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Environmental Health - Public
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2900 - Site Mitigation Program
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PR0526345
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Last modified
2/5/2019 5:12:41 PM
Creation date
2/5/2019 3:42:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0526345
PE
2957
FACILITY_ID
FA0017827
FACILITY_NAME
FLAG CITY SHELL
STREET_NUMBER
6437
Direction
W
STREET_NAME
BANNER
STREET_TYPE
ST
City
LODI
Zip
95242
APN
05532019
CURRENT_STATUS
01
SITE_LOCATION
6437 W BANNER ST
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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STATEOFCALIFORNIA•DEPARTMENTOF TRANSPORTATION 57BSBFE2019 <br /> PAYMENT BOND OF STATE HIGHWAY ENCROACHMENT PERMITTEE <br /> TR-0018 (REV.102007) <br /> 5. That this bond shall be deemed continuous inform,remain in full force and effect up to a period of one-yearfromthedate <br /> of project completion,oruntil cancellation orwithdrawaloftheSURETY COMPANYfromthe bond by means of abatement. <br /> If no work has commenced under the encroachment permit,the SURETY may cancel this bond upon thirty(30)days <br /> written notice to the OBLIGEE. <br /> Bond cancellation notices shalt be sent to the Department of Transportation's District Office issuing the <br /> encroachment permit(See Appendix G,Encroachment Permits Manual).The notice of cancellation shall <br /> include the Encroachment Permit Number and the project's location:county, route,and post mile. <br /> http://www.dot.ca.gov/hq/traffops/developsery/permitslencroachment_permits_manual/index.htmi <br /> 6. Thatthe SURETY shall bearnoliability on this bond in the event the encroachment permit issued to the PRINCIPAL is <br /> cancelled or withdrawn prior to commencement of work on State property bythe PRINCIPAL. <br /> 7. This bond is executed to complywith the provisions ofChapter 3 of Division 1 of the Streets and Highways Code and of <br /> Chapter 2,Title 14,Part 2 ofthe Code of Civil Procedure,and said bond shall be subjectto all of the terms and provisions <br /> thereof. <br /> NAME OF PRINCIPAL - DATE <br /> c1osure solutiorlInc- <br /> BUSINESS ADDRESS OF PRINCIPAL BUSINESS PHONE <br /> 1243 Oak Knoll Drive 925-429-5555 <br /> CITY STATE ZIP CODE <br /> Concord California <br /> PRINT OR TYPE NAME OF AUTHORIZED SIGNATURE AND TITLE AUTHORIZED SIGNATURE AND TITLE- <br /> NAME OF SURETY DATE <br /> Hartford Fire insurance Companv September z, 2G08 - <br /> BUSINESS ADDRESS OF:SURETY BUSINESS PHONE <br /> One Hartford Plaza <br /> CITY -- STATE - -. ZIP CODE <br /> Hartford Connecticut 06155. <br /> I certify (or declare) under penalty of perjury that I have executed the <br /> foregoing bond under an unrevoked power of attorney. Executed on (date) <br /> in (CITY) —akk/0 c( <br /> STATE) under the laws of the State of California. <br /> PRINT OR TYPE NAME OF ATTORNEY-IN-FACT FOR SURETY SIGNATURE OFA/^T�TORNEY-IINN--FJACT FOR SURETY <br /> R bgiL1 W Williams �� �^"• "` <br /> ?tt 30 :969 n . <br />
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