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<br />1t <br /> <br />~ <br />Redwood <br />p.¡tv Calitornia <br />l.J fllU!lilelllBBI <br />~ <br /> <br />í <br /> <br />PERMIT APPLICATION <br />FOR CONSTRUCTION OF IMPROVEMENTS <br />WITHIN THE CITY OF REDWOOD CITY <br /> <br />G{ef'V1.ryC1f~ ¿'G"1Jr:;("'¡;I~ c!(ourv~ +~ hereby applies for a permit under the <br />provisions of Article \/11 01 C aþter 29 of the Code of Redwood City from the CITY OF <br />REDWOOD CITY to construct improvements as per attached plan <br /> <br />and certifies that he is appropriately licensed to do the above work. <br /> <br />(1) Applicant subQ}its herewith a plan of the proposed construction, and a check for <br />the sum of $ G; Î 00. -:-.. as an initial deposit to cover the checking of plans of the <br />proposed construction. <br /> <br />(2) Applicant agrees to provide cash or a faithful performance bond in the amount of <br />$ 51, 300 ~ (100% of proposed construction) to guarantee the faithful performance of <br />the proposed construcTion in accordance with attached Faithful Performance Bond Form. <br />Applicant also agrees lO provide cash or a payment bond in the amount of 100% of proposed <br />construction to guarantee payment of all labor and material in accordance with attached <br />Payment Bond form. Said bonds shall be notarized and a power of attorney shall be included <br />for the person signing the bond on behalf of the corporate surety admitted in the State of <br />California. <br /> <br />(3) Applicant agrees to provide at his/her own expense, all required insurance. Such <br />insurance shall be bound by an insurance company admitted in the State of California, provide <br />cross liability coverage, be primary, provide 30-day cancellation and reduction notice, and shall <br />have the approval of the City of Redwood City as to limit, form, and amount. <br /> <br />(4) In consideration of the granting of the permit requested herein, Applicant shall <br />and does hereby agree to indemnify, save harmless, and defend the City of Redwood City, its <br />Council, boards, commissions, officers, employees and agents. ("Indemnities") against any and <br />all loss, damage or claim suit. liability, expenses or costs (including, without limitation, cost and <br />fees of litigation) of every nature, kind and description, which may be brought against or <br />suffered or sustained by Indemnities for injury to or death of any person or any injury to any <br />property caused or alleged to have been caused in whole or in part by applicant, its agents, <br />contractors, successors or assigns, in the construction of the work mentioned herein. Applicant <br />agrees to indemnify, save harmless, and defend the City of Redwood City, its Council, boards, <br />commissions, officers. employees and agents from any and all liability of claim growing out of <br />any injury to or death of any person or any injury to any property as a result of any violation or <br />failure on the part of the applicant, its successors, agents, contractors, or assigns, to observe its <br />or their appropriate duty, or because of negligence from any of said persons arising out of the <br />construction of the work mentioned herein or the performance of any of the obligations of <br />applicant mentioned herein. <br /> <br />(See the attached instructions for detailed information on any of the above requirements) <br />/""' n ' <br />. ~ r re s - -Q (A G <br />e)\ (&9/) 6"10 "'QOC;t..f <br />------.. <br />ZA-~---.J <br /> <br />DATE: --'tpr~ \ L9, 2()O ç <br />f <br /> <br /> <br />.. ........',..._,.... .....,-.-----------.----.'--~----.....-".' <br />