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HomeMy WebLinkAboutBoulderscape Inc; 2014-07-09; PWM14-50TRANRECORDED REQUESTED BY CITY OF CARLSBAD f <g AND WHEN RECORDED PLEASE MAIL TO: 11^ City Clerk City of Carisbad 1200 Carisbad Village Drive Carisbad, California 92008 DOCtt 2014-0460778 ililillll 00123,2014 11:15 AM OFFICIAL RECORDS SAN DIEGO COUNTY RECORDER'S OFFICE Ernest J. Dronenburg, Jr., COUNTY RECORDER FEES: 0.00 PAGES: Space above this line for Recorder's use. PARCEL NO: N/A NOTICE OF COMPLETION Notice is hereby given that: 1. 2. 3. 4. 5. 6. 7. 8. The undersigned is owner ofthe interest or estate stated below in the property hereinafter described. The full name ofthe undersigned is City of Carisbad, a municipal corporation. The full address ofthe undersigned is 1200 Carisbad Village Drive, Carisbad, California 92008. The nature of the title of the undersigned is: In fee. A work or improvement on the property hereinafter described was completed on September 4, 2014. The name ofthe contractor for such work or improvement is Boulderscape, Inc. The property on which said work or improvement was completed is in the City of Carisbad, County of San Diego, State of California, and is described as follows: Project No. PWM14-50TRAN, CRT Reach 1 Boulderscape, Contract No. 4012-BS. The street address of said property is on Carisbad Boulevard in the City of Carisbad. ^^J^^^¥ C/^^LSBAD .-^tf^-^y Engine VERIFICATION OF CITY CLERK I, the undersigned, say: I am the City Clerk of the City of Carisbadv1200 Carisbad Village Drive, Carisbad, California, 92008; the City Manager of said City on (J t LfJhoA-jn 2Q)icf , accepted the above described work as completed and ordered that a Notice of Completion be filed. I declare under penalty of perjury that the foregoing is true and correct. Qchkjit^O, 20 H Executed on at Carisbad, California. CITVi OFjCARLSBAD Word\Masters\Form5\Notice of Completion (City) 3/9/98 CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS The contractor has constructed the improvements required for Project No. PWM14-50TRAN, CRT Reach 1 Boulderscape, Contract No. 4012-BS, and has requested that the City of Carisbad accept the public improvements. City forces have inspected the public improvements and found them to be satisfactory. The public improvements consist of: IMPROVEMENTS VALUE Artisan boulers $32,950 PUBLIC WORKS DIRECTOR CERTIFICATION OF COMPLETION OF IMPROVEMENTS Date ' CITY MANAGER'S ACCEPTANCE OF PUBLIC IMPROVEMENTS The construction of the above described public improvements is deemed complete and hereby accepted. The City Clerk is hereby authorized to record the Notice of Completion and release the bonds in accordance with State Law and City Ordinances. The City of Cartsbad is hereby directed to commence maintaining the above described improvements. , ^, 1^ 14/^ STEVE SARKOZY, City Manager "Date APPROVED AS TO FORM: CELIA BREWER, City Attorney ^ By:, Word\Masters\Forms\Acceptance of Public Improvements (City) PWM14-50TRAN CITY OF CARLSBAD MINOR PUBLIC WORKS CONTRACT CRT REACH 1 BOULDERSCAPE; CONTRACT NO. 4012-BS This agreement is made on the day of sJ , 2014, by the City of Carlsbad, California, a municipal corporation, (hereinafter calleCr"City"), and Boulderscape, Inc., a California corporation, whose principal place of business is 33081 Calle Perfecto, San Juan Capistrano, California (hereinafter 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: City of Carlsbad Construction Management and Inspection Division. 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. The contractor to whom the contract is awarded 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. 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 ofthe 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. CRT REACH 1 BOULDERSCAPE Page 1 of 7 City Attorney Approved 2/7/13 CONTRACT NO. 4012-BS PWM14-50TRAN 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 subcontractor frorg gj^rticipating in contract bidding. Signature: Print Name: l-^jOiA A^lj^ 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 insurers that have: (1) a rating in the most recent Best's Key Rating Guide of at least A-:V and (2) are admitted and authorized to transact the business of insurance in the State of California by the Insurance Commissioner. Commercial General Liability Insurance of Injuries including accidental death, to any one person in an amount not less than $500,000 Subject to the same limit for each person on account of one accident in an amount not less than $500,000 Property damage insurance in an amount of not less than $100,000 Automobile Liability Insurance in the amount of $100,000 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. The policies shall name the City of Carlsbad as an additional insured. 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 5 working days after receipt of Notice to Proceed. Completion: Contractor agrees to complete work within 30 working days after receipt of Notice to Proceed. CRT REACH 1 BOULDERSCAPE Page 2 of 7 City Attorney Approved 2/7/13 CONTRACT NO. 4012-BS CONTRACTOR'S INFORMATION. PWM14-50TRAN BOULDERSCAPE INC. 33081 CALLE PERFECTO (name of Contractor) 444828 (street address) SAN JUAN CAPISTRANO, CA 92675 (Contractor's license number) C29 (city/state/zip) 949 661 5087 (license class, and exp. date) Masonry-5/31/15 (telephone no.) 949 661 3397 (fax no.) steve@boulderscapeinc.com (e-mail address) 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. CONTRACTOF BOULDERSCAPE INQ/ a Caiifornia CITY OF CARLSBAD, a municipal corporation of the State of California By: (sign here) (print name/title) Assistant City Manager, Cepuly Cily Mdiiager er Departmeril Diieutoi as authorized by the City Manager Kathryn B. Dodson EST: (sign here) (print name/title) 0 BARBARA ENGLES(J)N City Clerk If required by City, proper notarial acknowledgment of execution by Contractor must be attached. If a 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, C\tyj^\torr\ey BY: Assistant City Attornay CRT REACH 1 BOULDERSCAPE CONTRACT NO. 4012-BS Page 3 of 7 City Attorney Approved 2/7/13 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of Califomia County of On Oi^jzifl^l^/ before me, J^)lai/)C^a f/orAiqUl^F t^l'jfmy iZlnllQ ^ (Here insert name/and title of flie officer)' I personally appeared Mfls^X. S ^ l^lkn CU^jrl Ij^xLcx^ {\lle 0 , 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 Califomia that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature of Notary Public BLANCA E. RODRIGUEZ Commission # 2061935 (Notary Seal) *mm Orange County 2 MyCoitmi.E»yiresADrl8.20iBj ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or description of attached document continued) Number of Pages Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER • Individual (s) • Corporate Officer (Title) • Partner(s) • Attorney-in-Fact • Trustee(s) • Other INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in Califomia must contain verbiage exactly as appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of Califomia. In such instances, any altemative acknowledgment verbiage as may be printed on such a document so long as Ihe verbiage does nol require Ihe notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the documenl carefully for proper notarial wording and attach this form if required. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/thoy, is /are) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re-seal if a sufficient area permits, otherwise complete a different acknowledgment form. • Signature ofthe notary public must match the signature on file with the office of the county clerk. • Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. • Indicate title or type of attached document, number of pages and date. • Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document 2008 Version CAPA vl2.10.07 800-873-9865 www.NotaryClasses.com Check a License - License Detail - Contractors State License Board Page 1 of 2 DEPARTMENT OF CONSUMER AFFAIRS . Contractors State License Board Contractor's License Detail - License # 444828 DISCLAIMER: A license status check provides information taken from tlie CSLB license database. Before relying on this information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071.17 . only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number Business Information Entity Issue Date Reissue Date Expire Date License Status Classifications Bonding 444828 Extract Date 6/5/2014 BOULDERSCAPE INC Business Phone Number: (949) 661-5087^ 33081 A CALLE PERFECTO SAN JUAN CAPISTRANO, CA 92675 Corporation 08/16/1983 05/22/1997 05/31/2015 ACTIVE This license is current and active. All information below should be reviewed. CLASS DESCRIPTION 029 MASONRY CONTRACTOR'S BOND This license filed a Contractor's Bond with AMERICAN CONTRACTORS INDEMNITY COMPANY. Bond Number: 501019160 Bond Amount: $12,500 Effective Date: 03/02/2009 Contractor's Bond History BOND OF QUALIFYING INDIVIDUAL https://www2.cslb.ca.gov/OnlineServices/CheckLicensell/LicenseDet... 6/5/2014 Check a License - License Detail - Contractors State License Board Page 2 of 2 Workers' Compensation IVIiscellaneous Information 1. The Responsible Managing Officer (RMO) ALLEN MARK STEVEN certified that he/she owns 10 percent or more ofthe voting stock/equity ofthe corporation. A bond of qualifying individual is not required. Effective Date: 05/22/1997 WORKERS' COMPENSATION This license has workers compensation insurance with STATE COMPENSATION INSURANCE FUND Policy Number: 821-0509985 Effective Date: 11/16/2013 Expire Date: 11/16/2014 Workers' Compensation History DATE DESCRIPTION 05/22/1997 LICENSE REISSUED TO ANOTHER ENTITY Personnel List Conditions of Use | Privacy Policy Copyright © 2010 State of California https://www2.cslb.ca.gov/0nlineServices/CheckLicensell/LicenseDet... 6/5/2014 PWM14-50TRAN 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 ofthe 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 be Subcontracted Business Name and Address License No., Classification & Expiration Date %of Total Contract Total % Subcontracted: 1st CRT REACH 1 BOULDERSCAPE CONTRACT NO. 4012-BS Page 4 of 7 City Attorney Approved 2/7/13 PWM14-50TRAN EXHIBIT B SCOPE OF WORK JOB QUOTATION ITEM NO. UNIT QTY DESCRIPTION PRICE 1 1 Large faux boulder (17'x8.5'x5.2'H) and medium faux boulder (8'x6'x4.5'H), footings, scaffold, reinforcement, 4"-5" shotcrete boulder shell, staining of rock finish and shotcrete to resemble natural rock in area, 4 plant pockets (5' each), pump and compressor, experienced artisans, 1 lighting pocket, large boulder to accommodate support for artwork. $30,000 2 1 Small boulder on-site in lieu of mock-up test panel (5'x3'x3'H) $2,950 TOTAL* $32,950 *lncludes materials, labor, transport, taxes, fees, expenses, and all other costs. CRT REACH 1 BOULDERSCAPE CONTRACT NO. 4012-BS Page 5 of 7 City Attorney Approved 2/7/13 Bond No. CE11510700336 PWM14-50TRAN EXHIBIT C LABOR ANO MATERIALS BOND WHEREAS, the Cl^ of Carlsbad, State of CalNbmla, hw admlnMratlvwIy aiw«itded to Bouktorteap* ine. (hereiralter dstlgnatsd as the "Prindpal*)!» Contract for: CRT REACH 1 BOULDERSCAPE CONTRACT NO. 4012-BS In th* Cily of Cartattad. in atrfot oonformlty with tha drawings and speoHioaliona, and other Contract DooMnenis itow on file (n the Ollloe of the Cieik ofthe Cltyof Carlabad 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 Prlndpel or any of Its subcontractors shall fail to pay for any meterials, provisions, provender or other sivplles or teams used In, upon or al»ut the perfivnwnce of the worit agreed to be done, or for any work or labor done thereon of any Idnd, the Surety on this bond wlli pay the same to the extent heramefter set fbrlft, NOW, THEREFORE, WE, BOULDERSCAPE INC., 88 Prfndpsl. (herelnaftar designated aa the 'Contrectot^and Philadelphia Indemnity Insurance Company sum Of Thirnr Two ThousMid Mne Hundrsd Fifty Dollars ($32,950), said sum being an amount equal to: One hundred percent (100%) of the total amount payable under the terms of the Contraci by the City of Cartsbed, and fbr which peyment wen and tnjiy to be made wa bind oureeives, our heirs, executors end administrators, successors, or assigns. Jointly and severally, Rnnly by these piesents. THE CONOmON OF THIS OBLIGATION IS SUCH that ff the Contractor or his/her subcontractors fail to payfnrany matorialB, provlsiona, provender, supplies, or teams used In, upon, for, or about the perfonnance of the work ocntiacted to be done, or Ibr any other wori( or labor thereon of any kind, consistent wtth Calilbmia CM Code section 8100, or for amounts due under the Unemph}yment Insurance Code with respect to the woik or labor perfonned under this Contract, or for any amounts required to be deducted, withheld, and pM over to the Employment Development Depertment from the wages of employees of the contractor and auboonHactore pursuant to section 13020 of the Unemployment insurance Code wfth respect to the woifc and labor, that the Surety wfli pay for the seme, and. also. In case suit Is brought upon the bond, leasonsbie ettome/e fses. to be fbced by the court consistent with Caiikmiia CivH Code sectton SIMM. This bond shtf inure to the benefit of any of the persons named In Califomia Civit Code sectton 9100, so as to give a right of action to these persons or their assigns in any suit brought upon the bond. SufBty stipulates and agreee that no change, extension of time, aitoration or additton to the tenns of the Contract, or to the w(Hk to lie perfomied hereunder or the spedlicattona accompan/ng the same shall effect its oMlgatkxw on this bond, and it does hereby waive notice of any change, extension of time, alterations or addition to the terms of the oontnot or to tha wod( or to the sp^IRcetlons. /// /// /// /// SEIffS'.li^yiPSS®^*'^ Page 8 of 7 City Attorney Approved 2/7/13 COMTRACT NO. 4012-BS PWM14-50TRAN 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 of , 20_ CONTRACTOR: .day Executed by SURETY this. of day ^ 20_ SURETY: (name of Surety) (sign here) (address of Surety) (print name here) (telephone number of Surety) (title and organization of^signatory) By;'. (signature of Attorney-in-Fact) i (sign here) •Jell A Jrlfi (print name here) (printed name of Attorney-in-Fact) (attach corporate resolution showing current power of attorney) (title and organization of signatory) (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 Assistant City Attorney CRT REACH 1 BOULDERSCAPE CONTRACT NO. 4012-BS Page 7 of 7 City Attorney Approved 2/7/13 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of On ObjUj) I^D/^J before me, P)\a^OQ F- ^f^rlv ICpC/ > A Mo^KL/ PllUir. , I (Here insert nqjpe and title'of the officer) / personally appeared h/lfAf^ S , A lien Q ncJ U/dl fA. AlleQ , who proved to me on the basis of satisfactory evidence to be the persoi^^ whose nam^(s) >i$/are subscribed to the within instrument and acknowledged to me that ^/st«^/they executed the same in ^?s/h^/their authorized capacit^{Tes)^ and that by hi^hfer/their signature(s}^on the instrument the persol((s}v or the entity upon behalf of which the perso<J^)^cted, e^cuted the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature of Notary Public (Notary Seal) BLANCA E. RODRIGUEZ P Commission # 2061935 | Notary Pubtic • California 1 i—ii Orange County | MyComm.Explft$Apr18.20t8l •"• s e w #»' s s s e »ieieiWWie»< ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attaclied document) (Title or description of attached document continued) Number of Pages Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER • Individual (s) • Corporate Officer (Title) • Partner(s) • Attorney-in-Fact • Trustee(s) • Other INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in Califomia must contain verbiage exactly as appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of Califomia. In such instances, any alternative acknowledgment verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the document carefully for proper notarial wording and attach this form if required. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/theyr is /are) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re-seal if a sufficient area permits, otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. • Additional infonnation is not required but could help to ensure this acknowledgment is not misused or attached to a different document. • Indicate title or type of attached document, number of pages and date. • Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document 2008 Version CAPA v 12.10.07 800-873-9865 www.NotaryClasses.com Bond No. CE11510700336 PWM14-50TRAN 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. exwuted by CONTRACTOR this Of June , 20 14 . CONTIUCTOR: Boulderscape Inc. Mark Allen (print name h«r«) President of Boulderscape Inc. (tttlcandoiganl: day Executsd by SURETY this. of June 12th .d«y .2014, SURETY! Philadelphia Indemnity Insurance Company (name of Suraty) 251 S. Lake Ave., Suite 360, Pasadena, CA 91101 (addrest of Surety) 626-639-1321 (signature ef Attorney-in-Fact) Kevin R. Cathcart isUnhere) Lydia Allen (print name here) Vice President of Boulderscape Inc. (prtntad name of Attomey-ln-Faet) (attach corporate resolution showing currant power of attorney) (titla and organization ot signatory) (Proper notarial acknowledgment of execution i>y COimACrOR and SURCTY must be attached.) (President or vice-president and secretary or assistant secretary must sign for corporations, if only one efficersigns, the corporation must attach a resolution certified by the secretary or assistant secretary under eorpoitte seai empowering that oflfcer to bind the corporation.) APPROVED AS TO FORM; CEUA A. BREWER Oty/ By: mi Assistant city Attorney CRT REACH 1 BOULOEIUCAPE CONTRACT NO. 4012>B8 P«ga7of7 City Attomey Approved 2/7/13 CAUFORNIA ALL-PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA County of Orange On June 12. 2014 Date } before me, Amelia R. Simmons. Notarv Public Here Insert Name and Title of the Officer personally appeared Kevin R. Cathcart Name{s) of Signer(s) AMELIA R. SIMMONS Commission # 2039589 zvirjjr-mn Notary PubMc • California 1 ^^gS/ Orange County ^ ^1 iT . !*l^j!Tt-^Vt^^!* ^^'^Jll Place Notary Seal Above 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 Signature Sigriature of Notary Public Amelia R. Simmons OPTIONAL Though the information below is not required by law, 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 Titie or Type of Document: Labor and Materials Bond, #CE11510700336 Document Date: June 12, 2014 Number of Pages: 2 Signer(s) Other Than Named Above: None Capacity(les) Claimed by Signer(s) Signer's Name: Kevin R. Cathcart • Individual • Corporate Officer — Title(s): • Partner — • Limited • General 0 Attorney in Fact • Trustee • Guardian or Conservator • Other: RIGHTTHUIVIBPRINT OF SIGNER Top of thumb here Signer Is Representing: Philadelphia Indemnity insurance Company Signer's Name: n/a • Individual • Corporate Officer —Title(s): • Partner— • Limited • General • Attomey In Fact • Trustee • Guardian or Conservator • Other: Signer Is Representing: RIGHTTHUMBPRINT OF SIGNER Top of thumb here