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13-172 Able Septic Tank, Agreement to Replace Sewer Line at Monta Vista Recreation Center OFFICE OF THE CITY CLERK CITY HALL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 TELEPHONE: (408) 777-3223• FAX: (408) 777-3366 WEBSITE:www.cupt�rtino.org CUPERTINO November 13, 2013 Able Septic Tank 1020 Ruff Drive San Jose, CA 95110 RE: Agreement Enclosed for your records is a fully executed original copy of your agreement with the City of Cupertino. If you have any questions, please contact the Public Works Department at (408) 777-3354. Sincerely, Dorothy St enfott Senior Office Assistant cc: Public Works Enclosure AGREEMENT BETWEEN THE CITY OF CUPERTINO AND ABLE SEPTIC TANK SERVICE THIS AGREEMENT, for reference dated October 1" 2013, is by and between CITY OF CUPERTINO, a municipal corporation (hereinafter referred to as "City"), and "ABLE SEPTIC TANK SERVICE", a California corporation whose address is 1020 Ruff Drive San Jose, CA. 95110 hereinafter called the Contractor, and is made with reference to the following: RECITALS: A. City is a municipal corporation duly organized and validly existing under the laws of the State of California with the power to carry on its business as it is now being conducted under the Constitution and the statutes of the State of California and the Cupertino Municipal Code. B. City and Contractor desire to enter into an agreement for Sewer Line Replacement at Monta Vista Ree. Center in accordance with the proposal dated October 1St, 2013 NOW, THEREFORE, it is mutually agreed by and between the undersigned parties as follows: 1. TERM: The Contractor shall begin work within 1:hirty (30) calendar days after receiving notice from the Facilities Supervisor to commence the work, and shall diligently prosecute the work to completion before the expiration of thirty (30) consecutive working days from the date of receipt of notice to begin work. 2. SERVICES TO BE PERFORMED: Contractor agrees, at its own cost and expense, to furnish all labor, tools, equipment, materials, except as otherwise specified, and to do all work strictly in accordance with the proposal dated October 1St, 2013 hereby referred to and expressly made a part hereof with the same force and effect as if the same were fully in-�orporated herein. 3. COMPENSATION TO CONTRACTOR: Contractor shall be compensated for services performed pursuant to this agreement in an amount not to exceed eighteen thousand five hundred dollars ($18,500.00) based on the rates of payment set forth in exhibit A, attached and incorporated herein by this reference. Payment will be made in the same manner that claims of a like character are paid by the City, with checks drawn on the treasury of the City, to be taken fro:7t the general fund. 1. 4. TIME IS OF THE ESSENCE: Contractor and City agree that time is of the essence regarding the performance of this Agreement. 5. STANDARD OF CARE: Contractor agrees to perform all services '-ereunder in a manner commensurate with the prevailing standards of like professionals in the San Francisco Bay Area and agrees that all services shall be performed by qualified and experienced personnel who are not employed by the City nor have any contractual relationship with City. 6. INDEPENDENT PARTIES: City and Contractor intend that the relationship between them created by this Agreement is that of employer-independent contractor. The manner and means of conducting the work are under the control of Contractor, except to the extent they are limited by statute, rule or regulation and the express terms of this Agreement. No civil service status or other right of employment will be acquired by virtue of Contractor's services.. None of the benefits provided by City to its employees, including but not limited to unemployment insurance, workers' compensation plans, vacation and sick leave are available from City to Contractor, its employees or agents. Deductions shall not be made for any state or fed.-ral taxes, FICA payments, PERS payments, or other purposes normally associated with an employer-employee relationship from any fees due Contractor. Payments of the above items, if required, are the responsibility of Contractor. 7. IMMIGRATION REFORM AND CONTROL ACT CIRCA): Contractor assumes any and all responsibility for verifying the identity and employment authorization of all of its employees performing work hereunder, pursuant to all applicable IRCA or other federal or state rules and regulations. Contractor shall indemnify and hold City harmless from and against any loss, damage, liability, costs or expenses arising from any noncompliance of this provision by Contractor. 8. NON-DISCRIMINATION: Consistent with City's policy that harassment and discrimination are unacceptable employer/employee conduct, Contractor agrees that harassment or discrimination directed toward a job applicant, a City employee, or a citizen by Contractor or Contractor's employee on the basis of race, religious creed, color, national origin, ancestry, handicap, disability, marital status, pregnancy, sex, age, or sexual orientation will not be tolerated. Contractor agrees that any and all violations of this provision shall constitute a material breach of this Agreement. 9. HOLD HARMLESS: Contractor shall, to the fullest extent allowed by law, indemnify, defend, and hold harmless the City and its officers, officials, agents, employees and volunteers against any and all liability, claims, stop notices, actions, causes of action or demands whatsoever from and against any of them, including any injury to or death of any person or damage to property or other liability of any nature, arising out of, pertaining to, or related to the performance of this Agreement by Contractor or Contractor's employees, officers, officials, agents or independent contractors. Contractor shall not be obligated wider this Agreement to indemnify City to the extent that the damage is caused by the sole negligence or willful misconduct of City, its agents or employees. Such costs and expenses shall include reasonable attorneys' fees of counsel of City's choice, expert fees and all other costs and fees of litigation. Contractor agrees to obtain executed indemnity agreements with provisions identical to those set forth here in these sections from each and every subcontractor or any other person or entity involved by, for, with, or on behalf of Contractor in the performance of this agreement. If Contractor fails to obtain such indemnity obligations from others as required here, Contractor agrees to be fully responsible according to the terms of this section. 10. INSURANCE: On or before the commencement of the terms of this Agreement, Contractor shall furnish City with certificates showing the type, amount, class of operations covered, effective dates and dates of expiration of insurance coverage in compliance with paragraphs 10A, B, C and D. Such certificates, which do not limit Contractor's indemnification, shall also contain substantially the following statement: ' Should any of the above insurance covered by this certificate be canceled or coverage reduced before the expiration date thereof, the insurer affording coverage shall provide thirty (30) days' advance written notice; to the City of Cupertino by certified mail, "Attention: City Manager." It is agreed that Contractor shall maintain in force at all times during the performance of this Agreement all appropriate coverage of insurance required by this Agreement with an insurance company that is acceptable to City and licensed to do insurance business in the State of California. Endorsements naming the City as additional insured shall be submitted with the insurance certificates. A. COVERAGE: Contractor shall maintain the following insurance coverage: (1) Workers' Compensation: Statutory coverage as required by the State of California. (2) Liability: Commercial general liability coverage in the following minimum limits: Bodily Injuy: $1,00(),000 each occurrence $2,000,000 aggregate - all other Property Damage: $500,000 each occurrence $1,000,000 aggregate If submitted, combined single limit policy with aggregate limits in the amounts of $2,000,000 mill be considered equivalent to the required minimum limits shown above. (3) Automotive: Comprehensive automobiles liability coverage in the following minimum limits: Bodily injury: $500,000 each occurrence 3 Property Damage: $500.000 each occurrence or Combined Single Limit: $1,000,000 each occurrence B. SUBROGATION WAIVER: Contractor agrees that in the event of loss due to any of the perils for which it has agreed to provide comprehensive general and automotive liability insurance, Contractor shall look solely to its insurance for recovery. Contractor hereby grants to City, on behalf of any insurer providing comprehensive general and automotive liability insurance to either Contractor or City with respect to the services of Contractor herein, a waiver of any right to subrogation which any such insurer of said Contractor may acquire against City by virtue of the payment of any loss under such insurance. C. FAILURE TO SECURE: If Contractor at any time during the term hereof should fail to secure or maintain the foregoing insurance, City shall be permitted to obtain such insurance in the Contractor's name or as an agent of the Contractor and shall be compensated by the Contractor for the costs of the insurance premiums at the maximum rate permitted by law and computed from the date written notice is received that the premiums have not been paid. D. ADDITIONAL INSURED: City, its City Council, boards and commissions, officers, employees, and volunteers shall be named as an additional insured under all insur,-ince coverages, except worker' s compensation insurance. The naming of an additional insured shall not affect any recovery to which such additional insured would be entitled under this policy if not named as such additional insured. An additional insured named herein shall not be field liable for any premium, deductible portion of any loss, or expense of any nature on this policy or any extension thereof. Any other insurance held by an additional insured shall not be required to contribute anything toward any loss or expense covered by the insurance provided by this policy. E. SUFFICIENCY OF INSURANCE: The insurance limits required by City are not represented as being sufficient to protect Contractor. Contractor is advised to consult Contractor's insurance broker to determine adequate coverage for Contractor. 11. BONDS: Contractor is not required to provide bonds. 12. PROHIBITION AGAINST TRANSFERS: Contractor shall not assign, sublease, hypothecate, or transfer this Agreement, or any interest therein, directly or indirectly, by operation of law or otherwise, without prior written consent of City. Any attempt to do so without said consent shall be null and void, and any assignee, sublessee, hypothecate or transferee shall acquire no right or interest by reason of such attempted assignment, hypothecation or transfer. However, claims for money by Contractor from City under this Agreement may be assigned to a bank, trust company or other financial institution without prior written consent. Written notice of such assignment shall be promptly furnished to City by Contractor. 4 The sale, assignment, transfer or other disposition of any of the issued and outstanding capital stock of Contractor, or of the interest of any general partner or joint venturer or syndicate member or cotenant, if Contractor is a partnership or joint venture or syndicate or cotenancy, which shall result in changing the control of Contractor, shall be construed as an assignment of this Agreement. Control means fifty percent (50%) or more of the voting power of the corporation. 13. SUBCONTRACTOR APPROVAL_: Unless prior written consent from City is obtained, only those people and subcontractors whose names are listed in Contractor's bid shall be used in the performance of this Agreement. Requests for additional subcontracting shall be submitted in writing, describing the scope of work to be subcontracted and the name of the proposed subcontractor. Such request shall set forth the total price or hourly rates used in preparing estimated costs for the subcontractor's services. Approval of the subcontractor may, at the option of City, be issued in the form of a Work Order. In the event that Contractor employs subcontractors, such subcontractors shall be required to furnish proof of workers' compensation insurance and shall also be required to carry general and automobile liability insurance in reasonable conformity to the insurance carried by Contractor. In addition, any work or services subcontracted hereunder shall be subject to each provision of this Agreement. 14. PERMITS AND LICENSES: Contractor, at its sole expense, shall obtain and maintain during the term of this Agreement, all appropriate permits, certificates and licenses, including a City Business License, that may be required in connection with the performance of services hereunder. 15. REPORTS: Each and every report, draft, work product, map, record and other document reproduced, prepared or caused to be prepared by Contractor pursuant to or in connection with this Agreement shall be the exclusive property of City. Consultant may retain a copy of any report furnished to the City pursuant to this Agreement. No report, information nor other data given to or prepared or assembled by Contractor pursuant to this Agreement shall be made available to any individual or organization by Contractor without prior approval by City. Contractor shall, at such time and in such form as City may require, furnish reports concerning the status of services required under this Agreement. 16. RECORDS: Contractor shall maintain complete and accurate records with respect to sales, costs, expenses, receipts and other such information required by City that relate to the performance of services under this Agreement. Contractor shall maintain adequate records of services provided in sufficient detail to permit an evaluation of services. All such records shall be maintained in accordance with generally accepted accounting principles and shall be clearly identified and readily accessible. 5 Contractor shall provide free access to such books and records to the representatives of City or its designees at all proper times, and gives City the right to examine and audit same, and to make transcripts there from as necessary, and to allow inspection of all work, data, documents, proceedings and activities related to this Agreement. Such records, together with supporting documents, shall be kept separate from other documents and records and shall be maintained for a period of three (3) years after receipt of final payment. If supplemental examination or audit of the records is necessary due to concerns raised by City's preliminary examination or audit of records, and the City's supplemental examination or audit of the records discloses a failure to adhere to appropriate internal financial controls, or other breach of contract or failure to act in good faith, then Contractor shall reimburse City for all reasonable costs and expenses associated with the supplemental examination or audit. 17. NOTICES: All notices, demands, requests or approvals to be given under this Agreement shall be given in writing and conclusively shall be deemed served when delivered personally or on the second business day after the deposit thereof in the United States Mail, postage prepaid, registered or certified, addressed as hereinafter provided. All notices, demands, requests, or approvals from Contractor to City shall be addressed to City at: City of Cupertino 10555 Mary Avenue Cupertino CA 95014 Attention: Chris Orr All notices, demands, requests, or approvals from City to Contractor shall be addressed to Contractor at: Able Septic Tank Service 1020 Ruff Dr. San Jose, Ca. 95110 18. URBAN RUNOFF MANAGEMENT: The Contractor shall avoid creating excess dust when breaking asphalt or concrete and during excavation and grading. If water is used for dust control, contractor shall use as little as necessary. Contractor shall take all steps necessary to keep wash water out of the streets, gutters and storm drains. The Contractor shall develop and implement erosion and sediment control to prevent pollution of storm drains. Such control includes but is not limited to: A. Use storm drain inlet protection devices such as sand bag barriers, filter fabric fences, block and gravel filters. (Block storm drain inlets prior to the start of the rainy season (October 15), in site de-watering activities and saw-cutting activities; shovel or vacuum saw-cut slurry and remove from the site). B. Cover exposed piles of soil or construction material with plastic sheeting. All construction materials must be stored in containers. C. Sweep and remove all materials from paved surfaces that drain to streets, gutters 6 and storm drains prior to rain as well as at the end of the each work day. At the completion of the project, the street shall be washed and the wash water shall be collected and disposed of offsite in an appropriate location. D. After breaking old pavement, Contractor shall remove all debris to avoid contact with rainfall or runoff. E. Contractor shall maintain a clean work area by removing trash, litter, and debris at the end of each work day. Contractor shall also clean up any leaks, drips, and other spills as they occur. The objective is to ensure that the City and County of Santa Clara County-Wide Clean Water Program is adequately enforced. These controls should be implemented prior to the start of construction, up-graded as required, maintained during construction phases to provide adequate protection, and removed at the end of construction. These recommendations are intended to be used in conjunction with the States Best Management Practices Municipal and Construction Handbooks, local program guidance materials from municipalities, Section 7.1.01 of the Standard Specifications and any other appropriate documents on storm water quality controls for construction. Failure to comply with this program will result in the issuance of noncompliance notices, citations, project stop orders or fines. The fine for noncompliance of the above program is two hundred and fifty dollars ($250.00) per occurrence per day. The State under the Federal Clean Water Act can also impose a fine on the contractor,pursuant to Cal. Water Code ' 13385. 19. TERMINATION: In the event Contractor fails or refuses to perform any of the provisions hereof at the time and in the manner required hereunder, Contractor shall be deemed in default in the performance of this Agreement. If such default is not cured within a period of two (2) days after receipt by Contractor from City of written notice of default, specifying the nature of such default and the steps necessary to cure such default, City may terminate the Agreement forthwith by giving to the Contractor written notice thereof. City shall have the option, at its sole discretion and without cause, of terminating this Agreement by giving seven (7) days' prior written notice to Contractor as provided herein. Upon termination of this Agreement, each party shall pay to the other party that portion of compensation specified in this Agreement that is earned and unpaid prior to the effective date of termination. 20. COMPLIANCES: Contractor shall comply with all laws, state or federal and all ordinances, rules and regulations enacted or issued by City. 21, CONFLICT OF LAW: This Agreement shall be interpreted under, and enforced by the laws of the State of California excepting any choice of law rules which may direct the application of laws of another jurisdiction. The Agreement and obligations of the parties are subject to all valid laws, orders, rules, and regulations of the authorities having jurisdiction over this Agreement (or the 7 successors of those authorities.) Any suits brought pursuant to this Agreement shall be filed with the courts of the County of Santa Clara, State of California. 22. ADVERTISEMENT: Contractor shall not post, exhibit, display -or allow to be posted, exhibited, displayed any signs, advertising, show bills, lithographs, posters or cards of any kind pertaining to the services performed under this Agreement unless prior written approval has been secured from City to do otherwise. 23. WAIVER: A waiver by City of any breach of any term, covenant, or condition contained herein, shall not be deemed to be a waiver of any subsequent breach of the same or any other term, covenant, or condition contained herein, whether oi'the same or a different character. 24. INTEGRATED CONTRACT: This Agreement represents the full and complete understanding of every kind or nature whatsoever between the parties hereto, and all preliminary negotiations and agreements of whatsoever kind or nature are merged herein. No verbal agreement or implied covenant shall be held to vary the provisions hereof. Any modification of this Agreement will be effective only by written execution signed by both City and Contractor. 25. SAFETY REQUIREMENT All work performed under this Agreement shall be performed in such a manner as to provide safety to the public and to meet or exceed the safety standards outlined by CAL-OSHA. City reserves the right to issue restraints or cease and desist orders to Contractor when unsafe or harmful acts or conditions are observed or reported relative to the performance of the work under this Agreement. Contractor shall maintain the work sites free of hazards to persons and/or property resulting from his or her operations. Any hazardous condition noted by Contractor, which is not a result of his or her operations, shall immediately be reported to City. 26. HOURS OF OPERATION Contractor shall be allowed to operate only for the hours of 7:00 a.m. to 3:30 p.m. unless prior written approval has been secured from City to do otherwise. 27. REQUIREMENT TO PAY PREVAILING WAGES Consistent with the City's policy to pay prevailing wage rates, Contractor shall comply with the City's Labor Compliance Program and all other requirements set forth in Labor Code section 1770 et seq. The City shall require payment of the general rate of per diem wages or the general rate of per diem wages for holiday and overtime work. Contractor will submit (monthly or biweekly) certified payroll records to the City for all employees and subcontractors in a preapproved format or a City provided form. Any delay in remitting certified payroll reports to the City upon request from the City will result in either delay and/or forfeit of outstanding payment to Contractor. 8 28. INSERTED PROVISIONS: Each provision and clause required by law to be inserted into the Agreement shall be deemed to be enacted herein, and the Agreement shall be read and enforced as though each were included herein. If through mistake or otherwise, any such provision is not inserted or is not correctly inserted, the Agreement shall be amended to make such insertion on application by either party. 29. CAPTIONS: The captions in this Agreement are for convenience only, are not a part of the Agreement and in no way affect, limit or amplify the terms or provisions of this Agreement. IN WITNESS WHEREOF, the parties have caused the Agreement to be executed on the day and year first above written. CONTRACTOR CITY OF CUPERTINO 'Abl tic Tank Se ice" A Municipal Corporation By,^�C Title 4 .�►� Tithe=b,,C,,-A,, ck j>,,bhc Date 20 3 Date I//7.11 3 Soc. Sec. # or Tax I.D. RECD FO 7P By - 70-,4f Title APPROVED AS TO FORM: By--- City Attorney ATTEST: City Clerk Conlract Amount: -s-00 Account Number: J/ccl �05'u7 - rt 32G' 9 1020 Ruff Drive San Jose, California 95110 L F Office(408)377-9990 Fax (408)492-1008 24 Hour Emergency Service Lie i 877475 (408)398-4990 PROJECT: Sewer line replacement CONTRACT •r Customer Misc Name City of Cupertino (Attn: Chris Orr) Date 1/18/2013 Address 22601 Voss Ave. Order No. AC-13-033 City Cupertino State CA ZIP 95014 Rep MP Phone 408-777-3272 Email: chriso @cuperlirlo.org Review RH Qty Description Unit Price TOTAL SCOPE OF WORK: Sewer line replacement Able to saw cut concrete (38' x 10' = 380 sq. ft.) Included " Demo, remove and off haul concrete. Included ' Trench approx 110 lin. ft for sewer line replacement. Included " Remove old 4"VCP and CIP and replace with 4"ABZ;. Included Install a total of 3-4"building clean outs Included Connect to 2-existing drain lines from the building(in the trench line) Included Connect to existing VCP material 2'-3'up stream of existing manhole that Included houses old check valve Provide and install 3 concrete Christy boxes to grade. Included ` Backfill with native soil and mechanically compact in lifts Included Drill into existing concrete and install dowels for concrete replacement Included Provide and pour new concrete in the 380 sq ft. noted above to a max of Included 4"thick with a broom finish Note: Permits are not included in the cost of the proposal. Not included This proposal is based on prevailing wage, per Chris Orr. Included This is a non-certified prevailing wage Able to USA the work area in the front yard prior to the commencement Included of the project. " The area will be closed for pedestrians during the project. Please continue to page 2 for terms, conditions and acaeptance Subtotal $ 18,500.00 _ 100%DOWN $1,00000 Terms: 70%P P $12,950.00 BALANCE $4,550 00' Down payment TOTAL $18.500.00 Progress payment Final paymernt Contract number AC-13-033 Thank you for choosing Able THANK YOU FOR CHOOSING ABLE✓ AIDERGROUND CONSTRUCTION Unaergratfau Co structi€a. Septic • Sewer - Storm - Water • Excavated & Installed Systems.- Designed - Installed - .Repaired Pumped - Inspected Plumbing Spawe- ," rairrf Line Cleaning • Rodding - Repaired Replaced Residential & Commercial Vacubm:Septic-Sewer Storm-Grease Trapsv9nterceptors HpIre Flushing.S?wer Storm-Maintenance Public Works -Overflow&Spill Response Main Line Stoppages Pipeiina Video Inspection:Pipeline Inspection •Lin9 Locating .Detailed Reports Uainp+rtc 24 t#r, brrrefgenay S rvice, 1020 Ruff Drive San Jose. California 95110 L F Office(408)377-9990 Fax (408)492-1008 24 Hour Emergency Service Lic.1677475 (408)398-4990 PROJECT: Sewer line repalcement JiCONTRACT CUSTOMER �— MISC NAME City of Cupertino(Attu: Chris Orr) Date 1/18/2013 ADDRESS 22601 Voss Ave. Order No AC-13-033 CITY Cupertino STATE: CA ZIP 95014 Rep MP PHONE 406-777-3272 EMAIL: chris�upertino.org Estimator RH j TERMS AND CONDITIONS OF TH13 CONTRACT NUMBER ARE AS FOLLOWS: THIS BID EXCLUDES THE FOLLOWING: ;ALL ENGINEERING, PERMITS, FEES, SURVEYING, FIELD STAKING, SOIL TESTING, REPAIRS OF ANY ';UNMARKED LINES(GAS,WATER,TELEPHONE, CABLE, ELECTRIC, SPRINKLER, ETC.) COST FOR ANY REPAIRS OF UNMARKED LINES WILL BE PAYA131-E AT TIME&MATERIAL RATES. ANY CONCRETE OR ASPHALT THAT IS THICKER THEN G'THICK WILL RESULT IN ADDITIONAL CHARGE. CONTRACT ;EXCLUDES ANY/ALL CONCRETE AND/OR ASPHALT REPLACEMENT OTHER THAN SPECIFIED IN THE SCOPE OF WORK). ROCK GROUND WATER EXCESSIVE ROOTS OR UNDERGROUND UTILITIES IIF THE NOTED ABOVE ARE FOUND,ALTERNATE METHODS MAY BE APPLICABLE. IF FOUND ADDITIONAL !CHARGES MAY BE INCURRED. PLEASE SEE OUR STANDARD IRATE SHEET FOR ADDITIONAL COSTS. 'CHANGE ORDERS !ANY ALTERATIONS OR DEVIATIONS FROM THIS PROPOSAL, INVOLVING ADDITIONAL MATERIAL AND/OR LABOR WILL BE EXECUTED ONLY IN A WRITTEN CHANGE ORDER AND WILL BECOME AN ADDITIONAL ;CHARGE OUTSIDE THE ORIGINAL PROPOSAL COST. ANY ADDITIONAL DOWN TIME CREATED BY A CHANGE ORDER WILL BE PAYABLE BY THE CUSTOMER PER OUR STANDARD TIME&MATERIALS RATES. PAYMENT TERMS: ' !T_,"M PAYMENT$1,000.00.70%PROGRESS PAYMENT OF$12,950.00 AND FiNAL PAYMENT OF$4,550.00 DUE AT COMPLETION "PAYMENT MUST BE MADE AS OUTLINED. FINAL PAYMENT IS DUE UPON PAYMENT SCHEDULE, NOT ,FINAL INSPECTION. ALL CHANGE ORDERS ARE DUE UPON COMPLETION. BY SIGNING BELOW YOU ARE ACCEPTING THE PROPOSAL AND AGREE TO ALL CONDITIONS&PAYMENT TERMS. PRINT NAME CONTRACTOR UGNATURE SIGNATURE THANK YOU FOR CONSIDERING i ABLE UNDERGROUND CONSTRUCTIO14 AND VALLEY CONCRETE INC. Undergromid Construction: Septic - Sewer - Storm - Water Excavd,ed & Installed Septic Systems: Designed Installed - Repaired Pumped - Inspected ,Plumbing Sewer & Drain. Line Cleaning Rodding < Repaired - Replaced Residential & Commercla Vacuum:Septic-Sewer Storm-Grease Traps4hterceptors Hydro Flushing.-Sewer-Storm.Maintenance-Public Works t Overflow&Spill Response Main Line Stoppages Pipeline Video Inspection.,Pipeline Inspection - Line,_ocating -Detailed Reports Complete 24 Hr.Emergency Service www. .ablesewer� Com www. abledeckandfpnca, corlr www, vall.oyconcre e. cam AFRO® CERTIFICATE OF LIABILITY INSURANCE 7/17/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE. A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the p31icy(Ees) must be endorsed. 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). PRODUCER (INTACT All Spectrum Ins IIAME: All Spectrum Insurance Brokers l�NE (408)739-8300 FM. .(866)826-6781 4300 Stevens Creek Blvd � tA11 .help @asi.brokers.com Suite 100 _ INSURERS AFFORDING COVERAGE NAIC a San Jose CA 95129 INISURERANational Fire Insurance Cc of 20478 INSURED IVIiURERB:PAArless Insurance Company 4198 Able Underground Construction, Inc, DBA: Able IN!;URERC:St Paul Fire and Marine Ins Co 24767 1020 Ruff Dr IN'.;URERD-Zverest National Insurance Co 10120 INLSURER E: San Jose CA 95110 INSURER F: COVERAGES CERTIFICATE NUMBERCL13717005:31 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER DCY EFF MM1DDf EXP OMITS LTR — GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTtU X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) S 300,000 A CLAIMS-MADE a OCCUR X Y 2076630503 /1/2013 /1/2014 MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC _ $ AUTOMOBILE LIABILITY COMBINED aa accident)SINGLE LIMIT 1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED X 8910289 /20/2013 /20/2014 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident S TERRR X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESS LIAR HCLAIMS-MADE I AGGREGATE S 1,000,000 DED X RETENTIONS 10,00 ZUP14R6811013NF — 5/1/2013 5/j/2014 $ D WORKERS COMPENSATION Y WC STA U- OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED) NIA (Mandatory In NH) 600007280131 /1/2013 /1/2014 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under E.L.DISEASE-POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS below _ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Addrdonal Remarks Cchedule,If more space Is required) As required by written contract/agreement per attached endorsements G-140331-B (Ed. 01/09) , AC01020308 the following is additional insured:The City of Cupertino and its directors, officers, engineers, agents and employees, and all public agencies from whom per=.I:s will be obtained and their directors, officers, engineers, angents and employees. CERTIFICATE HOLDER I:ANCELLATION (408)777-3333 14087773333 @myfax.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Cupertino 10300 Torre Ave AUTHORIZED REPRESENTATIVE Cupertino, CA 95014 Umitriy Lazarev/DIMAL ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 r7mnnsi m Th a Ar:r)pn name anri Inns am ranja#0mri marina of ar-non THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLLUTION LIABILITY - BROADENED COVERAGE FOR COVERED AUTOS - BUSINESS AUTO, MOTOR CARRIER AND TRUCKERS COVERAGE FORMS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. Liability Coverage is changed as follows: 1. Paragraph a. of the Pollution Exclusion applies only to liability assumed under a contract or agreement. 2. With respect to the coverage afforded by Paragraph A.1. above, Exclusion 13.6. Care, Custody Or Control does not apply. B. Changes In Definitions For the purposes of this endorsement, Paragraph D. of :he Definitions Section is replaced by the following: D. "Covered pollution cost or expense"means any cost or expense arising out of: 1. Any request, demand, order or statutory or regulatory requirement; or 2. Any claim or"suit"by or on behalf of a governmeial authority demanding that the "insured" or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of"pollutants". "Covered pollution cost or expense"does not includ,3 any cost or expense arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of"pollutants": a. Before the "pollutants" or any property in which the "pollutants" are contained are moved from the place where they are accepted by the "insured' for movement into or onto the covered "auto";or b. After the "pollutants" or any property in which the "pollutants" are contained are moved from the covered "auto" to the place where they are finally delivered, disposed of or abandoned by the "in- sured". Paragraphs a. and b. above do not apply to "accidents" that occur away from premises owned by or rented to an "insured"with respect to"pollutants"not in or upon a covered "auto"if: (1) The "pollutants" or any property in which the "pollutants" are contained are upset, overturned or damaged as a result of the maintenance or use of a covered "auto";and (2) The discharge, dispersal, seepage, migration, release or escape of the "pollutants" is caused directly by such upset, overturn or damage. ©ISO Properties Inc.,2002 CA 99 48 09 02 Page 1 of 1 INSURED COPT 07/20/2012 8910289 NECLXJXA 2607 PGDM060D J05955 STACK09G 00000828 Page 73 Polcy#2076630503 G-140331-B CNFA (Ed. 01/09) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE (OPTIONAL) Name of Additional Insured Person(s) Or Or ani:c_ations (As required by written contract/agreement per Paragraph A below.) Location(s) of Covered Operations (As per the written contract/agreement, provided the location is within the"coverage territory"of this Coverage Part.) (Coverage under this endorsement is not affected by an entry or lack of entry in the Schedule above.) A. Section II - Who Is An Insured is amended to in the performance of your ongoing operations include as an additional insured any person(s) or for the additional insured(s) or organization(s), including any person or c. "Your work" that is included in the organization shown in the Schedule above, whom "products-completed operations hazard" you are required to add as an additional insured on and performed for the additional insured, this Coverage Part under a written contract or written agreement, provided: but only if this Coverage Part provides such coverage, and only if the written contract or a. The written contract or written agreement was written agreement requires you to provide executed prior to: the additional insured such coverage. 1. The"bodily injury"or"property damage"; or 2. However, we will not provide the additional 2. The offense that caused the "personal and insured any broader coverage or any higher advertising injury" limit of insurance than the least of those: for which the additional insured seeks coverage a. Required by the written contract or written under this Coverage Part; and agreement; b. The written contract or written agreement b. Described in B.I. above; or pertains to your ongoing operations or 'your c. Afforded to you under this policy. work"for the additional insured(s). 3. This insurance is excess of all other insurance B. The insurance provided to the additional insured is available to the additional insured, whether limited as follows: primary, excess, contingent or on any other 1. The person or organization is an additional basis, unless the written contract or agreement insured only with respect to liability for "bodily requires this insurance to be primary. In that injury," "property damage," or "personal and event, this insurance will be primary relative to advertising injury"caused in whole or in part by: insurance which covers the additional insured as a named insured. We will not require a. Your acts or omissions; or contribution from such insurance if the written b. The acts or omissions of those actin contract or written agreement also requires that g on this insurance be non-contributory. But with your behalf respect to all other insurance under which the additional insured qualifies as an insured or G-140331-B Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 1 of 2 (Ed. 01/09) G-140331-B CN! A (Ed. 01/09) additional insured, this insurance will be An additional insured under this endorsement excess. will as soon as practicable: 4. The insurance provided to the additional (1) Give us written notice of an 'occurrence" or insured terminates when your operations for the an offense which may result in a claim or additional insured are complete. But if the "suit' under this insurance, and of any claim written contract or written agreement specifies a or"suit'that does result; date until which this insurance must apply, then (2) Tender the defense and indemnity of any this insurance terminates: claim or "suit' to any other insurer or self a. On the date specified in the written contract insurer whose policy or program applies to or written agreement; or a loss we cover under this Coverage Part; b. When this policy expires or is cancelled, (3) Except as provided in Paragraph B.3 of this whichever occurs first. endorsement, agree to make available any other insurance the additional insured has C. With respect to the insurance afforded to the for a loss we cover under this Coverage additional insured, the following additional Part; and exclusions apply. (4) Send us copies of all legal papers received, This insurance does not apply to: and otherwise cooperate with us in the investigation, defense, or settlement of the 1. 'Bodily injury," "property damage," or"personal claim or"suit." and advertising injury" arising out of the rendering of, or the failure to render, any We have no duty to defend or indemnify an professional architectural, engineering, or additional insured under this endorsement until surveying services, including: we receive from the additional insured written notice of a claim or"suit." a. The preparing, approving, or failing to prepare or approve maps, shop drawings, 2. With respect only to the insurance provided by opinions, reports, surveys, field orders, this endorsement, the first sentence of change orders or drawings and Paragraph 4.a. of the Other Insurance specifications; and Condition is deleted and replaced with the b. Supervisory, inspection, architectural or following: engineering activities. 4. Other Insurance 2. 'Bodily injury," "property damage," or "personal a. Primary Insurance and advertising injury" arising out of any This insurance is primary and non- premises or work for which the additional contributory except when rendered insured is specifically listed as an additional excess by this endorsement, or when insured on another endorsement attached to Paragraph b. below applies. this Coverage Part. E. The provisions of the written contract or written D. SECTION IV — COMMERCIAL GENERAL L agreement do not in any way broaden or amend LIABILITY CONDITIONS is amended as follows: this Coverage Part. 1. The Duties In The Event of Occurrence, Offense, Claim or Suit condition is amended to add the following additional conditions applicable to the additional insured: G-140331-B Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 2 of 2 (Ed. 01/09) POLICY NUMBER: C 2076630503 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): Each of your construction projects located away from premises owned by or rented to you Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by damages or under Coverage C for medical "occurrences" under Section I — Coverage A, and expenses shall reduce the Designated for all medical expenses caused by accidents under Construction Project General Aggregate Limit Section I — Coverage C, which can be attributed for that designated construction project. Such only to ongoing operations at a single designated payments shall not reduce the General construction project shown in the Schedule above: Aggregate Limit shown in the Declarations nor 1. A separate Designated Construction Project shall they reduce any other Designated General Aggregate Limit applies to each Construction Project General Aggregate Limit designated construction project, and that limit is for any other designated construction project equal to the amount of the General Aggregate shown in the Schedule above. M Limit shown in the Declarations. 4. The limits shown in the Declarations for Each 2. The Designated Construction Project General Occurrence, Damage To Premises Rented To s Aggregate Limit is the most we will pay for the You and Medical Expense continue to apply. s sum of all damages under Coverage A, except However, instead of being subject to the ° damages because of"bodily injury" or"property General Aggregate Limit shown in the damage" included in the "products-completed Declarations, such limits will be subject to the operations hazard," and for medical expenses applicable Designated Construction Project under Coverage C regardless of the number of: General Aggregate Limit. a. Insureds; b. Claims made or"suits"brought; or c. Persons or organizations making claims or bringing"suits." CG 25 03 05 09 Copyright, Insurance Services Office, Inc., 2008 Page 1 of 2 B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by "products-completed operations hazard" is "occurrences" under Section I — Coverage A, and provided, any payments for damages because of for all medical expenses caused by accidents under "bodily injury" or"property damage" included in the Section I— Coverage C, which cannot be attributed "products-completed operations hazard"will reduce only to ongoing operations at a single designated the Products-completed Operations Aggregate construction project shown in the Schedule above: Limit, and not reduce the General Aggregate Limit 1. Any payments made under Coverage A for nor the Designated Construction Project General damages or under Coverage C for medical Aggregate Limit. expenses shall reduce the amount available D. If the applicable designated construction project under the General Aggregate Limit or the has been abandoned, delayed, or abandoned and Products-completed Operations Aggregate then restarted, or if the authorized contracting Limit,whichever is applicable; and parties deviate from plans, blueprints, designs, 2. Such payments shall not reduce any specifications or timetables, the project will still be Designated Construction Project General deemed to be the same construction project. Aggregate Limit. E. The provisions of Section III — Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 Copyright, Insurance Services Office, Inc.,2008 CG 25 03 05 09 COMMERCIAL AUTO GOLD ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SECTION II—LIABILITY COVERAGE A. COVERAGE 1. WHO IS AN INSURED The following is added: d. Any organization, other than a partnership or joint venture, over which you maintain ownership or a majority interest on the effective date o1 this Coverage Form, if there is no similar insurance available to that organization. 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 self-insured retention plan available to that organization; or (2) To "bodily injury" or "property damage" that occurred before you acquired or formed the organization. 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, organization, trustee, estate or governmental entity with respect to the operation, maintenance or use of a covered "auto" by an insured, if: (1) You are obligated to add that person, organization, trustee, estate or governmental entity as an additional insured to this policy by: (a) an expressed provision of an "insured contract", or written agreement; or (b) an expressed condition of a writter 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 contract' or written agreement; or (b) the permit has been issued to you. 2. COVERAGE EXTENSIONS a. Supplementary Payments. Subparagraphs (2) and (4)are amended as fellows: (2) Up to $2500 for cost of bail bonds (incuding bonds for related traffic law violations) required because of an "accident"we cover.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 timE� off from work. Includes copyrighted material of Insurance SE!rvices Offices, Inc.with its permission GECA 701 (01107) Page 1 of 3 INSURED COPT' 07/20!2012 8910289 NECLXJXA 2607 PGDMO60D J05955 STACK09G 00000796 Page 41 SECTION III—PHYSICAL DAMAGE COVERAGE A. COVERAGE The following is added: 5. Hired Auto Physical Damage a. Any "auto" you lease, hire, rent or borrow from someone other than your employees or partners or 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"m.cident"is the smallest of: (1) $50,000 (2) The actual cash value of the damaged )r stolen property as of the time of the "loss"; or (3) The cost of repairing or replacing the Jamaged or stolen property with other property of like kind and quality. If you are liable for the "accident", we will also pay up to $500 per "accident" for the actual loss of use to the owner of the covered"auto". c. Our obligation to pay for, repair, return 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 lic htning. d. For this coverage, 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. 6. Rental Reimbursement Coverage We will pay up to $75 per day for up to 30 days, for rental reimbursement expenses incurred 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 30 days. We will also pay up to $500 for reasonable and necessary expenses incurred by you to remove and replace your materials and equipment from the covered "auto". If"loss" results from the total theft of a covered "auto" of the private passenger type,we will pay under this coverage only that amount of your rental n;imbursement expenses which is not already provided under paragraph 4. Coverage Extension. 7. Lease Gap Coverage If a long-term leased "auto" is a covered "autc," 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 lessor for any difference between the actual cash value of thf "auto" at the time of the loss and the "outstanding balance" of the lease. "Outstanding balance" means the amount you ewe on the lease at the time of loss less any amounts representing taxes; overdue payments; 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. Includes copyrighted material of Insurance Services Offices, Inc.with its permission GECA 701 (01107) Page 2 of 3 INSURED COPY 07/20/2012 8910289 NECLXJXA 2607 PGDM060D J05955 STACK0913 00000797 Page 42 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 :ransmits 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 or upon the covered "auto"; or (2) Any other electronic equipment that 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 applies to glass damage if the glass is repaired rather than replaced. 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 CONDITIONS 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 right to 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. Includes copyrighted material of Insurance Services Offices, Inc.with its permission GECA 701 (01107) Page 3 of 3 INSURED COPT 07/20/2012 8910289 NECLXJXA 2607 PGDMO60D J05955 STACK09G 00000798 Page 43 PURCHASE ORDER NO. 00058214 PURCHASE ORDER 10300 Torre Avenue Cuperfino, CA 95014-3255 PAGE NO. I (408)777-3219 CUPERTINO V F-4535 __1 s F H CITY OF CUPERTINO E ABLE SEPTIC TANK SERVICE I N 1020 RUFF DRIVE p SERVICE CENTER D 10555 MARY AVENUE 0 SAN JOSE CA 95110 T CUPERTINO CA 95014 R L 0 L ATTN: CHRIS ORR ORDER DATE:09/11/13 BUYER: CHRIS ORR REQ. NO.: 0,0(),0 0 9 8 5 JREQ_DATE: TERMS: NET 3 0 DAYS IF.O.B.: DESTINATION DESC.: ITEM#j QUANTITY I UOM I DESCRIPTION UNIT PRICE EXTENSION ON ih 02mim 0, ------------------ -a X..> R mgtw WIS"K, ---------- .. ... ..... ------------- m mg— &g­. g ims.i . ... . .. ......... .......... ........... MKr ---- ------ -------- .................... C.-w".aU ---- ---------- ------- ------ --------------- __. ......... ............. :01 M 0_3 ..... ..... wgg ........................ w:o.­. ...........-------- .................... XKK....... .0 _g 5 g--; g MR ------------i=mg W SERIES M IM rm! K3� @ ........ 101 2-1 WR'm -W.xvx �,M . ......... R1R., ............ W. ------------- .............. ........... ---------- i xN' .......... kvaw RK' -K- gz-,:gsa, .................. Z. ----------- ------------- ............ NINE ---------------- ......... .................. ---- ------------------ ...... ...... .................. ITEM# ACCOUNT AMOUNT PROJECT CODE 'PAGE TOTAL $ 18,500.00 TOTAL $ 18,500.00 01 1108507 9320 18,500 .00 APPROVED BY ARECTOR RCHASING