HomeMy WebLinkAboutCC AG PKT 2009-01-26 #NAGENDA STAFF REPORT
DATE: January 26, 2008
TO: Honorable Mayor and City Council
THRU: David Carmany, City Manager
FROM: Vince Mastrosimone, Director of Public Works
SUBJECT: 2009 ARTERIAL STREET RESURFACING PROGRAM,
SEAL BEACH BOULEVARD FROM BOLSA AVENUE
TO ADOLFO LOPEZ CP No. ST0907 -AWARD
CONSTRUCTION CONTRACT
SUMMARY OF REQUEST:
The City Council is asked to adopt Resolution No. 5836 awarding a contract for
$700,700 to All American Asphalt to resurface Seal Beach Boulevard from Bolsa
Avenue to Adolfo Lopez Drive.
BACKGROUND:
At the September 8, 2008 City Council meeting, Council authorized staff to solicit
for bids to resurface Seal Beach Boulevard from Bolsa Avenue to Adolfo Lopez
Drive.
On January 8, 2008, the City Clerk's Office received and publicly opened 10 bids
with the following results:
Rank Contractor Amount
1 _ _ i All American Asphalt I $700,700.00
2
- ~ i R. J. Noble_ _ $764,675.00
J
3 Hard and Harper _ _ ~ $795,000.00_
__ 4 _ _ _ ~ erial Paving _, $795,250.00
_5 I Su11y-Miller__ _ ~ $796,685.00
- 6 _; Ortiz Asphalt Paving__ ~ $805,725.98
7 __ ~ Se uel Construction _
~ $839,500.00
8
~ i Elite Bobcat Service _ _ _ , $840,325,00
9 _ 'Silvia Construction __.~ $906,878.00
10 ; Palp, Inc. DBA Excel Paving . $978,550.00
Staff has checked the references of the low bidder, All American Asphalt, and
has found them to be satisfactory for the improvements required for this project.
Agenda Item N
Page 2
FINANCIAL IMPACT:
In the approved 2007/08 Capital Improvement Project budget $850,000 is
allocated for the Arterial Paving Project. The original engineer's estimate for the
Arterial Paving Project was $850,000.
Fundino
Fund 041 - Measure M Turnback $500,000.00
Fund 040 -Gas Tax $350 000 00
Total $850,000.00
Expenses
Design Engineering
Construction
In-House
$700,700.00
Total
RECOMMENDATION:
5,700.00
It is recommended City Council adopt Resolution No. 5836 awarding a contract
for $700,700 to All American Asphalt to resurface Seal Beach Boulevard from
Bolsa Avenue to Adolfo Lopez Drive.
B BY:
ince Mastrosimone
Director of Public Works
Attachments:
NOTED AND APPROVED:
_ ~A~~y
David Carmany, City Manager
A. Resolution No. 5836
6. Low Bidder's Proposal
C. Signed Contract
RESOLUTION NUMBER 5836
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SEAL
BEACH AWARDING THE CONTRACT FOR ARTERIAL STREET
RESURFACING PROGRAM, SEAL BEACH BOULEVARD FROM
BOLSA AVENUE TO ADOLFO LOPEZ, CP NO. ST0907
THE CITY COUNCIL OF THE CITY OF SEAL BEACH DOES HEREBY
RESOLVE:
Section 1. The City Council hereby awards a contract in the amount of $700,700
to All American Asphalt for the Arterial Street Resurfacing Program, CP No.
ST0907.
Section 2. The Council hereby directs the City Manager to execute the contract
for Arterial Street Resurfacing Program No. ST0907.
PASSED, APPROVED AND ADOPTED by the City Council of Seal Beach, at a
meeting hereof held on the 26th day of January , 2009 by the following vote•
AYES. COUNCILMEMBERS
NOES: COUNCILMEMBERS
ABSENT: COUNCILMEMBERS
ABSTAIN: COUNCILMEMBERS
Mayor
ATTEST:
City Clerk
STATE OF CALIFORNIA }
COUNTY OF ORANGE } SS
CITY OF SEAL BEACH }
I, Linda Devine, City Clerk of Seal Beach, California, do hereby certify that the
foregoing resolution is the original copy of Resolution Number 5836 on file in
the office of the City Clerk, passed, approved, and adopted by the City Council of
the City of Seal Beach, at a regular meeting thereof held on the 26th day
of January , 2009
City Clerk
01/14/2009 11:09 9517394671 ALLAMERICASPHALT PAGE 02/09
01/09/2009 17.:52 562-4309763 Yams n'trne
AN ,AGREEMENT ~'OR
Seal Beach Boulevard Resurfacing Project
CIP ,No. S~''O9O7
)ae~eeu
City o£ Seal Beach
alt-sr~s~
Seat Beach, CA 90740
All American Asphalt
k.0. Bar 229
corona, cA 9as7s-zaa9
9S t 736-7600 - l?~,tone
951 736-7G46 -Fax
'1'1115 ,A,d)z~1~NT is made and ontered into this 26°i day of Jantlery, 2009, by sad betwee7l
the City of 3ea1 Beach, a California chattel' city ("City', and All American Asphalt a General
("Contractor'.
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01!14/2009 11:00 9517394671 ALLAMERICASPHALT PAGE 03/09
01/87/2007 11:62 562-X1308763 rr+.x uoi uo
A. WEIbRF.Af3, the City Council has approved the plans and speoiftcations for the Seal
. Beach Boulevard Resurtbcing Proj~t, CIP No. ST0907 ("project");
B, Wl~l~pS, Contractor has snbmlttad a hid 1p City for the Project dated 7anuary g, 2009.
NOW, 'l'f~.RhFORE, is oonsideratiOlt of performance by the parties of the mutual promiaea,
covenants, and conditions ltorein cwttained, the pastios hereto agree as follows:
g a 'ees. For end ]n consideration of dre morns! promises sat fo[flr
harem. and subject m the 1lorms and conditions sat forth in this Agreemont, Carrtracto~t shall perform and
complete in good attd workmanlike matster all work ("Work") required by this Agreement and the
documcnte listed itt 9ubsaction 1.2 for the Projxt
~~~ rioaumema. 'ffie "Contreot Documents" dear comprise the agtcemeaR between
the City and the Contractor are the: Nodes xmiting Bids, Inse<rretions W $idders, Accepted Proposal,
Non~:cllusion Afl'rdavit, Bid Schedule(a~ List of Subcontractors, Contractor's industrial Safely Record,
Contractor's Qual38.ca2iort Statement, Bid Security Forms for C1ueCk or Boad, Spcoifioations, Qeneral and
Special Provisions and docnmeMa referenced therein, all addenda as prepared prior to the dale of bid
openinP setting forth any gaodiftcations ar interpretations of arty srf said documaads, this Agrcaoeny
~Harhibits attached to this Agraema+t, including but not liacitad to tbo Performance Bond (Fadribit Act,
Payment Bond (Bxhibit B~ Worker's Compensation Insurance Certifloate (&cbibit C), Insurance
fitrdorsemeats (Exhibit D), Aeknowladgment of Penal erld Civii Penalties Coueaming Conractor
Licco.~ing Laws (~,hibit 8) and Labor Law Requirements ($xhibit P) and arty and all setpphmtsntal
agreWtlents eereerrocd amending or extending ells work contemplased and drat may be requited to complete
the work In a subatandal and acceptable manner. 'T'hese CoMrar~t Documents ere hereby incorporated into
this Agreement,
The Wotk shall be performed in aneordaoce with the Plans, 9peci8cadons and other
Contras Docrmrenta. Contractor shall Itrrrrish at its own expense all lobar, materials, equipment and
services necessary dterefbm, sxcapt such lobar. materials, equipment and services ae are speci$ad in Qto
CoaCact Documents to be fbrniahed by Owner.
In the event of any material discrepancy between the exprces provisions of this
Agreement sod the provi9i'ons of the other Contract Docome~, rho provisions of this Agreement shall
prevail.
gB>sit_i~ I~te. This Agttemotn is effective as of Ianuary 26, 2004 (the "Isffe~ve Data"). and
shall remain in fLll force and e$ect until Cotthactan' has rendered the services tegaired by this Agreement.
Payment Por performing and completing the work iu accordance with the Contract Documents,
Owner shall pay Comr-actor, m full compansatian therefor, the contract sum sat forth in the Bidding
Schedule, Said sum shall constitute paymert iu full for aft work performed hereunder, including, without
limitation, all labor, materials, equipment, tools and services used or incorporated in the work,
eupervieion, administration, overhead, expenses and any and all odrer things required, furnished or
incrm~ed for completion of the work as spectIicd in dta Contract DooumeMa. Owner aball make payments
to Contractor an account of the contract sum at the time, in the mamter, noel upon the conditions specified
in the Contract Documents.
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PAGE 04/09
rtuc ~+r vu
Controotor's~onneL
n pit Work shall ba perfoinaed by Coaanctat or undue Contaaetor's direct supstvision, and
art pe~sotmel shall possess the qualifications, permit.', and licensee requimd by Stets and local law and by
such Services, includmg, without limitation, n
the Nrrticeinviting Eids/Instnwtions tp Bidders to perform
City of 3asl ]3cacli business license as required by the Saal Beach Municipal Code.
Contractor shall be responsible for payment of all employees' wages and benc£ita, and
shall comply with all ~ ~ vial 9~rty. g Contract ~a111£ully ~pworkcrs~ o~pen~~,
utte»aployeaent insurancaS
oomp,otteat9on law fe$md+n6 Contractor and Coafradot's employees.
Carruaetor shall indemnify and hold harmless City aed ifs elected offielals, officers and
employees, servants, designamd volunten's, and age"ts ser"ing as independent co~raotore {n the role of
city officials, fiostr any and all liabilifies, damages, claims, costs and mepenses of any nahite to the extent
arising from Contractor's alleged violations of personnel pradicos.
Conuactor is, and shall at all times remain as to City, a wholly indepoadert corrtracwr.
Connector shall have no power to incur any debt, obligation, or iinbility oa be]istf of CiRy or otherwise eat
as as agent of City. Neither City nor any of its scents shall have control over' the wndnct of Contractor or
any ot"Contractor's omPloyaos, except as set fords in this A~eemert. Corttiactor shall no; at any tune, or
in any manner. mpresettt that it or any of its officers, agents, ar employees arz itt arty manner employees
of City. Contractor shall pay all required taxes vn amounts paid to Contractor under this Agroemeat, and
indamni~jl and hold City harmless from any and all texas, assessmeids, Penalties, and ltttetest asaetted
against City by meson of the work perforrttod pwsuaat to this pgreeroent
City shall have the right fo offset against the amount of any fees due w Contractor under
this Agreement any amount dec to Cityy from Contractor as a taault o£ Contrac6or's iadlure to promptly
pay to City arty reimbursomeat of {ademnifuation arising under thl9 Section 4.
Contractor's Auk. Contractor shall indcnmi~ and hold dre City, its elected officials,
officers, employees, volunteers, agents, and those Cits' agate serving as independent contractors in the
role of City officials (coileotive~y "Iudemnitees'~ free and harmless fiorn any and all olahns, dazaage.9,
penahies, obligations, demands, causes of action, oasts, expeaaes, Habilrq+, loss, deroege or ~ ~, d troop
or equity, to property or persons, including without limitation wtrmgflrl death, bid protests,
aotree actions, is any manner arising out o£ or incident to rho per£ottttance of the Agreerent, including
wiibout limitation the Payment of al] aonsegtreaklal damages and attorneys fees aed other rolal~ costs
and a~ettsea, ptutber, Co~acwr shall appoint competent defense co»neel, at Contractor
expense and risk, to defeltd say and all sock suits, actions or other legal prooeadings o£ every kind arising
out of ar incident to the performance of the Agreement that may be brought or in.~tittrtad against
Indemnitees. Connnefuc shall pay and aatiafy any judgment award or decme that may bo rendered
against City or the other Irtdemniues in any sttch suit, aedon, ar other legal proceeding arising out of or
incident in the performance of the AgreefRtent. Contnrotgr shall mimburse rho City and the other
lndemnitees, far any and all legal expeoaea and wets incurred by each of them is connection therewith or
in en$xcing the indemnity herein prov{ded. Contractor's obligation to lndaronify shall not be teatrided to
instrance proceeds, if any, repeived by the City or the other ludeamitna.
Nonwaiver of ItielRa. indemniRaes do not, and shall cot, waive arty fights that they may
possess against Contractor because of the ancoptance by City, or the deposit with City. of any insurance
policy or certilieaee inquired pursuatlt to this Agreement.
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PAGE 05/09
rNVR uJI uo
wai~3~ht,,,af SuUnc~on. Contractor, on behalf of itself and all patties claiming
rmdor or through iS hereby waives all rights of subrogation against tho 1:ademnitaes, while acting within
the scope of Choir duties, from all claims, losses, sad liabilities arising out of or incident to aedvities ox
operations pexf'ormed by or on behalfofthe lndemnitor.
ival. The provisions of this Section 5 shall survive the terminataiop of tho Agreement
and are M add'iNon ro arry other rights m remedies that indomnitees may have under tits law. Paymeat is
not ~quirod a9 a condition precedent to an inda®iteds right to recover under this indemnity provision,
and eq entry of judgment against an Contractor shall bo conclusive in favor of the lndamnitee's right m
rocovur under this Indemnity provision.
L enc .Contractor shall procure and tttaiataitt In iltll forcz ertd e$'oot for the
duration of this ~Agcemmrt insurance agalpst olaims for injuries to persons or damages to propeRY and
professional negligence whiph may arise from or in connection with the performance of dre servrces
hereunder by Conuactor, and ib agents, representatives, employees mid subconsultaMs. Contrutor sha11
eompleta avd arectrte the following des®ems atmched as 8xhibib hereto and incarporatad herein by this
refenaco:
$xhibit 1>•l: Additional Tnsarad Endorsement - Commercial Ganeaal Liability
Exhibit D-2: Additional insured 8ndorseolont -Automobile Liability
F.xitibitD-3: Additionallnsaredisbdo~someat
Minimum Swae ofln~ur~eo. Unless otherwise approved by City, coverage shall be at
toast as broad as doflned below:
insurance Services Office Commercial General Liabrlity covmage (occurrence
fomr CG OOOI).
insuiarrce Servioea Offico £orm cumber CA 0001 (Ed. Ug7) covering
Atttotriobile Liability, code 1(any auto).
vYorl:er's Compensation insurance as required by tlta Static aP California and
Eanployer's Liability insmmrce,
professions) ).lability insurance. Contactor shalt provido to City the standard
form issued by the carrier.
belmv:
MittLmum limits of Insraance. Contractor shall maintain limits no less titan as da5ned
t3eneral Liability: $2,000,000 per occtn:rcnce and in the aggregate for bodily
injury, personal injury and property damage. Commerolal General Liability lhaarartcc or athecr form with
a general aggregate limit shall apply separately to this Agreement or the general limit sha11 be twice rho
required occmrenea limit
Automobile i.iabiiity: $2,000,000 per aooideiat for bodily injury sad property
daatai;B.
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ALLAMERICASPHALT
PAGE 06/09
rraun not no
Employer's LlabrTty: $1,000,000 per accident and in the aggregate for bodily
iyjury nr disease and Wofkors' Compensation Insurance in the amotmt required by law.
' os 9elf- ' as. Contractor' shall inform City of arry deductibles
or selRatsW'ed retentions errcept Wide respectto profeagional liability insurarrre.
nA,x ma.,m>,rE Provisions. The general liability and automobile liability polides eta t0
cmaain, or be endorsed to contaro, the following provisions:
City, its officers, oificiala, omployeea, designated volraa~eers and agents saRving
as indcpcnderrt contractors in the role of oily or a>~cS ~~ are to be eorrered es additional hrsuted~
as rospects: liability atisitrg out of activities performed by or on behalf of Contracts; products and
compluoed operatioro of Cona'aotor, Promises owned, occupied or used by Corrtractoq or automobiles
owned, leased, hired or borrowed by Contractw'. The coverage sbalT opntain no limitations on the scope
of protection afforded to City, its officers, officials, employees, desigaated volunteers or ageats servlug as
independent contractors in the role of dty or agency officials wltieh are not also limitations applicable to
the named iasat+ed.
Eor atry cbrlms related to this Agrcerrrerrt, Contractor's insmance covetgge shall
be pttirnary insurance ~ respects City, im officers, oi5cis19, omployerut, designated volumeers and ageats
servlnl; as independent corrnactms in the cola of elty or agovoY oicials. Arty {naurance ar self-insurance
maintained by City, their oiE~cerr, offtdale, employees, designated wtunteers m agems serving as
independent contractors in the role Of city or sg~moy oiiaials shall be excess of Contractor's mstrrance
and shall not rontribute with it.
Coairector's insurance shall apply separately to each iastued age{ast whom olairrt
is made or sail is brought' except with *esPact to the 1'mtita of the insurer's liability.
Each insuranw pellet' required by this clause shall ba endorsed to sls~te first
coverage shall not be canceled or materially modified erreept after 30 days prior written nonce by
registered first class mail hes been given to City.
Each insuraam policy, wtcept for the proRrssional liability polity, tagnired by
this clause shall exptesaly waive the insurer's right of subrogation against City aad its elected of5ciala,
officers, employees, servards, attorneys, designated volunteers, end ageata serving ae Independent
aontraotors m the role of oily ar agency ot~eiais.
Anceotability of Insarere. iasutaaeo is to be placed with mstauss with a onttem A.M.
Best's rating of na less ffian A:V>z unless waived in writing by City's Risk ~>~°r'.
Verl6calion of Coverame. All insurance coverages shall be couCtrtaed by execution of
ecdorsemcnta on forms approved by the City. The endorsements one to be signed by a persotr authorized
by that insurer to bind coverage on its behalf All endorsements era to be received attd approved by City
before services commence. As an alternative to Ciq~ tbrtna, Contractor's insurer may provide complete,
ccrtifirx! copies of all required irraurance polioiea, including endorsements effecting dre coverage negtt{red
by ttr~e specifications.
Liquidated Damaees. Should the Contractor fail to complete.the prgjeot, or any part thereof is
the tm+e agreed upon to the Contract, the Contractor shill reimburse the Owaer for the additional errpanae
sail damage for each calendar day that she Conhzct remains uncompleted after the Contract completion
date. It is agreed that the smouot of atreh additional expenao and damage incurred by roeson of failure to
complete the Contract is rho per diem rate $750 per working day. Such amount is hrnreby agreed upon as
liquidated damages for the toga to the C+wner resulting from the failure of the Contractor tp eompleia tba
Page D-33
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bl/t15/2009 11:92 062•• 4799763 ' "~~ "" ""
project within the allotted time and to the valve of the opeta2ion of the worts depegdent thereon- it is
expressly understood and agreed that fhb amauttt Is a reasonable amount and is established in lieu of
damages that ere itgapable of calcutetion at tiro inception hereof and this amount is not to be considered
in the Hoare of a penalty. 'The Owner shall have the right to deduct such damages from any amount due,
or the amoum of such damages shall be due and colleotible
or that mapr bxomo due to the Crmtraotor, s eMs made after the scheduled completion
'from tiro Cotrtraetor or the Corrbgetatr'a Sun:ty. Rrogres Paym
date shall not acnstitute a waiver of liquidated damages.
q~ City may, in writing, order Contractor to suspend all or aqy part of rlae Contractor's
9crvices for the convenience of City or for work stoppages beyond the eoatrol of City or Contractor'. A
suspension of the Services does not void thin Agreemetrt
'eo Any notices, bills, invoices, Or teportg authorized or requited by this Agreement shall ba
in writing and shall be deemed received on~(a) tha day~o~i ~if~ 1~rvfered~, hdbnd~~ dvri+t~8
courier service during Cottttactor s and City s regular followin d osit in rho Uaited
Contractor's regnier business hours; or (b) on the third business day g aP
States mail, postage Prepaid, to d+e addressee bcrctof'nre set Perth In the Agreement, or to such other
addresua as Hie parties may, ttom time to time, designate in writing pursuant to ehc provisions of this
9eotioa. All notices shall be addressed as follows_
if to City: City Clerk
City of Seal Beach
21 l 8th Street
3va1 Beach, Califotttia 90740
Telephone: (562) 431-2527
Fax: (562)493-9857
With a copy to:
Pabiic Works 17irector
City of Seal Beach
2118th Street
Seal l3eaoh, California 90740
if to Connaclvr: Ail A.moritxn Asphalt
P.O. Box 2229
Corona, CA 92878-2229
Telephone: 951736.7600
Fax: 951 736-7648
Non•Assianabliity: Snbcontrsetine. Contractor shall not assi>;ar, transfer, or srtbcontract aqy
inaotest iu this Agrsanerrt or the performance of any of Conhactor's obligations herersstdar. Any atsempt
by Cnntraietor to so assign, transfer, or subcordract aay rights, duties, or obligations arising hereunder
shall he rmll, void and of no e~Ct.
~g~p~ with T.sawe. Cotttract»r shall comply with all aippGtable federal, state and local laws,
ordin:mces, codes and rogulationa in foroe at the time Contractor poiforlrtls the Services.
rr..,._ur.;.,~ of Terms. Ri$llf,9 and lteme_dL. Waiver by either piny of any one or more of the
conditions of per}'omranw ender this Agreement shall not ba a waiver of any other condition of
performmocs undeS this Agreement Jn no event shall the making by City of any payment to Contractor
constitute or ba construed as a waiver by City of any broach of ooverram, or any default which may then
exist on rho part of Contractor, and the making of arty such paytnertt by City shall in ttv way impair or
prejudice any right or remedy availablm ro City with regard to such breach or default.
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PAGE 08/09
1"HVC not uo
Axrnr,evs' Fees. in the event that either pen.Y to this Agreement shall commence any legal action
or proceeding to enforce ar int>:rpret the proviaiens Ot* this Agreement, the preva+lin8 Party in suoh action
or proceeding shall be entitled to recover its vests of suit, including all attorneys' flees incurred in
eonna:tion with such enlbrootnent or interpraaticm.
c+,,,,,~Fyion, 'I1fe validity, intetpreteelion, and perform~a of this A~eema:rt shall be controlled
by and conshttad under the Paws of tho State of California. 1n the evrnt of anY asserted ambiguity in, or
dispuu: regarding the intetpralaf3on O£ any matter herein, the interpretation o£this Agreement shall not be
resolved by qtly talcs oP interpretation providing ~ intarpreffition against the patty who causes the
uncertairty to exist or against the party who drafted the Agreement or who drafted that poKion oP the
Agreement.
pd;ro Anent. This AgromrrenT, including any ofltor documents incorporated herein by
specific taliKenae, rcprCSer+m the entire and integrated agreement between Contractor and City. 'l7tis
Agreement supe*scdes all prior oral or written negotiations, rgtpreserrbtions, or agroemerrte. Thie
Agroomeot may not be amonded, rice any provision or breach hereof waived, exGepk in s writing signed
by the parties which expressly rapers to this Agreement
TN Wi•ThTES3 Wkl&REO1+, the parties, through their rsspectivo audrorizad represenmhves, have
ex¢owcd this Agreement as of the date first written above.
C14'Y OF SEAL SEACtt
CONTRACTOR
By' ~~
~' Name: Y.b R
David Carmeny, City Manager
Title: V ~G6 C+L~£ b
Attest:
By: gy
Linda Devine, Clq~ Cleric Name:
Title:
Approved as to Form:
City Attorney
Quinn M. Barrow,
Page D~35
~•
State of California l
County of~l!~V~-S~~-~~-~-~J
On ~19')U. r '/~ before me, ~~+~
personally appeared
who proved to me on the tmsis of satisfadory evidence to
be the person(R}tirtiose name(41-is~~subscn'bed to the
BRENDA L. ROYtiTER within instrument and acknowledged t0 me that
eommtceton ~ t ~OOV22 he/slg~Iky exe<xtted the same in hlsAur~eir authorized
~ w Notary PubI1C - Callfomla ;
RNereWe County ~p~sYGSbh and ~~ ~' hlslfwR9t+eRsignehrre{~}.cn the
carrnL Oct2420to instrument the person}-or the entity upon behalf of
which the person(Ip~Ht.~ted, executed the Instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph i9
true and correct.
WITNESS my t,~nd and offlfjial seal. ~ J/
Nwn Wamry sMi n9vw - .„__._....__, . _._
OPTIONAL
Though Nfe rMrr rxww rs not raqurred by ~ rY n+ay Proms reha~rbAa to persona reQdng on the document
and tnU/d ryeuenr IraudulaM romoval mid reattachment o/ rh/s Porm to mro0lrer ~a~snE nnn
Description of Attached Document ~r ~~ /~,7 a~
Title or Type or Documer>t _. ~h ~~Q~?~ ~• - `J ~y
Document Date: _~r"'V 1 - _ Number of Pages: ~,_L-.--
Signer(s) Other Than Named Above: Nd~
Capacity(ies) Clbtr Slg"~ se ~,~
Signer's Name: r *< <~. Signer's Name:
L] Individual ~ pl~ (~_ _ _ glDdlvidual
corporate Oltloer--Tltle(a): V f~.~.R (~ Corporate Oiflcer-T7Ue(e):
L] Partrter-^ Limited V General f7 Partner -G Limited LI Ger
^ Atomey in Fed LJ Attorney in Fact
7hp or thumb bEre ^ TNStee
^ Trustee
^ puardan or Conservator L] Guardian or tvator
V Other: f.7 Other:
Signer (s Represaming:
TOP of tliumb Mrs
o7mrWtlrn.I Neluy prrprJNhn•9360WSel9 M„R0.aO~aul9•du~r~r~hCh 979132109•wav.Na99neNanry9y rant x5007 peutNr.Cat7bK9eP1~06876bBt7
Signer Ia flepresentl~~
~C.L ff•'1L(