ORDER NO.29179
KERRVILLE SOUTH WASTEWATER PROJECT, PHASE II, AND III
Came to be heard this the 23rd day of May 2005, with a motion made by Commissioner
Williams, seconded by Commissioner Baldwin. The Court unanimously approved by
vote of 4-0-0 to accept the bid from Lupe Rubio Construction, Inc. to the project engineer
for review and recommendation.
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COMIVIISSIONERS' COURT AGENDA REQUEST
MADE BY: William Williams
MEETING DATE: May 23, 2005
OFFICE: Commissioner, Pct. 2
TIME PREFERRED: !b; 0 0
SUBJECT: Receive and Open Bids on Kerrville South Wastewater Project,
Phases II and III.
EXECUTNE SESSION REQUESTED: (PLEASE STATE REASON)
NAME OF PERSON ADDRESSING THE COURT: Commissioner, Pct. 2
ESTIMATED LENGTH OF PRESENTATION:
IF PERSONNEL MATTER -NAME OF EMPLOYEE:
Tune for submitting this request for Court to assure that the matter is posted in
accordance with Title 5, Chapter 551 and 552, Government Code, is as follows:
Meeting scheduled for Mondays:
THIS REQUEST RECEIVED BY:
THIS REQUEST RECEIVED ON:
5:00 P.M. previous Tuesday.

All Agenda Requests will be screened by the County Judge's Office to determine if adequate
information has been prepared for the Court's formal consideration and action at time of Court
Meetings. Your cooperation will be appreciated and contribute towards you request being
addressed at the earliest opportunity. See Agenda Request Rules Adopted by Commissioners'
Court.
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`~etv~RTfs~a~eNT
AND INVlTATttat~
FOR BiCS
FOR
CONSTRUCTION
Tne County of Kerr
will receive bids for a
Sanitary Sewer Col-
lection System and
Wastewater Lift Sta-
tion in KetrviNe,
Texas, until 9:00
A.M. on Monday,.
May 23rd, 2005, ar
700 Main, Kerrville,.
Texas 78028. The
bids w~li be publicly
opened and read
aloud at tOr66 AM
on Monday, May
23rd, 2005, at 700
Main, Kerrville,
Texas 78028, during.
Kerr County Com-
missioners Court.
This project is to be
partiallypaid#or by
the Texas Commurn-
ty Development Pro-
'ggram, Office of Ruraf
Community Affairs,
project numbers
723095 and 722431.
Bids are invited far
several items and
quantities of work as
follows.
Construction of fl-
inch gravity sanitary
sewer collection Sys-
rein, service laterals,
septic tank mftiga-
tian, manfiotas, 4-
r~eh Lorca main,..
wastewater itff sta-
z PUatiC Nt}TIG€:
on oompiece w?in:
+ectn.,~(: rt'kDA 2t
lift station complete,
cutting ono replacing
concrete and as-
phait, dewatering,
testing and all other
hams included in
construction docu-
ments and as neces-
sary to complete the
protect.
Each Bidder should
visit ttte site bf the
proposed work and
fulty acquaint himself
with the existing con-
ditions there and
should ful{y inforrrt
himself as to the fa-
ciltties involved, the
difficulties and re-
strictions attending
the performance of
the contract. The
Contractor, by the
execution of the con-
tract, shelf in noway
be relieved of any
obligation under t
due to his failure to
receive or examine
any form of lec~af
document or to visit
the site to acquaint
himself with the con-
ditions there existing.
The County will, be
any claim bases on
lack of inspection of
the site prior to the
bid.
are an rue at rnr.a
Tecli, lnC., 501 Sole-
dad,. San Antontq;
Texas 78205.
Cppies of the
BidtC9nkract Ui7ou
ments may be ab-
tamed by depositing
$50:00 with Tetra.
Tech tar each set of
documents obtained.
The :deposit wiii ba
refunded tt the dace-
ments and drawings
are returned in gaod-
davs~following the
A bid bond in the
amount of 5% at the
bid issued by an ac-
ceptable surety shah
be submitted with
each bid. A cedffled
check or bank draft
payable to the Coun-
ty of Kan or negotia-
bis U.S tiovarrimrsnt
Bads (as Rar value}
2_ PUat.tC NBriGE
may bemay s..
lieu ofi the Bid Band.
Performance. and
Payment Bonds " re-
quires alt pnme aan-
tractors which enter
into a formal ~ntract
in excess of $25;000
with the State, any
county, sanooi ms-
trwt or any dtvision ar
subdivision thereof,
to obtain a Payment'
Bond in the amount.
of the contract be-
fore eommencing
witFi work artcf a per-
formance bond far
.public •works con-
tracts in excess of
$100,600.
Tha failure of the
successful-bidder to
execute the agree-
ment and supply^the
required bands wrtti•
in ten (t0} days after
the prescribed forms
are presented fior
signature; or within
such extended pars-
od as the locality
may grant, shah ctin•
stitute a default and
award the contract to
the next lowest re-
soonsibte bidder, or
mount of
and the
r which a
ra-
the
have na
ist the to
There will be a pro-
bid cariference to be
held at 1:00 p.m. on
Wednesday, May
38th, 2065, at Kerr
CountytY Courthouse,..
760 fdaln; Kerrville,
Texas 78028
on
ensure that
~yees and ap-
is for empioy-
are not dtscn-
ed against pe-
of race, cdlor,
.n, sex, age, ar
ial origin.
2. PUBL•
award...
Kerr County
Pat Tinley,. County
Judge
Data: May 7th and
May 34th, 2005
The County of Karr Lull in
reserves the rt9M to
reject any or al bkls
or to waive anY tnfor- t
matity in lhebidCNng.
Bids may be heW by
County of Kart for a
period. not Mexceed -
30 days from the
date of the bid. open-
ing tot the pine bids ....
of reviewing
and invastigat~ttng;the 4.
ate
grams may
~rtaka anY
i part or in
protect.
~2 ~u;b;o parr, lrx .
~oLe ~; f(ey
k;n~ysl~, !x ~~~
II V
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~ TCDP C+on+rac~- ~ '12z4f147a3o95
~2o~ecT, y4
Phr-~~ 1 I a.rd ~h:~~ ~--
~~ ,
~'`

' Proposal
Page 1
' PROPOSAL
' TO
KERR COUNTY
t FOR THE KERRVILLE SOUTH SANITARY SEWER
TDCP CPMTRACT #722411 AND 723095
' The undersigned, as bidder, declares that the only person or parties interested in this proposal as
principals are those named herein; that this proposal is made without collusion with any other
person, form, corporation; [hat Bidder has carefully examined the form of contract, instructions to
bidders, specifications, and agrees that Bidder will provide all the necessary labor, materials and
equipment called for in the contract and specifications in the manner prescribed therein and according to
the requirements of the Owner as therein set forth.
' It is understood and agreed that the work is to be completed in full in 270 calendar days.
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The work proposed to be done shall be accepted when fully completed and finished to the entire
satisfaction of the Owner, and shall include the following:
Construction of a-inch gravity sanitary sewer collection system, service laterals, septic tank
mitigation, manholes, 4-inch force main, wastewater lift station complete with electrical, SCADA at
lift station complete, cutting and replacing concrete and scphalt, dewatering, testing and all other
items included in construction documents and as necessary to complete the project.
The undersigned certifies that the bid price contained in this proposal has been carefully checked and
is submitted as correct and final.
If there is a discrepancy between price quoted by written words or figures, the price quoted by written words
governs.
Bidders for the construction work must submit a satisfactory cashier's or certified check, or bidder's
bond, payable without recourse to the order of Kerr County in an amount not less than five percent (5%) of
the total bid based on the bid which check or bond shall be submitted as a guarantee that the bidder will
enter into a contract and execute performance and payment bonds within ten (10) days after Notice of
Award. Bids without required check or bond will NOT be considered.
Date Number
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Bidder has examined copies of all the following Addenda, receipt of all which is hereby acknowledged:
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Proposal ,
Page 2
Bidder is: (Check One)
An individual proprietorship;
A partnership composed of,


A corporation chartered under the laws of the State of, e ~ ,acting by its officers pursuant ,
to its by-laws or a resolution of its Board of Directors.
~ ~~ ~~,b,~ C~~s-~~~t~, i,~ ~ 1
(Na a of Bidder)
ATTEST: BY'. SNe C-oc~c~c~wPF KJVJ~O ,
~. (Signature)
Vy,~. ,,~r, ,. 1 ~~IdpXl~
~,
< L .. (Title)
r. -
~~ ~. '...., ~ .- (Address ,
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' PROPOSAL SHEET
BASE BID PAGE 1 OF 3
v~....me c.., dl. Cenifv i Ce uer Prniorf . PH II R III
	APPROXIMATE	DESCRIPTION AND UNIT BID PRICE	EXTENSION
ITEM	QUANTITIES		UNIT PRICE X QUANTITY
NO.	AND UNIT	(Written in Words)	In Fi ures
1	1
L.S.	Mobilizatio

for L~C~-~ Ilars
6	

6~,
~
~~~)
		
and Cents er Unit	~
,
2	1
L.S.	Prepari Right-of-W
~ L
fo ~ollars	

~~ ~/X
d (.J
		and Cents per Unit	
3	6,126	g(All Depths)
6" SDR 26 Sani ry Sewer Pip	
	L.F.	p
~~~~~~1~ f ~ Dollars
for "'.JJILLL	
/,(~
n /
/
x
		and Cents er Unit	~/
_
'~
/ J ((~/ lJ
4	22	ncluding Drop Manholes)
Watertight Ma ole 0' I	
	
EA.	/
n / /
far ~~~ l~-//~~/~~!'~`	
/,,/~ //
~l UL
CYC/
		and Cents er Unit	j
5	66.4	Extra Depth Manhole >6'	
	V.F.		
		for ~ Dollars	%D
			/ ~ ~~,~~
		and Cents er Unit	
6	22	Manhole Ring ncasement	
		far il~ /i7~~if-.L[~ ~ Or~trars	`'
~
		
and Cen[s per Unil	/ T
O i
7	1664	4" C-900 DR-1 q, PVC Force Main and Fittings, Complete	
	L.F.	(~Z// Dollars
for	/ nn//,, ~i~[/
			! ~ ~"U~~d j
		and Cents per Unit	
6	119	'4" Schedule 4 ice Lateral to ROW Line, Complete with	
	EA.	ng Code)
Plumbi
uts (per
d Clea
nb
all Fitting
s
a
p	
		f
/;
\
/
/
/
J~
~
/
~
~	YJ ~/2
~~
~
~ / J
		L~°~ddllars
~
for ~//C~ EJLf L ~C ~~C	i
/
j c
		and Cents per Unit	
BIDDERS SIGNATURE
..~esQ C. ;c~ci~lv~' ~~~bty
t
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' 'All Cleanouts subject to traffc shall be cast iron with 6" concrete encasement.

PROPOSAL SHEET BASE BID PAGE 2 OF 3
Kerrville South 5anitarv Sewer Preieet - PH II 8 III
	APPROXIMATE	DESCRIPTION AND UNIT BID PRICE	EXTENSION
ITEM	QUANTITIES		UNIT PRICE X QUANTITY
N0.	AND UNIT	Wri[ten in Words	(In Fi ures
9	86	"4"Schedule 40 Service Lateral from ROW to Dwelling Conne	ction
	EA.	Complet w/all Fittings and Cleanouts (per P umbing C de)	
		for ~ -~ / ~ tars	~~~~`9C~~
y~
		and ~ Cents per Unit	r
10	86
EA.	'"Septic Tank igatio
~
~
		~ ~ ~
,,,
for ~~~ +(~'/Li s ~s~ ~~~. ~ ~
i
		and Cents er Unit
11	90	Cut 8 Replace Concrete	
	S.Y.		
		for ~ ~ Dollars	/,
dj~D ~~~
		and ~L ~~ Cents per Unit	~
12	340	Cut 8 Replace oncret urb & Gutter
	L.F.	~~ ,,,,~~ n
for ~' C/L'yc~C ~ Dollars ~'
Q
~
		/
y
		and ~ C Cents per Unit
13	3565	"Cut and Repl ce Pa enl	
	
S.Y.	
'~~
for `~d/ s Dollars	//11 nn ~/ ~}
~LJ~
1 ~~
		
and ~ ~ Cents per Unit	d
/
14	8100	Trench Excavatio Sa Protection
	L.F.	
		for Dollars ~ IQCP ~~
		r
and Cents er Unit
15	1	"'Remo & Repl a Fencing and Shelters to Original Condition
	L.S.	
		for /i ` 4P Dollars //~~~"Q(~
		and Cents er Unit
16	1	'"'Temporary Fenc
& Shelter for Goats on Mr.'Haun's Property
	L.S.	~
/
for ~'/.~A~L C~f~Dollars ~~ G) ~Q
		and Cents per Unit
BIDDERS SIGNATURE
~oY, G~xxdal~PP R~,bio
"Gontraclor shall be responsible for all permits, inspections and applicable fees.
`"'All work to be coordinated with property Owner Mr. Haun at 400 Loyal Valley Drive.
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PROPOSAL SHEET BASE BID PAGE 3 OF 3
Karrvillo .Gnl I}h Ranifav Cm r Drn en1 _ OLI II -. III
	APPROXIMATE	DESCRIPTION AND UNIT BID PRICE	EXTENSION
ITEM	QUANTITIES		UNIT PRICE X QUANTITY
NO.	AND UNIT	Written in Words)	In Fi ures
17	2,400	Hydromuiching	
	S Y.		
		for Dollars	/
~I YJ~
~~
			/
I
~i
		~	
		and
Cents per Unit	
18	1
L.S.	Dewatering ,~ / /, / /'
~~T1CF-O1N ~iJ ~?l~
for ~ r' ~ ars	
~ ~~~ `JU
~-
		and Cents per Unit	
19	1,620	Trench,Bed ing Material	
	C.Y.	
f~ ' ~	
		for
Dollars	~~
?, /
		

and Cents er Unit	~
~~
l J `1
20	1	•'•'Waste ater Lift Station, mplete
~	-~
	L.S.		
~
		for
D
ll	~~ ~
		o
ars	
		and Cents per Unit	~~
21	1	""'SC A a Lift St Ion, Com , to	
	L.S.		
		fo ~~~ Dollars	~
		
and Cents er Unit	/
		for Dollars	
			
		and Cents er Unit	
BIDDERS SIGNATURE
~~F r,~l~~~~~a= ~,~I~~
"" Two (2) submersible pumps shall be capable of pumping a minimum of 100 GPM with a THD of 75 ft. and 3-inch
suction/3-inch discharge. Motors shall be minimum 6HP, 3 phase, 60 HZ. Pumpex K83F-VB1160 of as approved
by the City Utility Manager. Contractor to submit shop drawings and supporting data to the City Engineer for
review and approval. See Specifications for submittal requirements.
""Contractor shall be responsible for coordination with Kerrville Public Utility Board (David Cowen 830-257-3050) for
electrical service extension and service pole installation. Contractor to submit electrical plans to be attached to
these plans for review and approval by the City Engineer. No separate pay item, cost to be included in the Bid Item
for SCADA at Lift Station.
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STATEMENT OF BIDDER'S QUALIFICATIONS
All questions must be answered and the data given must be clear and comprehensive. This statement must be
notarized. If necessary, questions may be answered on separate attached sheets. The Bidder may submit any
additional information he desires.
Name of Bidder:
Address:
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Date Organized. fl_~~ ~(~Q3 Date Incorporated:
' Number of Years in contracting business under present name:
' CONTRACTS ON HAND:
Contracts
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iui r--- ..,..• ~.
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Dollar Amount
~S
~_
Completion
Type of work performed by your company: cam( a~~!
Have you ever failed to complete any work awarded to you?
Have you ever defaulted on a contract? (1
' Major equipment available for this contract:


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Attach resume(s) for the principal member(s) of your organization, including the officers as well as the proposed
superintendent for the project.
Credit available: $ ~Q~/~,~ Bank reference: ~e~:r~~aj ~Yi2[J~S
The undersigned hereby authorizes and requests any person, firm, or corporation to turnish any information
requested by the in verification of the recitals
comprising this Statement of Bidder's Qualifications.
Executed this day of , 19
by CSC ~'~;n c~a(vi~P l2~•~~~~h T!'E8~GW~T'r
(Signature) (Title)
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List the projects most recently completed by your firm (include project of similar importance):
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CONSTRUCTION CONTRACTOR'S LOCAL OPPORTUNITY PLAN
The agrees to implement the following specific affirmative action
steps directed at increasing the utilization of lower income residents and businesses within the (City/County)
of
• To ascertain from the Locality's TCDP program official the exact boundaries of the project area
and where advantageous, seek the assistance of local officials in preparing and implementing
the affirmative action plan.
• To attempt to recruit from within the city the necessary number of lower income residents
through local advertising media, signs placed at the proposed site for the project, and
community organizations and public or private institutions operating within and servicing the
project area such as Service Employment and Redevelopment (SER), Opportunities
Industrialization Center (OIC), Urban League, Concentrated Employment Program, Hometown
Plan, or the U.S. Employment Service.
• To maintain a list of all lower income residents who have applied either on their own or on
referral from any source, and to employ such persons, if otherwise eligible and if a vacancy
exists.
• To insert this plan in all bid documents and to require all bidders on subcontracts to submit an
affirmative action plan including utilization goals and the specific steps planned to accomplish
these goals.
• To insure that subcontracts (greater than $'10,000), which are typically let on a negotiated rather
than a bid basis in areas other than the covered project area, are also let on a negotiated basis,
whenever feasible, in a covered project area.
• To Formally contact unions, subcontractors, and trade associations to secure their cooperation in
this effort.
To insure that all appropriate project area business concerns are notified of pending sub-
contractual opportunities. ,
• To maintain records, including copies of correspondence, memoranda, etc., which document
that all of the above affirmative action steps have been taken.
• To appoint or recruit an executive official of the company or agency as Equal Opportunity Officer
to coordinate the implementation of this plan.
• To maintain records concerning the amount and number of contracts, subcontracts, and
purchases which contribute to objectives.
• To maintain records of all projected work force needs for all phases of the protect by occupation,
trade, skill level, and number of positions and to update these projections based on the extent to
which hiring meets these Local Opportu ~i y objectives.
As officers and representatives of r Q~we the undersigned have read
and fully agree to this Plan, and become a party to the full implementation of the program and its provisions.
Signature
Date

`~~ INSCO INSURANCE SERVICES, INC.
~nSC~'CQ Underwrlting Manager for:
(L~I~ Developers Surety and Indemnity Company
Indemnity Company of California
17780 Fitch, Suite 200 • Irvine, California 92614 • (800) 782-1546
www.InscoDico.com
BID BOND
KNOW ALI. PF.,RSONS BY THESF, PRESENTS,
Bond
That we, Lupe Rubio Construction Company, Inc. ,
as Principal, and Developers Surety and Indemnity Company ,a corporation
authorized to transact a general surety business in fhe State of Texas, xs Surely, are held and [`innly bound unto
Court
700 Main Street Kerrville, TX 78028
in the full and just sum of
Amount Bid
called the Obligee)
Dollars. I$ 5°/o GAB )for the payment whereof in ]awful money of the United Stales,
we bind ourselves, our heirs, administrators, executors, successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, the said PRINCIPAL has submitted the accompanying bid for
Sanitary Sewer Collection Sys[em & Wastewater Lift Station 8" Gravity Sanitary Sewer Line
NOW, THEREFORE, if the Obligee shall accept the bid of fhe Principal and the Principal shall enter into a Contract with the Obligee
in accordance with the terms of such bid, or in the event of the failure of the Principal to enter such Conunet, if the Principal shall
pay [o the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount
for wMch the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation
shall be null and void, otherwise to remain in full force and effect
Signed and Sealed this 23rd
day of May .2005
l f v~a~
By: ~t?> r~ ~... v/t:-f_Ur~l ier~'.)~,,: ~tJ l..T~ (-,
Lope Rubio Construction Company, Inc.
Principal
Developers Surety antl Indemnity Comoan
ID-119ft (TX) INID BOND) IY/011
~/ Surety
Robert James Ny sche nu,mney-in-F'nct
c ,
c,.
;U GC -e (~
1~ Ti: _
". ;~~C
~~'.
POWER OF ATTORNEY' FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
PO ROK I'>T_'S. IRVINE. C'A 9'_671 19491763 7}1111
www.InseuDicn.cum
KNOW ALL MEN 131 THESE PRESENTS. that eccepl as ex pressly limited. DFVF,I OPERS SURETY AND INDEMNITY COMPANY doer hereby make,
Ct111s11ta1C NISI appUllll:
***Robert James Nitsche. Robert K. Nitsche, David P. Ferguson, Violet Frosch, Nina K. Smith, Craig Parker,
jointly or severally***
as its true :uxl I:nvlul Athuncylsl-in-Fact In make, execute. Deliver ;nut acknowledge, fur and on hchnlf nl'said carpol ,lion as surely, bonds, undertakings and
contracts of suretyship givine and emoting unto said Altome}'Is l-in Fucl full power and nuthnl'ity to tln and to pcrlixm every act nccces:uy, requisite or proper to
he done in amnecliun Ihcl'ewilh as the coqun';nion could do, but reserving to the cugwnuion full power of subslihlTion and revocation. and all of Iho ncle oY said
Anornzylsl-in-Encl. pursu;u» to These presents. are hereby ratilittl and amlirnsd.
This Power ol'AVOlney is gl'antett and is signed by facsimile under' and by amhol'ity of the litllmving resat mion adopted by the lioard of Direcmrs o(DEV ELOPERS
SURETY AND INDY_MNITY COMPANY efkclire as of Nnezmhel' I. '_111111:
I2ESOLV h U, Thal the Chairlnmt of the Iiu;u'd, the President and env Viec President of the col'poralion be, and That each of them hereby is. authorized Iu
aecute Potveis of Auuusy, yunli tying the Avonteyhl in-Fan n;uncJ in the Pnweis of Auonley lu e>ccme. un behalf of the corporation, bonds, undertakings and
contracts of suretyship: and that the Senrt:uy or any Ass lsnlN SecmWly of thz corporation he, and each of Ihem hn'ehy is, authurizud lu attest the excv:mion of
any such Puwcr ol'Allurnrv:
RESOLVED, FU RTI TER, Ihul the sgnunlres ni wch ul7 ices may he ullixed to any such Power of ARUrncy ur lu any cenilicatc rc toting Thereto by
facsimile, nnJ any such Puwcr of Avorney ur certilic:nc he;uing such facsimile signanucs shall he valid and binding upon the corporation when sa aBixed and in
[he (utul'c with respucl to any honrl. undetlakinu of conn'acI of suretyship LLt which iI is avached
IN WITNESS WHh_R LUh UEVELUI'LRS SURETY AND INDEMNI I'Y' l'UMI'ANV has caused Ihzsz pl'esenls m be signed by its rzspenive Exzcwive Vice
President and nuesR'J by 'ns Secretary This La d:ry of Ocmhcr, ]1111.1
~.
9y.
David H. Rhodes, Eszcutirz/~ViAcz-President
Walter A. C'ntwcll, Secsuuy
STATE OF C'A LIFOI2NIA 1
ISS.
CUUNT}'Uh'ORANGF 1
OCT.
10
1936
On October I, 2111)i, before ns, Drone .I. hawalu. pel'sona lly,ppeared David li. Rhodes and W:dler A. C rowelh personally known to me for provzd to
me un the basis of sulisfaclory cridcnny to he the pnxuns whose n;nncs :uc whsnnbnl to the within instrumall and nck nowlcdecd Iu ns IhaT dtcy cscculcJ the
suns in their uuthoriicJ rupucilics, and than by Iheil'signunucs un the instrument the cnliry upon behalf of which the person. uclcJ, executed the instrument.
WITNESS my hand and official sell Y~
DIANE J. KAWATA
O COMM. M 1334]46
,(~ I}1[/yJ/~}7 ~ . ~,g'~' _ Notary Public - Calibrnia O
SiCnatul'C (. "'~ l ~~ 3 ORANGE COUNTV -
My Carom. Erpi~es JAN. 8, 200fi
CERTI FICA'fE
The undcix igned, as Satior Vice-Przsidenl. Undrnvi ding. of DEVELl /PL RS SURETY AND IN Df1MNITl' COMPANY, dues hereby cci ti ly Ihnt the
litregning Power oY AUUrnoy Icmnins in lull force :rod has nut been revoked, :rod fiulhernuire- Ihut the pruvis iom ul the inulolion of the respective Bom'ds of
Direcmrs of said corporation set forth in thz Pomzl ol'AUOi ney, ~s in fuse ae of thz dale of This C ei lilicate.
This l'rl'Id icatz is executed in the City ol'livinc. Calitin'nia. the 23rdday of j~ta~ 2OnS
By '-"~.lvLTarc-'mil W ~~l~l~l:~c~
Wesley W. Cowling I enior Vice-President Underwri I e
ID-1438 IDSI1l Rzv. 111/Ul)
IMPORTANT NOTICE
'fo obtain information or make a complaint:
You may call the Surety's toll free telephone number
for information or to make a complaint at:
1-800-782-1546
Yon may also write to the Surety at:
P.O. Box 19725
AVISO IMPORTANCE
Para obtener information o para someter una yueja:
Usted puede Bamar al numero de [elefono gratis de
para information o para someter una queja al:
t-800-752-1546
Usted tanbien puede escribir a Surety at:
P.O. Box 19725
Irvine, CA 92623-9725 Irvine, CA 92623-9725
You may contact [he Texas Department of Puede comunicarse con el Deparlamento de Seguros
Insnrmtce to obtain information on companies, de Texas para obtener information acerca de com-
coverage, rights or complaints at: panias, coberturas, derechos o quejas al:
1-500.252-3439
You may write the Texas Department of Insurance at:
P.O. Box 149104
Austin, TX ?8714-9104
Fax# 512-47.5-1771
1-800-252.3439
Puede escribir al Departmento de Segtnos de Texas
PREMIUM OR CLAIM DISPUTES: Should you
have a dispute concerning your premium or about a
claim yon should contact the Surety Brst. If the
dispute is not resolved, you may contact the Texas
Department of Insurance.
ATTACH THIS NOTICE TO YOUR POLICY:
This notice is for information only and does not
become a part or condition of the attached document.
P.O. Box 149104
Austin, TX 75774-9104
Fax# 512-475-1771
DISPUTAS SOBRE FRIMAS O RECLAMOS:
Si time una disputa concerniente a su prima n a un
reclamo, debe comunicarse con el Surety primero. Si
no se resuelve la disputa, puede entonces comnni-
earrse con el departamento (TDI).
UNA F,STE AVISO A SU POLIZA: Este aviso es solo
para proposito de information y no se convierte en
parte o condition del documento adjunto.
u GT=
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Insco Insurence Services, Inc.
Underwriting Manager for:
Developers Surety and Indemnity Company • Indemnity Company of California
17780 Fitch, Suite 200
Irvine, CA 92614
1-800-782-1546
www.InscoDico.com
ID-1404 (TX) (4/01)