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08/12/04 THIT 14:44 FAX 517 3,1` 5092 CLARK HILL 00.-, <br /> 08/11/2004 13:02 602728%%oo3 BLAES PAGE 05 <br /> CALIFORNIA WATER SERVICE COMPNAY VORMI Isis <br /> SURDIVIDER AND CONTRAC'T'OR REQUIRZM)gNTS RFV,4/01 <br /> FOR SUBDIVIDER INSTALLATION AGRLEMENTS <br /> 1. All facilities to be installed under a subdivider installation agreement must be installed by <br /> it contactor approved by Califomia Water Service Company(Company)and no part of <br /> the work may be sublet without the approval of the Company. <br /> 2. Contactor must provide Company a photocopy of a valid license issued by the State of <br /> California for the construction of Water supply mains and related facilities. Acceptable <br /> classifications will consist of either an "A" license(Creneral Engineering Contractor)or a <br /> "C-34" license (Pipeline Contractors). <br /> 3. Contactor must carry the following insurance: bodily injury and property damage liability <br /> insurance with limits of not less that Onc Million Dollars($1,000,000.00)per occurrence,TWo <br /> Million Dollars(2,000,400,00)annual aggregate, insuring Company against any and all liability <br /> for the death of or injury to any person and for the loss or damage ro any propclTy,respectively, <br /> which may arise by reason of acts done or omitted to be done in the course installarion of the <br /> Facilities or which may result from such installation,and further insuring Company against all <br /> costs and expenses incurred by Company in resisting any claim which may be made against <br /> Company or any such injury or damage to any person or property. Each such policy(i)she be <br /> issued by an insurance company approved by Company, which is qualified to do and doing <br /> business in the State of California,(ii)shall name Company as an additional insured,(iii)shall <br /> specify that it acts as primary insurance and that other insurance or self-insurance maintained ey <br /> Company shall be excess only and not contributing,with insuuraitec provided by Contactor.(iv) <br /> shall provide that the policy shall not be cancelled or altered without thirty(30)days' prior written <br /> notice to Company, and(v)shall otherwise be in form satisfactory to Company, Each such policy <br /> or a certificate thereof shall be delivered to Company prior to start of any construction in <br /> connection with installation of the Cacitities. <br /> 4. A.ta endorsement or a certificate thereof to the workers' compensation instirance policy of <br /> Contactor providing that the underwriter thereof waives all right of subrogation against Company <br /> by reason of any claim-arising out of or connected with installation of the Facilities shall be <br /> delivered to Company prior to start of construction.Said endorsement shall provide that it shall <br /> nor be cancelled or altered with out thirty(30)days' prior written notice to Company, <br /> PLEASE ANSWER THE FOLLOWING QUESTIONS: <br /> 1. Name and address of contracting film None L..'.II L�'r pct(- te n, C) <br /> 2. California State Contractor's license number&classification N <br /> 3. Length of tixtie contractor has been constructing water distribution facilities_ <br /> Date: From: To: NA_ <br /> 08/11/04 WED 15:53 (TT/RT NO 66541 Z00.", <br />