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HomeMy WebLinkAboutFord Signs Incorporated; 2017-05-18; PKRC619Tracking#: CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT LEO CARRILLO RANCH HISTORIC PARK SIGN PROJECT; CONT. NO. PKRC619 This agreement is made on the / <({-i:JJ day of -~....:...,_+'-""""'"'So..::-----' 20J2. by the City of Carlsbad, California, a municipal corporation, (hereinafter call d "Ci nd Ford Signs Incorporated whose principal place of business is 1605 OrdWay, Oceanside, CA 92056 reinafter called "Contractor"). City and Contractor agree as follows: DESCRIPTION OF WORK. Contractor shall perform all work specified in the Contract documents for the project described by these Contract Documents (hereinafter called "Project"). PROVISIONS OF LABOR AND MATERIALS. Contractor shall provide all labor, materials, tools, equipment, and personnel to perform the work specified by the Contract Documents unless excepted elsewhere in this Contract. CONTRACT DOCUMENTS. The Contract Documents consist of this Contract, exhibits to this Contract, Contractor's Proposal, the Plans and Specifications, the General Provisions, addendum(s) to said Plans and Specifications, and all proper amendments and changes made thereto in accordance with this Contract or the Plans and Specifications, all of which are incorporated herein by this reference. When in conflict, this Contract will supersede terms and conditions in the Contractor's proposal. LABOR. Contractor will employ only skilled workers and abide by all State laws and City of Carlsbad Ordinances governing labor. GUARANTEE. Contractor guarantees all labor and materials furnished and agrees to complete the Project in accordance with directions and subject to inspection approval and acceptance by: Mick Calarco, special projects manager. WAGE RATES. The general prevailing rate of wages for each craft or type of worker needed to execute the Contract shall be those as determined by the Director of Industrial Relations pursuant to Sections 1770, 1773 and 1773.1 of the Labor Code. Pursuant to Section 1773.2 of the Labor Code, a current copy of the applicable wage rates is on file in the Office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all workers employed by him or her in execution of the Contract. Contractor shall be responsible for insuring compliance with provisions of section 1777.5 of the Labor Code and section 4100 et seq. of the Public Contracts Code, "Subletting and Subcontracting Fair Practices Act." The City Engineer is the City's "duly authorized officer'' for the purposes of section 4107 and 4107.5. The provisions of Part 7, Chapter 1, of the Labor Code commencing with section 1720 shall apply to the Contract for work. A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, unless currently registered and qualified to perform public work pursuant to Section 1725.5. This project is subject to compliance monitoring and enforcement by the Department of Industrial Relations. LEO CARRILLO RANCH HISTORIC PARK SIGN PROJECT; CONT. NO. PKRC619 Page 1 of 11 City Attorney Approved 9/27/2016 Tracking#: Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. FALSE CLAIMS. Contractor hereby agrees that any contract claim submitted to the City must be asserted as part of the contract process as set forth in this agreement and not in anticipation of litigation or in conjunction with litigation. Contractor acknowledges that California Government Code sections 12650 et seq., the False Claims Act, provides for civil penalties where a person knowingly submits a false claim to a public entity. These provisions include false claims made with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of the information. The provisions of Carlsbad Municipal Code sections 3.32.025, 3.32.026, 3.32.027 and 3.32.028 pertaining to false claims are incorporated herein by reference. Contractor hereby acknowledges that the filing of a false claim may subject the Contractor to an administrative debarment proceeding wherein the contractor may be prevented from further bidding on public contracts for a period of up to five years and that debarment by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor or contra or from participating in contract bidding. Signature: Print Name: REQUIRED INSURANCE. The successful contractor shall provide to the City of Carlsbad, a Certification of Commercial General Liability and Property Damage Insurance and a Certificate of Workers' Compensation Insurance indicating coverage in a form approved by the California Insurance Commission. The certificates shall indicate coverage during the period of the contract and must be furnished to the City prior to the start of work. The minimum limits of liability insurance are to be placed with California admitted insurers that have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of California's List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best's Key Rating Guide of at least "A:X"; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report. Commercial General Liability Insurance of Injuries including accidental death, to any one person in an amount not less than ........ $1 ,000,000 Subject to the same limit for each person on account of one accident in an amount not less than ....... $1,000,000 Property damage insurance in an amount of not less than ........ $1 ,000,000 Automobile Liability Insurance in the amount of $1,000,000 combined single limit per accident for bodily injury and property damage. In addition, the auto policy must cover any vehicle used in the performance of the contract, used onsite or offsite, whether owned, non-owned or hired, and whether scheduled or non- scheduled. The automobile insurance certificate must state the coverage is for "any auto" and cannot be limited in any manner. The above policies shall have non-cancellation clauses providing that thirty (30) days written notice shall be given to the City prior to such cancellation. LEO CARRILLO RANCH HISTORIC PARK SIGN PROJECT; CONT. NO. PKRC619 Page 2 of 11 City Attorney Approved 9/27/2016 Tracking#: The policies shall name the City of Carlsbad as an additional insured. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY. Workers' Compensation limits as required by the California Labor Code. Workers' Compensation will not be required if Contractor has no employees and provides, to City's satisfaction, a declaration stating this. BUSINESS LICENSE. The Contractor and all subcontractors are required to have and maintain a valid City of Carlsbad Business License for the duration of the contract. INDEMNITY. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its officers and employees, from all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the performance of the Contract or work; or from any failure or alleged failure of Contractor to comply with any applicable law, rules or regulations including those related to safety and health; and from any and all claims, loss, damages, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by the Contract, except for loss or damage caused by the sole or active negligence or willful misconduct of the City. The expenses of defense include all costs and expenses including attorneys' fees for litigation, arbitration, or other dispute resolution method. JURISDICTION. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this agreement is San Diego County, California. Start Work: Contractor agrees to start within ten working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within 216 working days after receipt of Notice to Proceed. CONTRACTOR'S INFORMATION. II II II II Ford Signs, Inc. (name of Contractor) 717137 (Contractor's license number) C-45 Electrical Signs, 6/30/2017 (license class. and exp. date) 1000047753 (DIR registration number) June 30, 2017 (DIR registration exp. date) LEO CARRILLO RANCH HISTORIC PARK SIGN PROJECT; CONT. NO. PKRC619 Page 3 of 11 1605 OrdWay (street address) Oceanside, CA 92056 (city/state/zip) 760-631-1936 (telephone no.) 760-631-4987 (fax no.) phil@ford-signs.com (e-mail address) City Attorney Approved 9/27/2016 Tracking#: AUTHORITY. The individuals executing this Agreement and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Agreement. CONTRACTOR By: By: (sign here) ~ol ~1'1 &d A prtstduJ (print name itle CITY OF CARLSBAD, a municipal corporation of the State of California By: City Clerk If required by City, proper notarial acknowledgment of execution by Contractor must be attached . .!f...B corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Chairman, President, or Vice-President Group B Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation. APPROVED AS TO FORM: CELIA A. BREWER, City Attorney BY:~ ~;~ity Attorney LEO CARRILLO RANCH HISTORIC PARK SIGN PROJECT; CONT. NO. PKRC619 Page 4 of 11 City Attorney Approved 9/27/2016 Tracking#: EXHIBIT A LISTING OF SUBCONTRACTORS BY GENERAL CONTRACTOR Set forth below is the full name and location of the place of business of each sub-contractor whom the Contractor proposes to subcontract portions of the Project in excess of one-half of one percent of the total bid, and the portion of the Project which will be done by each sub-contractor for each subcontract. NOTE: The Contractor understands that if it fails to specify a sub-contractor for any portion of the Project to be performed under the contract in excess of one-half of one percent of the bid, the contractor shall be deemed to have agreed to perform such portion, and that the Contractor shall not be permitted to sublet or subcontract that portion of the work, except in cases of public emergency or necessity, and then only after a finding, reduced in writing as a public record of the Awarding Authority, setting forth the facts constituting the emergency or necessity in accordance with the provisions of the Subletting and Subcontracting Fair Practices Act (Section 4100 et seq. of the California Public Contract Code). If no subcontractors are to be employed on the project, enter the word "NONE." SUBCONTRACTORS Portion of Project to Business Name and Address DIR Registration License No., be Subcontracted No. Classification & Expiration Date 0oNf Total% Subcontracted: ~Rf=----:---:-:---=- The Contractor must perform no less than fifty percent (50%) of the work with its own forces LEO CARRILLO RANCH HISTORIC PARK SIGN PROJECT; CONT. NO. PKRC619 %of Total Contract Page 5 of 11 City Attorney Approved 9/27/2016 Tracking#: EXHIBIT B SCOPE OF WORK JOB QUOTATION Ford Signs, Inc. will fabricate and install outdoor interpretive and directional signs per attached proposal. ~ I M C 0 • P 0 • 4 T ~ D 1105 Ord Woy • Oceanside. CA 92051 Ph. (760) 631·1936 Fax (160) 631..QI7 www.fOtd-sigrts.com C_.S Lie. • 717137 SUBMITIED TO· City of Carlsbad Parks & Rcc Department 799 Pine Ave. #200 Carlsbad, CA 92008 I I I I QTY DESCRIPTIO :X l...:o Canillo Ranch Park 6200 Flying Leo Canillo Lane Carlsbad, CA 92009 I Mfg "GL''logo acr)iic with aluminum retainer I Non taxable manufacturing labor and installation 1 Mfg "arrow" a~-r;iic witl1 aluminum retainer I Non taxable manutacturing labor and installation I Mfg "Welcome (LG logo) Bienwnido,;" letters made of 1.5" redwood for canopy. (ST.B) I Non taxable manutacturing labor and installation 2 Mfg (2) 48" x 36" graphic panels to read "l.:o Canillo" and "I...:o Canillo R:u1ch" acrylic pinned on· aluminum with second surface print for canopy. (ST. B) 2 Non taxable manulacturing labor and installation Page1 LEO CARRILLO RANCH HISTORIC PARK SIGN PROJECT; CONT. NO. PKRC619 Page 6 of 11 Proposal DATE Propooal # 3/3012017 17344 RATE .'L\IOC\1 1.637.46 l.637.46T 3.324.54 3.324.54 917.73 917.73T 1.863.27 1.863.27 1,306.14 1.306.14T 2,651.86 2.651.86 4~4.61 869.22T 882.39 1.764.78 City Attorney Approved 9/27/2016 ~ I ft C 0 R P 0 R A T £ D 1605 OrdWay • Oceanside, CA 92056 Ph. (760) 631-1936 Fax (760) 631-4987 www.ford-slgna.com C-45 Lie.# 717137 SUBMITTED TO: City of Carlsbad Parks & Rec Department 799 Pine Ave. #200 Carlsbad, CA 92008 QTI" DESCRIPTION 1 Mfg "Welcome & Map" graphic panel with "Events", locking display case and brochue holder all in one. Additional support beam required. (ST. B) 1 Non taxable manufacturing labor and installation 1 Mfg "Time line Graphic" acrylic panel pinned off aluminum with second surface print for canopy above bench. (ST.B) 1 Non taxable manufacturing labor and installation 2 Mfg 24" wide primary rustic ID directional *singled sided? 2 Non taxable manufacturing labor and installation 4 Mfg 9" x 24" secondary rustic ID (ST.D) 4 Non taxable manufacturing labor and installation 2 Mfg 6" x 24" directional rustic (ST. E) 2 Non taxable manufacturing labor and installation 5 Mfg 18" x 36" primary interpretive (ST.F) 5 Non taxable manufacturing labor and installation U'e appreciate your business. Thank you for your prompt payment. Page2 LEO CARRILLO RANCH HISTORIC PARK SIGN PROJECT; CONT. NO. PKRC619 Page 7 of 11 Tracking#: Proposal DATE Proposal # 3/30/2017 17344 RATE AM01..1:N1 1,243.77 1,243.77T 2,525.23 2,525.23 268.29 268.29T 544.71 544.71 716.10 1,432.20T 1,453.90 2,907.80 187.44 749.76T 380.56 1.522.24 486.75 973.50T 988.25 1,976.50 427.68 2,138.40T 868.32 4,341.60 Total City Attorney Approved 9/27/2016 ~ 1 K C 0 R P 0 R A T E D 1605 OrdWay • Oceanside, CA 92056 Ph. (760) 631·1936 Fax (760) 631-4987 www.ford-signs.com C-45 Lie.# 717137 SUBMITIED TO: City of Carlsbad Parks & Rec Department 799 Pine Ave. #200 Carlsbad, CA 92008 QTY DESCRIPTION 3 Mfg 18" x 36" secondary interpretive (ST. G) 3 Non taxable manufacturing labor and installation 1 Labor and materials bond CA Sales Tax Page3 LEO CARRILLO RANCH HISTORIC PARK SIGN PROJECT; CONT. NO. PKRC619 Page 8 of 11 Tracking#: Proposal DATE Proposal # 3/30/2017 17344 RATE AMOtT!';! 487.41 1,462.23T 989.59 2,968.77 2,447.00 2,447.00 7.75% 1,007.40 Total $42,844.40 City Attorney Approved 9/27/2016 Tracking#: PAYMENT Payment to the Contractor will be made in accordance with the following schedule: 1. 30% initial payment based on total referenced above, upon full execution of contract, assignment of City purchase order and receipt of invoice from Contractor for initial 30% payment. 2. 35% progress payment based upon total reference above, upon successful completion of invoiced items 1 08 days after the commencement of work. 3. 35% final payment, based upon total referenced above, upon successful completion and acceptance by the City special projects manager at the conclusion of all work performed. Total not to exceed amount: $42,844.40. II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II LEO CARRILLO RANCH HISTORIC PARK SIGN PROJECT; CONT. NO. PKRC619 Page 9 of 11 City Attorney Approved 9/27/2016 Tracking#: Bond no. BD753427 EXHIBIT C LABOR AND MATERIALS BOND WHEREAS, the City Council of the City of Carlsbad, State of California, has awarded to Ford Signs Incorporated (hereinafter designated as the "Principal"), a Contract for: LEO CARRILLO RANCH HISTORIC PARK SIGN PROJECT CONTRACT NO. PKRC619 in the City of Carlsbad, in strict conformity with the drawings and specifications, and other Contract Documents now on file in the Office of the City Clerk of the City of Carlsbad and all of which are incorporated herein by this reference. WHEREAS, Principal has executed or is about to execute said Contract and the terms thereof require the furnishing of a bond, providing that if Principal or any of its subcontractors shall fail to pay for any materials, provisions, provender or other supplies or teams used in, upon or about the performance of the work agreed to be done, or for any work or labor done thereon of any kind, the Surety on this bond will pay the same to the extent hereinafter set forth. NOW, THEREFORE, WE, Ford Signs Incorporated, as Principal, (hereinafter designated as the "Contractor''), and Nationwide Mutual Insurance Company as Surety, are held firmly bound unto the City of Carlsbad in the sum of forty two thousand eight hundred and forty four dollars and forty cents ($42,844.40), said sum being an amount equal to: One hundred percent (100%) of the total amount payable under the terms of the Contract by the City of Carlsbad, and for which payment well and truly to be made we bind ourselves, our heirs, executors and administrators, successors, or assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that if the Contractor or his/her subcontractors fail to pay for any materials, provisions, provender, supplies, or teams used in, upon, for, or about the performance of the work contracted to be done, or for any other work or labor thereon of any kind, consistent with California Civil Code section 9100, or for amounts due under the Unemployment Insurance Code with respect to the work or labor performed under this Contract, or for any amounts required to be deducted, withheld, and paid over to the Employment Development Department from the wages of employees of the contractor and subcontractors pursuant to section 13020 of the Unemployment Insurance Code with respect to the work and labor, that the Surety will pay for the same, and, also, in case suit is brought upon the bond, reasonable attorney's fees, to be fixed by the court consistent with California Civil Code section 9554. This bond shall inure to the benefit of any of the persons named in California Civil Code section 91 00, so as to give a right of action to those persons or their assigns in any suit brought upon the bond. Surety 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 hereunder or the specifications accompanying the same shall affect its obligations on this bond, and it does hereby waive notice oj any change, extension of time, alterations or addition to the terms of the contract or to the work or to the specifications. II II II II II II LEO CARRILLO RANCH HISTORIC PARK SIGN PROJECT; CONT. NO. PKRC619 Page 10 of 11 City Attorney Approved 9/27/2016 Tracking#: In the event that Contractor is an individual, it is agreed that the death of any such Contractor shall not exonerate the Surety from its obligations under this bond. Executed by CONTRACTOR this a ~ day of -----to-A::f·~f-L-'n___._~ l __ , 20J1. CONTRACTOR: Ford Signs, Incorporated (title and organizatio of signatory) By:_C1=--~~_J __ (sign here) CoL-"' h,cJ (print name here) Dre?Sc~.() F; Executed by SURETY this 241h day of April, 2017. SURETY: By: Nationwide Mutual Insurance Company (name of Surety) PO Box 1820, La Mesa, CA 91944 (address of Surety) 800-822-3666 (telephone number of Surety) (signature of Attorney-in-Fact) James L. Leach, Attorney-in-Fact (printed name of Attorney-in-Fact) (attach corporate resolution showing current power of attorney) (Proper notarial acknowledgment of execution by CONTRACTOR and SURETY must be attached.) (President or vice-president and secretary or assistant secretary must sign for corporations. If only one officer signs, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering that officer to bind the corporation.) APPROVED AS TO FORM: CELIA A BREWER City Attorney By: Deputy City Attorney LEO CARRILLO RANCH HISTORIC PARK SIGN PROJECT; CONT. NO. PKRC619 Page 11 of 11 City Attorney Approved 9/27/2016 KNOW ALL MEN BY THESE PRESENTS THAT: Nationwide Mutual Insurance Company, an Ohio corporation National Casualty Company, an Ohio corporation Power of Attorney AMCO Insurance Company, an Iowa corporation Allied Property and Casualty Insurance Company, an Iowa corporation hereinafter referred to severally as the "Company" and collectively as "the Companies" does hereby make, constitute and appoint: James L. Leach Daniel R. Loomis San Diego, CA each in their individual capacity, its true and lawful attorney-in-fact, with full power and authority to sign, seal, and execute on its behalf any and all bonds and undertakings, and other obligatory instruments of similar nature, in penalties not exceeding the sum of One million and no/1 00 dollars $ 1 ,000,000.00 and to bind the Company thereby, as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Company; and all acts of said Attorney pursuant to the authority given are hereby ratified and confirmed. This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company: "RESOLVED, that the president, or any vice president be, and each hereby is, authorized and empowered to appoint attorneys-in-fact of the Company, and to authorize them to execute and deliver on behalf of the Company any and all bonds, forms, applications, rnernorandums, undertakings, recognizances, transfers, contracts of indemnity, policies, contracts guaranteeing the fidelity of persons holding positions of public or private trust, and other writings obligatory in nature that the business of the Company may require; and to modify or revoke, with or without cause, any such appointment or authority; provided, however, that the authority granted hereby shall in no way limit the authority of other duly authorized agents to sign and countersign any of said documents on behalf of the Company." "RESOLVED FURTHER, that such attorneys-in-fact shall have full power and authority to execute and deliver any and all such documents and to bind the Company subject to the terms and limitations of the power of attorney issued to them, and to affix the seal of the Company thereto; provided, however, that said seal shall not be necessary for the validity of any such documents." This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company. Execution of Instruments. Any vice president, any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all approved documents, instruments, contracts, or other papers in connection with the operation of the business of the company in addition to the chairman of the board, the chief executive officer, president, treasurer or secretary; provided, however, the signature of any of them may be printed, engraved, or stamped on any approved document, contract, instrument, or other papers of the Company. IN WITNESS WHEREOF, the Company has caused this instrument to be seale/1r:1 Aduly attested by the s1gnature of 1ts officer the _ _;_16:..:t:..:h __ day of February 2017 * UJIIL____ #+.._"ttl~ ........ ~ -A-n-to-n-io_,_C ___ A_I-ba_n_e_s_e-.-V-ic_e_P-re_s_i_d_e_n_t_o_f Nationwide Mutual Insurance Company, National l. .. ~~~'~·~'!!f_~10'+:JJ.. ~~~~~~.r~~-4-;.,. Casualty Company. AMCO Insurance Company, Allied Property and Casualty Insurance Company ,If: ·-~~ , .... ,~., .. .,( ·· ..• ~~(~~!\~):) '/SEAL).J 'a...ia·······~--1 + ... ···... . . ...-, .... -.~....... ,--~~~~ ACKNOWLEDGMENT STATE OF NEW YORK, COUNTY OF NEW YORK: ss On this 16th day of February . 2017 . before me came the above-named officer for the Company aforesaid, to me personally known to be the officer described in and who executed the preceding instrument. and he acknowledged the execution of the same, and being by me duly sworn, deposes and says, that he is the officer of the Company aforesaid, that the seal affixed hereto is the corporate seal of said Company, and the said corporate seal and his signature were duly affixed and subscribed to said instrum/jnt y the authority and direction of said Company. BARRY T. BASSIS /, tt:J /' Notary Public, State of New York ~ 1 D P"-;;;. c:r No. 02BA4656400 Qualified in New York County Commission Expires April 30, 2019 CERTIFICATE Notary Public My Commission Expires Apnl 30. 2019 I, Parag H. Shah, Assistant Secretary of the Company, do hereby certify that the foregoing is a full. true and correct copy of the original power of attorney issued by the Company; that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of directors and the same has not been revoked or amended in any manner; that said Antonio C Albanese was on the date of the execution of the foregoing power of attorney the duly elected officer of the Company, and the corporate seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority of said board of directors; and the foregoing power of attorney is still in full force and effect. IN WITNESS WHEREOF. I have hereunto subscribed my name as Assistant Secretary, and affixed the corpor.:!a.\St...,.,"""'.....,R!'aid Company lhis __ 2_4_th __ day of April 2017 This power of attorney expires: April 30, 2019 BOJ 1 (01-17}00 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT County of ~. II Dilt; (J d On LJjj_t/:J-o/ 7 personally appeared ~~~~~~~t~~-~1~~~~~~~,~~~~~~~~~~-~~~~~~~~~~~~~~ who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. (Seal) OPTIONAL INFORMATION Although the information in this section is not required by law, it could prevent fraudulent removal and reattachment of this acknowledgment to an unauthorized document and may prove useful to persons relying on the attached document. Description of Attached Document The preceding Certificate of Acknowledgment is attached to a document titled/for the purpose of ~-"B=--..,_O_._rd__....,__~~~~~~~~~~- containing L pages, and dated lf../:; lf-/ t 7 The signer(s) capacity or authority is/are as: D lndividual(s) D Attorney-in-Fact D Corporate Officer(s) -----------=-:-c--:----------- Title(s) D Guardian/Conservator D Partner-Limited/General D Trustee(s) D Other: --------------------~ representing: -------:-c--~--;-::--~----=--c--c-::c-----c--=-------­Name(sl of Person(s) or Ent1ty(ies) Signer is Representing Additional Information Method of Signer Identification Proved to me on the basis of satisfactory evidence: L 0 form(s) of identification 0 credible witness(es) Notarial event is detailed in notary journal on: Page # Entry# Notary contact: ___________ _ Other D Additional Signer(s) D Signer(s) Thumbprint(s) 0~----------------------- ©Copyright 2007-2014 Notary Rotary, Inc. PO Box 41400, Des Moines, lA S0311-0507. All Rights Reserved. Item Number I 01772. Please contact your Authorized Reseller to purchase copies of this form. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. J.D Notary Public Date s I r ,Here lnse. rt Name and Title of the Officer ~ffion~~~~ared~~~-~~~~l~-~~~~~-~=d~-~~~~~~~~~~~~~~~~~ fi ~-, 0 r_ _{ Narne(s) of S1gner(s) L0 t Vl tv,rCl who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) +s/are subscribed to the within instrument and acknowledged to me that .Refflfle/they executed the same in bi,s.Lb.Qr/their authorized capacity(ies), and that by ~/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Place Notary Seal Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. -----------------------------------------------------------oPTIONAL----------------------------------------------------------- Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Dossu.ment , /i L _ 1 Title or Type of Document: U C: r' ·d:J LOlWY6<C-bocument Date: _4_;_---"2.=-=(.p_._,_I_].L._~~ Number of Pages: Si er(s) Other Than Named Above: ____________ _ Capacity(ies) Claimed by Signer(s) Signer's Name:-----------~ 0 Corporate Officer -Title(s): -~~~~~- 0 Partner - 0 Limited 0 General 0 Individual 0 Attorney in Fact 0 Trustee 0 Guardian or Conservator 0 Other:~~~~~~~~~~~~-- Signer Is Representing:-~~~~~~~~ Signer's Name: ____________ _ 0 Corporate Officer -Title(s): -~~-~~- 0 Partner - 0 Limited 0 General 0 Individual 0 Attorney in Fact 0 Trustee 0 Guardian or Conservator 0 Other: ~-~~~--~~~~~-- Signer Is Representing: ________ _