LABOR REPORT AM E ilk METER REPORT Ill�f / METER ON PRESENT SERVICE METER RENEWAL SiZP Number313 '447- Reedi P7 The Service Cock is Raw 1 3 G n ft t / of P00�� oaf `2 nn the - aveon the REMARKS: F'f/ INCH Patch card—/O-C- ' County Rep't Dot Posted on mapc FORM NO. Se UM n.OS STAR -NEWS Pro. ned • l/r 1✓V ✓'^'� +ti 19 WORK ORDER NUMBE$1(� I ` VENDOR NUMBER PRESSURE ZONE[ PRESSURE " I - PSI Service A pl ation BLOCK MAP NUMBER 1 Sweetwater Authority SERVICE NUMBER ACCT NUMBER MAIN SIZE V PVC__ THIS SERVICE IS TO REPLACE SERVICE NUMBER I hereby request the Sweetwater Authority to install a $ " service with a * " meter: To serve (A.P.N.): 55(1 i / /1 0 G 00 c1 Located on 51Wf"\ side of 6. a 3 ri �)-- Between F atison Fve and CievPlarid (IX Service address: ' 5(). (,iJ a roe Bill to (name): Mailing address: Purpose RESIDENTIAL APARTMENT COMMERCIAL - INDUSTRIAL GOVERNMENT AGRICULTURE NO. OF UNITS (If 2 or more units: Attached or Unattached) Applicant OWNER > AGENT TENANT SWA ❑ DOMESTIC ❑ LANDSCAPE cfd- PRIVATE FIRE PROTECTION yat INTERNAL FIRE PROTECTION. ❑ OTHER (AGRICULTURAL, INDUSTRIAL, Type of Use EDU's SERVICE WILL BE INSTALLED WEEKS AFTER PAYMENT OF FEES. Fee Summary METER FEE $ 9 0 LAT. EST. DEPOSIT $ C.0)1 4i CAPACITY FEE C.W.A. FEE PERMIT FEE $ TOTAL $ Cross Connection Control BACKFLOW PREVENTION REQUIRED: YES 7� NO (PRELIMINARY ONLY) 0 EXISTING SERVICE(S) TO REMAIN ACTIVE: SERVICE # (S) TYPE OF USE: BACKFLOW PREVENTION REQUIREMENT CONFIRMATION: YES NO BY DATE (WATER QUALITY EMPLOYEE) 0 AIR GAP 0 REDUCED PRESSURE PRINCIPAL DEVICE 0 RPDA ❑ PVB-AVB ❑ DOUBLE CHECK VALVE ASSEMBLY 0 DCDC LOCATION OF BACKFLOW DEVICE INSPECTED BY DATE SERVICE NOT TO BE TURNED ON UNTIL BACKFLOW PREVENTION DEVICE IS INSTALLED THE UNDERSIGNED HEREBY: 1. Requests water service and agrees to pay therefore in accordance with the rates, rules, and regulations of Sweetwater Authority, as said rates, rules, and regulations may be in effect from time to time. 2. Acknowledges and understands that the Authority's water system supplies customers at widely varying elevations, and therefore, the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures and agrees that there may be occasions when pressure at the service connection may be less than 25 pounds per square inch gauge (PSIG) or more than 150 PSIG. 3. Acknowledges and understands that the location for new service must be marked at the site by consumer and the Authority's operations center must be notified at (619) 409-6851 prior to installation. 4. Installation will begin only after location is painted with a white "W" on curb or in paved street (Initials). If no curb or paving exist, applicant or agent must call and make arrangements to meet with Sweetwater Authority on job site, ancj,Fonsumer mark location with both present. 5. Acknowledges fire service monthly rate: $ �J 6. Meter will be set at time of water service installation and a bimonthly service charge of ($ ) will apply. Billing will begin the day the meter is set. If you agree to have the meter set check yes, if you prefer to have the meter set at a later date, check no. YES_ NO . If you check no, you will need to call the Customer Servi)~e,. 420-1413 when you are ready to have the meter set. DATE i- 3O Ir.11 i �y(GIJ g.RCD -ii5Q APPLTCANT'S SIGN iRE APPLICANT'S PRINTED NA I LEI'HONE NO. CONTRACT C dC r �l A I C� TELEPHONE NO(& 14) S& l" Z.00S OFFICE USE ONLY PREPARED BY &it,&Led ifh DATE 4/ got2� CHECK NUMBER i /11 yN�i 36I RECEIPT NUMBER (►a©a— REVENUE CODE} CITY CODE 1 CALC CODE a ZIP CODE + 4 COMMENTS LOCATION & LABOR REPORT (must be completed): SERVICE NUMBER -63a, The Corp. stop is feet of of The Gate Valve is feet of of The Service Stop is feet of of Compound/Fire Meter # Mfr Size Read Meter On 0 Off 0 If this is a Fire Service: The Service is On ❑ Off 0 Backflow Prevention Device in place: YES 0 NOD Meter Off & Locked: YES ❑ NO ❑ Employee Name Date NAME LABOR REPORT IIOURS ❑ Service installed by contractor N/A Inspector/Foreman Date Installed DATE INITIALS Assigned account number Posted to new service book Created AMFM Created AMM Posted to NEW SERV Original paper rec'd back from WQ for Final Backflow CAN/ABFM Approved by Posted to block map Service Report: MATERIALS USED Qty Size Bronze Saddle, Service Bronze Bushing Bronze Corporation Stop Bronze Street ELL Bronze Union Pipe, Lateral Pipe, Rise Copper Coupling Copper 90 Deg. ELL Bronze Angle Meter Stop Bronze Meter Adapter Bronze Ball Valve Cement Meter Box Bronze Nipple Decomposed Granite Base Material Temporary Asphalt EQUIPMENT TYPE CREW TRUCK DUMP TRUCK UNI-LOADER BACKHOE COMPRESSOR POWER MOLE TAMPER 1 TON UTILITY TRUCK UNIT # HOURS CONCRETE PATCH ASPHALT PATCH COMMENTS D:1My Documents \Work\word\Service papers\New Service App Sept2006.doc WORK ORDER NUMBER 1W Sweetwater Authority VENDOR NUMBER , r PRESSURE ZONE ({V t- 6-retv% PRESSURE 96 - ILOn PSI BLOCK MAP NUMBER Service // A lication / P THIS SERVICE IS TO REPLACE SERVICE NUMBER SERVICE NUMBER/I16 ,/3 ACCT NUMBER MAIN SIZE p pip I hereby request the Sweetwater Authority to install a g " service with a " meter: To serve (A.P.N.): 55 610 G ��� Located on ,olilA'Y\ ,-- side of . Between 1-AQCri ix�1�� and C f�U-c(Q)14lpi A1� Service address: 7 �() t 1 ' 3 COI Bill to (name): (.I -r e or ►lA-r l A .- C cv'' Mailing address: ZIOc) 1-1QNE2 4/GtiLkc I IJ,noiAL C'(I LA, rilc36-(9 Purpose RESIDENTIAL APARTMENT GOVERNMENT COMMERCIAL INDUSTRIAL AGRICULTURE NO. OF UNITS (If 2 or more units: Attached or Unattached) Applicant OWNER AGENT TENANT SWA 5( DOMESTIC ❑ LANDSCAPE O PRIVATE FIRE PROTECTION 0 INTERNAL FIRE PROTECTION ❑ OTHER (AGRICULTURAL, INDUSTRIAL SERVICE WILL BE INSTALLED WEEKS AFTER PAYMENT OF FEES. Fee Summary METER FEE --V $ i LAT. EST. DEPOSIT $ ny C' CAPACITY FEE 4$ C.W.A. FEE - $ PERMIT FEE $ TOTAL $ et a • it pa kol d- Cross Connection Control BACKFLOW PREVENTION REQUIRED: YES A NO (PRELIMINARY ONLY) O EXISTING SERVICE(S) TO REMAIN ACTIVE: SERVICE # (S) TYPE OF USE: BACKFLOW PREVENTION REQUIREMENT CONFIRMATION: YES NO BY (WATER QUALITY EMPLOYEE) ❑ AIR GAP 0 REDUCED PRESSURE PRINCIPAL DEVICE ❑ PVB - AVB 0 DOUBLE CHECK VALVE ASSEMBLY DATE 0 RPDA 0 DCDC LOCATION OF BACKFLOW DEVICE INSPECTED BY DATE SERVICE NOT TO BE TURNED ON UNTIL BACKFLOW PREVENTION DEVICE IS INSTALLED THE UNDERSIGNED HEREBY: 1. Requests water service and agrees to pay therefore in accordance with the rates, rules, and regulations of Sweetwater Authority, as said rates, rules, and regulations may be in effect from time to time. 2. Acknowledges and understands that the Authority's water system supplies customers at widely varying elevations, and therefore, the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures and agrees that there may be occasions when pressure at the service connection may be Tess than 25 pounds per square inch gauge (PSIG) or more than 150 PSIG. 3. Acknowledges and understands that the location for new service must be marked at the site by consumer and the Authority's operations center must be notified at (619) 409-6851 prior to installation. 4. Installation will begin only after location Is painted with a white "W" on curb or in paved street (Initials). If no curb or paving exist, applicant or agent must call and make arrangements to meet with Sweetwater Authority on job site, and consumer mark location with both present. 5. Acknowledges fire service monthly rate: $ --- 6. Meter will be set at time of water service installation and a bimonthly service charge of ($ ) will apply. Billing will begin the day the meter is set. If you a ee to have the meter set check yes, if you prefer to have the meter set at a . f r d. eck no. YES_ NO. If you check no, you will need to call the Customer Service - . '1 ! t 13 when you are ready to have the meter set. DATE 006- CONTRACTOR J I'6'LI Dd ITT TELEPHONE NO. C� I / 5� - z Type of Use -1a^''aO1�- pGa C EDU( 's � V 1 tap al NATURE APPLICANT'S PRIN"iLjTED N M I TELEPHONE N OFFICE USE ONLY //�� PREPARED BYL— hP /QI t. M DATE rail tligt)/� j / j CHECK NUMBER 2 .//X/ Li 1 �iI RECEIPT NUMBER IOY:0 REVENUE CODE CITY CODE / CALC CODE ZIP CODE + 4 COMMENTS LOCATION & LABOR REPORT (must be completed): SERVICE NUMBER4// 33 The Corp. stop is feet of of The Gate Valve is feet of of The Service Stop is feet of of Compound/Fire Meter # Mfr Size Read Meter On 0 Off 0 If this is a Fire Service: The Service is On 0 Off 0 Backflow Prevention Device in place: YES 0 NOD Meter Off & Locked: YES 0 NO ❑ Employee Name Date NAME LABOR REPORT HOURS ❑ Service installed by contractor N/A Inspector/Foreman Date Installed DATE INITIALS Assigned account number Posted to new service book Created AMFM Created AMM Posted to NEW SERV Original paper rec'd back from WQ for Final Backflow CAN/ABFM Approved by Posted to block map Service Report: MATERIALS USED Qty Size Bronze Saddle, Service Bronze Bushing Bronze Corporation Stop Bronze Street ELL Bronze Union Pipe, Lateral Pipe, Rise Copper Coupling Copper 90 Deg. ELL Bronze Angle Meter Stop Bronze Meter Adapter Bronze Ball Valve Cement Meter Box Bronze Nipple Decomposed Granite Base Material Temporary Asphalt EQUIPMENT TYPE CREW TRUCK DUMP TRUCK UNI-LOADER BACKHOE COMPRESSOR POWER MOLE TAMPER 1 TON UTILITY TRUCK UNIT # HOURS CONCRETE PATCH ASPHALT PATCH COMMENTS D:\My Documents\Worktword\Service papers\New Service App Seot 2006.doc WORK ORDER NUMBERMo VENDOR NUMBER //� Sweetwater Authority PRESSURE ZONET (LIL6l1yy�� /I) PRESSURE 9a / D4 PSI Se Ice Application BLOCK MAP NUMBER I hereby request the Sweetwater Authority to install a 2, To serve (A.P.N.): 06 CD Located on -,01,4 side of LAJ4 Dr)) r4 Between i(I and ( ft ( i iid & - Service address: SERVICE NUMBER 4//5g ACCT NUMBER MAIN SIZE 5') 'PVC THIS SERVICE IS TO REPL!E SERVICE NUMBER g' Lr! " service with a /6 " meter: Bill to (name): CITY OF KIA i not✓+A.L_ C And S�Q ETA Mailing address: zi 00 Hocx.1c,-R AIL. RATIO W . Lin' i (4 S,t9.50 Purpose RESIDENTIAL APARTMENT COMMERCIAL iL INDUSTRIAL NO. OF UNITS OWNER GOVERNMENT AGRICULTURE (If 2 or more units: Attached or Unattached) Applicant AGENT TENANT SWA 454, DOMESTIC ❑ LANDSCAPE ❑ PRIVATE FIRE PROTECTION ❑ INTERNAL FIRE PROTECTION. O OTHER (AGRICULTURAL. INDUSTRIAL, Type of Use , ED" 5/9ai-/ SERVICE WILL BE INSTALLED WEEKS AFTER PAYMENT OF FEES. Fee Summary METER FEE $ (7 LAT. EST. DEPOSIT $ C iL I( CAPACITY FEE $�, 3Q61 C.W.A. FEE PERMIT FEE TOTAL 0/0 BACKFLOW PREVENTION REQUIRED: Cross Connection Control YES NO ❑ EXISTING SERVICE(S) TO REMAIN ACTIVE: SERVICE # (S) BACKFLOW PREVENTION REQUIREMENT CONFIRMATION: YES BY (PRELIM [NARY ONLY) (WATER QUALITY EMPLOYEE) ❑ AIR GAP 0 REDUCED PRESSURE PRINCIPAL DEVICE O PVB - AVB 0 DOUBLE CHECK VALVE ASSEMBLY LOCATION OF BACKFLOW DEVICE INSPECTED BY DATE TYPE OF USE: NO DATE 0 RPDA ❑ DCDC SERVICE NOT TO BE TURNED ON UNTIL BACKFLOW PREVENTION DEVICE IS INSTALLED THE UNDERSIGNED HEREBY: I. Requests water service and agrees to pay therefore in accordance with the rates, rules, and regulations of Sweetwater Authority, as said rates, rules, and regulations may be in effect from time to time. 2. Acknowledges and understands that the Authority's water system supplies customers at widely varying elevations, and therefore, the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures and agrees that there may be occasions when pressure at the service connection may be less than 25 pounds per square inch gauge (PSIG) or more than 150 PSIG. 3. Acknowledges and understands that the location for new service must be marked at the site by consumer and the Authority's operations center must be notified at (619) 409-6851 prior to installation. 4. Installation will begin only after location is painted with a white "W" on curb or in paved street (Initials). If no curb or paving exist, applicant or agent must call and make arrangements to meet with Sweetwater Authority on job site, and consumer mark location with both present. 5. Acknowledges fire service monthly rate: $ 6. Meter will be set at time of water service installation and a bimonthly service charge of ($ ) will apply. Billing will begin the day the meter is set. If you agrge to have the meter set check yes, if you prefer to have the meter set at a later date, check no. YES_ NO 2c. If you check no, you will need to call the Customer S = . 19 4 -1413 when you are ready to have the eter set. 63ket-f- actrilf meter 604 3% -41-5,50 APPLICANT'S P INTED NA LEPHONE NO. DATE'2- �' APP ICANT S SIGNA i C CONTRACTOR 1CPC fi- Pty rj S �C � TELEPHONE NO. (eel S/ e (- 2005 OFFICE USE �ONLY PREPARED BY/II /&C: DATE 1%f Ig/al CHECK NUMBER 1 ✓``U "( i RECEIPT NUMBER ( d— REVENUE CODE 3 CITY CODE CALC CODE. ZIP CODE + 4 COMMENTS LOCATION & LABOR REPORT (must be completed): SERVICE NUMBER 475/7 The Corp. stop is feet of of The Gate Valve is feet of of The Service Stop is feet of of Compound/Fire Meter # Mfr Size Read Meter On ❑ Off 0 If this is a Fire Service: The Service is On 0 Off 0 Backflow Prevention Device in place: YES ❑ NOD Meter Off & Locked: YES 0 NO 0 Employee Name Date NAME LABOR REPORT HOURS 0 Service installed by contractor N/A Inspector/Foreman Date Installed DATE INITIALS Assigned account number Posted to new service book Created AMFM Created AMM Posted to NEW SERV Original paper rec'd back from WQ for Final Backflow CAN/ABFM Approved by Posted to block map Service Report: MATERIALS USED Qty Size Bronze Saddle, Service Bronze Bushing Bronze Corporation Stop Bronze Street ELL Bronze Union Pipe, Lateral Pipe, Rise Copper Coupling Copper 90 Deg. ELL Bronze Angle Meter Stop Bronze Meter Adapter Bronze Ball Valve Cement Meter Box Bronze Nipple Decomposed Granite Base Material Temporary Asphalt EQUIPMENT TYPE UNIT # CREW TRUCK DUMP TRUCK UNI-LOADER BACKHOE COMPRESSOR POWER MOLE TAMPER 1 TON UTILITY TRUCK HOURS CONCRETE PATCH ASPHALT PATCH COMMENTS D:1My Documents \Work lword \Service papers\New Service App Sept 2006.doc 9 VENDOR NUMBER zW,061/ W.O. NUMBER PERMIT NUMBER • BLOCK MAP NUMBER i L Sweetwater Authority S eirp1Mfieation SERVICE NUMBER(, -f ACCT NUMBER ! /!/ /L/ r- MAIN SIZE t?: C (� l REPLACED BY SERVICE NUMBERW//, Irt Abandon Lateral Existing Wi inch MODIFICATION O Adjust Riser ❑ Extend O Lower ❑ Shorten to be modified with ❑ Reconnect O Renew inch To serve (APN): 559 1/') Located on 5c6uh side of (.1i 3 id /_ Between Paril,5ci�1 Ave' and Cl- 0thi frld Service address: ' (l) A %id Bill to (name): C- ( o t JAB i 0 ti14 L ; i72 F 1 S Mailing address: 2100 -1}oow5--(Z 14\I0 y- KAATI° hIAL CM( 1 q1(75C Meter Information Existing New METER NO. METER NO. METER SIZE METER SIZE READING READING Cross Connection Control EXISTING BACKFLOW PREVENTION DEVICE? 0 YES 0 NO Type of Use 0-DOMESTIC O LANDSCAPE D PRIVATE FIRE PROTECTION O OTHER (AGRICULTURAL, INDUSTRIAL, Fee Summary Meter Fee Lateral Fee Lat. Est. Deposit Abandonment Fee Assessment Fee CWA Fee Permit Fee Total $ 2( $ u i� $ ( , Eiti $ Sweetwater Authority Check Number Receipt Number Purchase Order Number Agreement Number Deposits: Participation Fees: Participation Comments: �A1I I�ANC S SIC E L r'k -,())„ JO roL PREPARED BY APPLICANT'S PRINTED NAME g DA `de D T COLLECTED BY (Oi`f a35 —`“ R 3 TELEPHONE NO DATE NEW LOCATION and LABOR Report (must be completed): SERVICE NUMBER 10 ys The Corp. Stop is The Service Stop is feet feet of of of of Labor Report Name Hours Inspector/Foreman Date Work Completed Posted to the MIS Customer Accts Date Posted to ABFM Customer Accts Date Posted to Block Map: Engineering Date • ervice Keport: materials New Materials useu Materials Reused DESCRIPTION Qty Size Type +Lengthen Shorten Qty Size Type Saddle, Service Bronze BUSHING Bronze Corporation Stop Bronze Street Ell Bronze UNION Bronze Pipe, Lateral Pipe, Rise COUPLING Copper 90 Deg. Ell Copper Angle Meter Stop Bronze Meter Adapter Bronze Ball Valve Bronze Cement Meter Box / Cover / Lid Nipple Bronze Decomposed Granite Base Material Temporary Asphalt EQUIPMENT TYPE Crew Truck HRS Dump Truck Uni-Loader Backhoe Compressor Power Mole Tamper 1 Ton Utility Truck Concrete Patch Asphalt Patch ABANDONMENT INFO: COMMENTS: I:ICUST\New Services\Service Modification Revised CALIFORNIA WATER & TE LE'PBDNE COMPANY National City, California NEW SER VICE ORDER Install new service for r,o'YA h. l.?f j r- y 0. on si'.i4 ' Aide All see s of �3 &I2 between'/eye/i re and )4/,9ir,'/• .c ojV avenues J4 Service No. 2%0 44E /VC. a...._ • /7 1941 to serve Lot Block 1/4 Sec. r , /1Z4T/of✓.g/ 17 /. avenue Location of main or manifold street, between avenue any street. Size of main inch Size of services/ inch. Size of meter finch. Kind: 0 Standard Screw DY Copper 0 Cast Iron Superintendent TAPPING REPORT Material Used: Quan Size Kind Items Amount 4/1/) = c c .,_Pipe Pipe ' Corporation Cock 1 Service Cock / �X.:7 C. I Saddle Union —_ Bushing Coupling Common x11 Street Ell :Tipple Nipple 7:.. Copper Connection Copper 1/4 Bend Ins,Tbr. / k: Copper 1/4 Bend Out.Thr, Copper Coupling f iA ? , r'i Meter Box /i F f. r TOTAL LOCATION The corporation cock is /.3 feet Meter No. ?is is 4 Size: Kind: Reading: Name LABOR $Ou.r s Date: -' ` 294 G Signed: d ttrzR.^=° Posted on Maps VENDOR NUMBEV, / R / W.O. NUMBER 0 40 06 PERMIT NUMBER BLOCK MAP NUMBER I 4) Sweetwater Authority Servic 9� cation SERVICE NUMBER L-f ACCT NUMBER / / / q a MAIN SIZE / �v REPLACED BY SERVICE NUMBER ❑ Abandon Lateral Existing inch MODIFICATION ❑ Adjust Riser ❑ Extend ❑ Lower Shorten to be modified with %Reconnect ❑ Renew inch To serve (APN): 7 q 7/'% /c Located on side of Between 60. J rd and Q L� %�C? )' /Koi DrI Lf Service address: 3 56. (1 ' lam^ d / - ✓ Bill to (name): a iT`( f©++r t� AT1 nth At.- CAT"? fit' �Sn(Q—T' Mailing address: ZOO 41-00\i (Z i'va (J�T01��-- �1 t ( CA. q I CI 50 Meter Information Existing METER NO. METER SIZE READING New METER NO. METER SIZE READING Cross Connection Control EXISTING BACKFLOW PREVENTION DEVICE? 0 YES O NO Type of Use gDOMESTIC (j LANDSCAPE O PRIVATE FIRE PROTECTION O OTHER (AGRICULTURAL, INDUSTRIAL, Fee Summary Meter Fee $ Lateral Fee $ Lat. Est. Deposit $ ) C a'1-1-e Abandonment Fee $ Assessment Fee $ CWA Fee $ Permit Fee $ Total $ Sweetwater Authority Check Number Receipt Number Purchase Order Number Agreement Number Deposits: Participation Fees: Participation Comments: o br' I C i Yl ca) 5X (/ 1 O h Q a ri76`eC 5 2ii j- <. L *o'' is -fi-'l f Yl l ' -/9 l2 if , Sw9 Cam, ile5 di/7/ oky. S SIGNATU E PREPARED BY APPLICANT'S M \ ure D TE FEES COLLECTED BY DATE NEW LOCATION and LABOR Report (must be completed): SERVICE NUMBER LJ The Corp. Stop is feet of of The Service Stop is feet of of Labor Report Name Hours Inspector/Foreman Date Work Completed Posted to the MIS Customer Accts Date Posted to ABFM Customer Accts Date Posted to Block Map: Engineering Date service Report tviateriais New Materials usea Materials Reused DESCRIPTION Qty Size Type -Shorten +Lengthen Qty Size Type Saddle, Service Bronze BUSHING Bronze Corporation Stop Bronze Street Ell Bronze UNION Bronze Pipe, Lateral Pipe, Rise COUPLING Copper 90 Deg. Ell Copper Angle Meter Stop Bronze Meter Adapter Bronze Ball Valve Bronze Cement Meter Box / Cover / Lid Nipple Bronze Decomposed Granite Base Material Temporary Asphalt EQUIPMENT TYPE Crew Truck HRS Dump Truck Uni-Loader Backhoe Compressor Power Mole Tamper 1 Ton Utility Truck Concrete Patch Asphalt Patch ABANDONMENT INFO: COMMENTS: I:\OUST\New Services\Service Modification Revised 1 '•1 v. THE SWEETNATER WATER CORPORATION j NATIONAL CITY. CALIFORNIA ORDER TO RerdirVV, ENLARGE EtWA-Estast=N SERVICE NO. ABANDON LACE PRESENT /� (.,cd ��jj rr ...:HA NEW f0• INCH eD p�,ER SERVICE_ (mad Rode) INCH • (Rowe) REASON 1r SERVICZ-ORIGINALLY INSTALLED J '/4 Sec. /58 14. CA f»id,. / /d .T/ �.WC .I/j^ .FLl7'T�..y � .._.S.K !/Lcli.2z Ct�. ,..•G[/J/�• LOCATION J /• n MATERIAL USED SIGNED • REPORT OuAN. SIZE KIND ITEMS !!, .: PIPE 1,V ,%J 4// - ./ I- u, _ _....- - c . -asA. - •.r.41,.r,..l d. .ORe-.COCKn 'W.' f .-. {. .+ . SERVICE CO81c 9 a C Li k. J1.. I0..d 1t.y. ,', SADDLE J jj FLANGE 1 iV / ( y �/' UNItB� It`(aC / BUSH N�� ��G ff /. �.,- el. "i GQrM. ELL. L'r•/J STREET ELL - •� / NIPPL J . - ' ... •.. ' .. ' NIPPLE 17 - ij i 1 ' COPPER CONNECTION COPPER B. BEND•INSIDE THREAD • COPPER % •• OUTSIDE THREA ' COPPER COUPLING G 41 y,�-- LOCATION THE CORPORATION COCK IS NOW FEET OLP METER NEW METER SIZE Fe- } NUMBER � a4 17 3 1, kpip b LL 2 '- READING LABOR MATERIAL 7 RECOVERED 7 CONDIT:cm VALUE / ! OG r• REMARKS - DATE 7 19 SIGNE4 FOR OFFICE IUSE MATERIAL TABULATED � 11(- - ' 1941 COU NTED OR STATISTICS SWEETWATER AUTHORITY 505 GARRETT AVE CHULA VISTA, CA 91910 Application for Water Service — Business PLEASE PRINT Business Name Phone Type of Business Tax ID # Service Address , 1 City State ' Zip Mailing Address (if different from service address) City _ .._ State t Zip ** If there are two or more units sharing one meter, the account must stay in the property owner's name per Sweetwater Authority's Rates & Rules. ** Property Owner's Name ID or Fed. Tax Number Phone Number Address City ;'; State Zip Property Management Name (if applicable) Tax ID # Address City State Zip Authorized Agent's Name Phone IMPORTANT: If a tax identification number is not provided, water service may not be connected until the applicant contacts Customer Service at (619) 420-1413 at the start of the next business day; in addition, a security deposit may be required. The undersigned hereby requests water service and agrees to pay therefore in accordance with Sweetwater Authority's Rates & Rules. The undersigned acknowledges and understands that the water system of the Authority supplies customers at widely varying elevations; therefore, the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures. The undersigned agrees that there may be occasions when pressure at the service connection may be less than 25 pounds per square inch gauge (psig) or more than 150 psig. Applicant's Signature Date \ Sweetwater Authority Representative Date To Begin Service Meter Read Acct # White : Office - Canary : Consumer SWEETWATER AUTHORITY 505 GARRETT AVE CHULA VISTA, CA 91910 Application for Water Service — Business with Private Fire Protection PLEASE PRINT Business Name Phone Type of Business Tax ID # Service Address ; ;,� > City State Zip Mailing Address (if different from service address) City State Zip ** If there are two or more units sharing one meter, the account must stay in the owner's name per Sweetwater Authority's Rates & Rules. ** O J4 i. Property Owner's Name Address ID or Fed. Tax Number Phone Number City State Zip Property Mgmt Name (if applicable) Tax ID # Address City State Zip Authorized Agent's Name Phone IMPORTANT: If a tax identification number is not provided, water service may not be connected until the applicant contacts Customer Service at (619) 420-1413 at the start of the next business day; in addition, a security deposit may be required. The undersigned hereby requests water service and agrees to pay therefore in accordance with Sweetwater Authority's Rates, Rules and Regulations. By signing this application, the applicant agrees to accept full responsibility of the Private Fire Protection for the above property. If the applicant wishes to discontinue the private fire service account, it is mandatory that notification be given to Sweetwater Authority b letter, to the attention of Customer Service, fifteen (15) days prior to the closing date, so that the, 15 ay notification requirement of the fire department may be met. Applicant's Signature, r Sweetwater Authority Representative Date Date To Begin Service Meter Read, Acct # White : Office - Canary : Consumer 4 t SWEETWATER'AUTHORITY 505 GARRETT AVE CHULA VISTA, CA 91910 Application for Water Service — Business with Private Fire Protection PLEASE PRINT Business Name Phone Type of Business Tax ID # Service Address(:''City v State ' Zip Mailing Address (if different from service address) ;. ; t -„ City �y ��r State Zip ** If there are two or more units sharing one meter, the account must stay in the owner's name per Sweetwater Authority's Rates & Rules. ** Property Owner's Name Address 2 i ID or Fed. Tax NumlSer Phone Number City ; x t State L _ Zip CI (-15.(--- Property Mgmt Name (if applicable) Tax ID # Address City State Zip Authorized Agent's Name Phone IMPORTANT: If a tax identification number is not provided, water service may not be connected until the applicant contacts Customer Service at (619) 420-1413 at the start of the next business day; in addition, a security deposit may be required. The undersigned hereby requests water service and agrees to pay therefore in accordance with Sweetwater Authority's Rates, Rules and Regulations. By signing this application, the applicant agrees to accept full responsibility of the Private Fire Protection for the above property. If the applicant wishes to discontinue the private fire service account, it is mandatory that notification be given to Sweetwater Authority by letter, to the attention of Customer Service, fifteen (15) days prior to the closing date, so that the ,15-day notification requirement of the fire department may be met. Applicant's Signature f' t Date1. Sweetwater Authority Representative Date To Begin Service Meter Read Acet # White : Office - Canary : Consumer SWEETWATER AUTHORITY 505 GARRETT AVE CHULA VISTA, CA 91910 Application for Water Service — Business PLEASE PRINT Business Name Phone Type of Business Tax ID # Service Address City State Zip Mailing Address (if different from service address) r , City State C - Zip ** If there are two or more units sharing one meter, the account must stay in the property owner's name per Sweetwater Authority's Rates & Rules. ** Property Owner's Name ID or Fed. Tax Number Phone Number Address Property Management Name (if applicable) Address City State Zip Authorized Agent's Name Phone City State Zip TaxID# IMPORTANT: If a tax identification number is not provided, water service may not be connected until the applicant contacts Customer Service at (619) 420-1413 at the start of the next business day; in addition, a security deposit may be required. The undersigned hereby requests water service and agrees to pay therefore in accordance with Sweetwater Authority's Rates & Rules. The undersigned acknowledges and understands that the water system of the Authority supplies customers at widely varying elevations; therefore, the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures. The undersigned agrees that there may be occasions when pressure at the service connection may be less than 25 pounds per square inch gauge (psig) or more than 150 psig. Applicant's Signature, Date E Sweetwater Authority Representative Date To Begin Service Meter Read Acct # White : Office - Canary : Consumer SWEETWATER AUTHORITY 505 GARRETT AVE CHULA VISTA, CA 91910 Application for Water Service — Business PLEASE PRINT Business Name Phone Type of Business Tax ID # Service Address . City `. State ! Zip Mailing Address (if different from service address) d -j City State Zip ** If there are two or more units sharing one meter, the account must stay in the property owner's name per Sweetwater Authority's Rates & Rules. ** Property Owner's Name Address ID or Fed. Tax Number `Phone Number City i State (. - Zip Property Management Name (if applicable) Tax ID # Address City State Zip Authorized Agent's Name Phone IMPORTANT: If a tax identification number is not provided, water service may not be connected until the applicant contacts Customer Service at (619) 420-1413 at the start of the next business day; in addition, a security deposit may be required. The undersigned hereby requests water service and agrees to pay therefore in accordance with Sweetwater Authority's Rates & Rules. The undersigned acknowledges and understands that the water system of the Authority supplies customers at widely varying elevations; therefore, the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures. The undersigned agrees that there may be occasions when pressure at the service connection may be less than 25 pounds per square inch gauge (psig) or more than 150 psig. r Applicant's Signature/ Date '/ I Sweetwater Authority Representative Date To Begin Service Meter Read Acct # White : Office - Canary : Consumer SWEETWATER AUTHORITY 505 GARRETT AVE CHULA VISTA, CA 91910 Application for Water Service — Business PLEASE PRINT Business Name Phone Type of Business Tax ID # Service Address ; 'r; City ( State .` Zip Mailing Address (if different from service address) City State Zip ** If there are two or more units sharing one meter, the account must stay in the property owner's name per Sweetwater Authority's Rates & Rules. ** Property Owner's Name ID or Fed. Tax Number Phone Number Address City ( State Zip Property Management Name (if applicable) Tax ID # Address City Authorized Agent's Name State Zip Phone IMPORTANT: If a tax identification number is not provided, water service may not be connected until the applicant contacts Customer Service at (619) 420-1413 at the start of the next business day; in addition, a security deposit may be required. The undersigned hereby requests water service and agrees to pay therefore in accordance with Sweetwater Authority's Rates & Rules. The undersigned acknowledges and understands that the water system of the Authority supplies customers at widely varying elevations; therefore, the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures. The undersigned agrees that there may be occasions when pressure at the service connection may be less than 25 pounds per square inch gauge (psig) or more than 150 psig. Applicant's Signature ,', Date Sweetwater Authority Representative Date To Begin Service Meter Read Acct # White : Office - Canary : Consumer SWEETWATER AUTHORITY 505 GARRETT AVE CHULA VISTA, CA 91910 Application for Water Service — Business with Private Fire Protection PLEASE PRINT Business Name Phone Type of Business Tax ID # Service Address City State Zip Mailing Address (if different from service address) City State ' " Zip ** If there are two or more units sharing one meter, the account must stay in the owner's name per Sweetwater Authority's Rates & Rules. ** Property Owner's Name Address ID or Fed. Tax Number Phone Number City State { • Zip Property Mgmt Name (if applicable) Tax ID # Address City State Zip Authorized Agent's Name Phone IMPORTANT: If a tax identification number is not provided, water service may not be connected until the applicant contacts Customer Service at (619) 420-1413 at the start of the next business day; in addition, a security deposit may be required. The undersigned hereby requests water service and agrees to pay therefore in accordance with Sweetwater Authority's Rates, Rules and Regulations. By signing this application, the applicant agrees to accept full responsibility of the Private Fire Protection for the above property. If the applicant wishes to discontinue the private fire service account, it is mandatory that notification be given to Sweetwater Authority byletter, to the attention of Customer Service, fifteen (15) days prior to the closing date, so that the 1,5;-day notification"rquirement of the fire department may be met. Applicant's Signature f Date \ I, Sweetwater Authority Representative Date To Begin Service Meter Read Acct # White : Office - Canary : Consumer SWEETWATER AUTHORITY 505 GARRETT AVE CHULA VISTA, CA 91910 Application for Water Service — Business PLEASE PRINT Business Name Phone Type of Business Tax ID # Service Address City State Zip Mailing Address (if different from service address) City State " Zip ** If there are two or more units sharing one meter, the account must stay in the property owner's name per Sweetwater Authority's Rates & Rules. ** .1 A i Property Owner's Name ID or Fed. Tax Number Phone Number Address City State Zip Property Management Name (if applicable) Tax ID # Address City State Zip Authorized Agent's Name Phone IMPORTANT: If a tax identification number is not provided, water service may not be connected until the applicant contacts Customer Service at (619) 420-1413 at the start of the next business day; in addition, a security deposit may be required. The undersigned hereby requests water service and agrees to pay therefore in accordance with Sweetwater Authority's Rates & Rules. The undersigned acknowledges and understands that the water system of the Authority supplies customers at widely varying elevations; therefore, the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures. The undersigned agrees that there may be occasions when pressure at the service connection may be less than 25 pounds per square inch gauge (psig) or more than 150 psig. Applicants Signature �: 1 3 Date ��1� ( 1 f/fj: Sweetwater Authority Representative Date To Begin Service Meter Read Acct # White : Office - Canary : Consumer SWEETWATER AUTHORITY 505 GARRETT AVE CHULA VISTA, CA 91910 Application for Water Service — Business PLEASE PRINT 31) Business Name Phone Type of Business Tax ID # Service Address ' , ' t City State -,;- Zip Mailing Address (if different from service address) City State t Zip ** If there are two or more units sharing one meter, the account must stay in the property owner's name per Sweetwater Authority's Rates & Rules. ** • Property Owner's Name Address L) ID or Fed. Tax Number Phone Number City State :; Zip Property Management Name (if applicable) Tax ID # Address City State Zip Authorized Agent's Name Phone IMPORTANT: If a tax identification number is not provided, water service may not be connected until the applicant contacts Customer Service at (619) 420-1413 at the start of the next business day; in addition, a security deposit may be required. The undersigned hereby requests water service and agrees to pay therefore in accordance with Sweetwater Authority's Rates & Rules. The undersigned acknowledges and understands that the water system of the Authority supplies customers at widely varying elevations; therefore, the Authority cannot and does not guarantee to supply water in any specific quantities or at any specific pressures. The undersigned agrees that there may be occasions when pressure at the service connection may be less than 25 pounds per square inch gauge (psig) or more than 150 psig. Applicant's Signattire ; Date F Sweetwater Authority Representative Date To Begin Service Meter Read Acct # White : Office - Canary : Consumer RESOLUTION NO. 2009 — 271 RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY AUTHORIZING THE MAYOR TO EXECUTE AN AGREEMENT TO IMPROVE DEVELOPMENT -WATER FACILITIES IN THE NOT -TO -EXCEED AMOUNT OF $20,240 WITH SWEETWATER AUTHORITY TO INSTALL WATER FACILITIES IN CONJUNCTION WITH THE MARINA GATEWAY STREETSCAPE PROJECT WHEREAS, to provide adequate fire protection for the Marina Gateway Streetscape Project, it is necessary to install approximately 700 LF of 8-inch CI.235 PVC water main, one fire hydrant, three 8-inch fire services, abandon five water services and a 2-inch main, install six new water services, and modify one hydrant and one water service; and WHEREAS, Sweetwater Authority has proposed an Agreement to Improve Development —Water Facilities to install the necessary water facilities in the not -to -exceed amount of $20,240. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of National City hereby authorizes the Mayor to execute an Agreement to Improve Development —Water Facilities in the not -to -exceed amount of $20,240 with Sweetwater Authority to install water facilities in conjunction with the Marina Gateway Streetscape Project. Said Agreement is on file in the office of the City Clerk. PASSED and ADOPTED this 17th day of Novemr, 2009. ATTEST: Mic ael R. Dalla, ity Clerk APPRO 1 D AS TO FORM: eorg City At •T ey 11 Ron Morrison, Mayor Passed and adopted by the Council of the City of National City, California, on November 17, 2009 by the following vote, to -wit: Ayes: Councilmembers Morrison, Parra, Sotelo-Solis, Van Deventer, Zarate. Nays: None. Absent: None. Abstain: None. AUTHENTICATED BY: RON MORRISON Mayor of the City of National City, California City Clerk of the City of National City, California By: Deputy I HEREBY CERTIFY that the above and foregoing is a full, true and correct copy of RESOLUTION NO. 2009-271 of the City of National City, California, passed and adopted by the Council of said City on November 17, 2009. City Clerk of the City of National City, California By: Deputy cra,00q- City of National City, California COUNCIL AGENDA STATEMENT MEETING DATE November 17, 2009 AGENDA ITEM NO. 3 ITEM TITLE Resolution of the City of National City Council approving the execution of agreement in the not to exceed amount of $20,240 with Sweetwater Authority to install water facilities in conjunction with Marina Gateway Streetscape Projec (Funded by Tax Increment Fund) PREPARED BY Barby Tipton EXPLANATION In order to provide adequate fire protection, it is necessary to install approximately 700 LF of 8" Cl. 235 PVC water main, 1 fire hydrant, (3) 8" fire services, abandon 5 water services and a 2" main and install 6 new water services, modify 1 hydrant and 1 water service as part of the Marina Gateway Streetscape Project. The agreement provides for Sweetwater Authority to finalize detail design, plans and specifications, inspection and connection of line, meter fees and acquisition of facilities. DEPARTMENT Development ServicesEXT. 4583 Engineering Division Environmental Review X N/A MIS Approval Financial Statement Approved By: (/ Finance Director Funds are appropriated in Account # 511-409-500-598-3842 (Marina Gateway Improvements) Account No STAFF RECOMME DION Adopt the ResolutW BOARD / COMMIS ION RECOMMENDATION N/A ATTACHMENTS (Listed Below) 1. Agreement (3 copies) 2. Resolution Resolution No. 'd ° ° \ ' ' q I A-200 (Rev. 7/03)