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" � <br /> STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION �,08024� <br /> PAYMENT BOND OF STATE HIGHWAY ENCROACHMENT PERMITTEE <br /> TR-0018 (REV. 10/2007) <br /> PLEASE FILL OUT FORM COMPLETELY <br /> [To Accompany the Permit] <br /> Streets and Highways Code Section 677 <br /> BOND NUMBER ENCROACHMENT PERMIT NUMBER PRINCIPAL <br /> 57BSBFE2019 Project ##1103 .04 .12 Closure Solutions Inc. <br /> DISTRICT COUNTY ROUTE POSTMILE PREMIUMAMOUNT EFFECTIVE DATE <br /> LOCATION <br /> 100 September 3, 2008 <br /> INSTRUCTIONS TO SURETY COMPANY <br /> On the Surety Bond,under the"Description of Attached Document,"on the line labeled"Title or Type of Document," <br /> the Surety Company shall listthe description of either PERFORMANCE BOND or PAYMENT BOND and shall also include <br /> the ENCROACHMENT PERMIT NUMBER. <br /> On the line, under the"signer is representing",the Surety Company shall also include the telephone number of the <br /> Principal. <br /> Performance bonds and payment bonds shall be held in force for a period of one-year, from the date of project <br /> completion, unless so stipulated differently by the State. <br /> KNOWALL PERSONS BYTHESE PRESENTS: <br /> That C Qsure SoLuLions, I,n ._ <br /> having an address forservice Of 1242 Oak Knoll I)rive as PRINCIPAL, <br /> and_Uja1tford Pire Insur <br /> a Surety Company qualified and duly licensed to do business in the State of California,as SURETY,are held and firmly bound <br /> to the STATE OF CALIFORNIA,as OBLIGEE,in the sum of <br /> ($�. 0 0 0 -EQurTho U G na Dollars <br /> ),lawful money of the United States ofAmenca,to be paid to the OBLIGEE,forwhich payment,we bind <br /> ourselves,our heirs, executors, administrators, successors, and assigns,jointly and severally, to those persons referred to in <br /> paragragh 4 below. <br /> THAT THE CONDITION OF THIS OBLIGATION IS SUCH: <br /> That whereas PRINCIPAL has made,oris about to make,application to the State of California fora permit underArticle <br /> 2 of Chapter 3 of Division 1 of the Streets and Highways Code to place,change or renew an encroachment in,under or <br /> over any portion of a state highway,and Streets and Highways Code Section 677 requires a bond payable to the State <br /> of California as a condition therefore,this payment bond is executed and tendered in accordance therewith. <br /> 2. That this bond shall be subject to all of the terms and provisions of the afore-mentioned provisions of the Streets and <br /> Highways Code. <br /> 3. That if the PRINCIPAL shall fail to faithfully perform the work for which the encroachment permit was issued,or fail to <br /> pay all encroachment permit fees then the SURETY herein shall pay for the same,otherwise this obligation is null and <br /> void. <br /> 4. No right of action shall accrue underthis bond to or forthe use of any person or entity other than the State of California. <br /> ?N 90 1069 M <br />