VPAH Inc - VUP 2008-042OUTSTANDING BOND REPORT
Name: Village Park Animal Hospital •� -� �'� I_�. yy�� 1
Tract Map or Case No. VUP 2008-042
Date of Contract (if applicable): ENTER ►4A
Required Bond Amounts: yam- -
ENTER " pV4 &,, a A"
Bond Company: Western Surety Company
333 S. Wabash Avenue, 41" Floor
Chicago, IL 60604
L. Davis (605) 336-0850
Outstanding Bonds:
Amount:
$ 33,247. G-Perf
$ 29,580. P-Off-site
$ 29,580. L & M
Bond No.
71324480
71324480
$ 700. Cash Deposit to Finance
Date Replaced or Released:
ti;_O)
�See below for Finance Revenue Codes
oENCROACHMENT PERMIT
oPUBLIC WORKS CONSTRUCTION
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public
works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS.
,.rv, c: ell VRU12
LOCATION OF CONSTRUCTION: Village Park Animal
PURPOSE OF CONSTRUCTION: Precise Grading, On -Site
DESCRIPTION OF CONSTRUCTION: Plan Set No. 12022, 1.
Subdivision improvement Permit - Class III
Minor Improvement Permit - Claae IV
VUP 2008-042; Eisenhower Drive and Avenida Montezuma
and Off -Site Demo
and 12009
DIMENSION OF INSTALLATION OR REMOVAL: See Plan Set N_o. 12092, 12012, and 12009
APPROXIMATE TIME WHEN WORK WILL BEGIN: 9/10/2012 - TIME OF COMPLETION:
ESTIMATED CONSTRUCTION COST: $200,821 (including removal of all obstruction, materials, and debris,
permanent resurfacing and/or replacing improvements)
COMMENTS
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any
and all penalties, liabilities or loss resulting from daims or court action and arising out of any accident, loss or damage to persons or
Property happening or occuring as a proximate result of any work undertaken underthe permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hoursin advance of the time when work will be started at (760) 777-
7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 1:30 P.M. at
least twenty-four (24) hours prior to the anticipated inspection.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City
of La Quinta and to pay for any additional replacement necessary as the result of this wd(R"_r=�.� I
Signature of
Brian DeCoster P.O. Box 1711, La Quints, CA 92247
Name of Applicant Business Address
D.W. Johnston Construction, Inc. -
1445 N. Sunrise Way, Suite 203; Palm Springs, CA 92262 (760) 416-1144
Name of Contractor and Job Foreman
Business Address Telephone No.
699640
Contractors License Number
_ __ - 6525
City Business License No
ML Hawley Insurance Company
-
Applicant's Insurance Company
_ MGLO176316
Policy Number
FEES Subdivision Improvement Permit - Class
Minor Improvement Permit - Class I
Finance Revenue Code
Inspection Fee
Permit Fee'
As -Built Deposit
Cash Deposit -Surety Bond,
if required
I TOTAL
R 602 ,00
Et $100.00
E_A -$1,000.00
EE A $0.00
7125.00
Public Improvements: 3% of estimated construction costs
Private Improvements: 3% of estimated construction costs
PERMIT NUMBER: 12057
DATE ISSUED: Sa� ► I , Z� / L
EXPIRATION AT- E:� 20 t 2 ! , 2 o 13
BY:
WORK INSPECTED BY`:
PERMIT COMPLETION DATE`:
' If the work is covered by a Subdivision Improvement Agreement, Subdivider
shall request finalacceptance of Improvements from the City Council.
P 4Q9b(r440
F"r or'r�tiv
ENGINEERING BULLETIN #09-02
TO: All Interested Parties
FROM: 64imothy R. Jonasson, Public Works Directory/City Engineer
DATE: April 20, 2009
SUBJECT: Securities for Permits and Maps
This Engineering Bulletin provides policy direction regarding the implementation and
administration of securities that are due prior to permit issuance or securities
required for Approved Final Map and Subdivision Improvement Agreements (SIA).
The attached Table 1 "Fees & Securities for Permits & Maps" provides a matrix of
bonding requirements by Permit/Project type and by Bond type. Acceptable
security instruments shall conform to the requirements adopted by the City Council
in Resolution 96-27. Security amounts are based on a wet -stamped engineer's
cost estimate that is approved by the City.
JPAH ')o Projects with No Final Map or SIA - Applicant should provide permit bonds pursuant
to Columns 4-5, Columns 11-13, as applicable per Table 1. Securities that are
posted for off -site improvements and/or grading permits PRIOR TO THE FINAL
MAP/SIA APPROVAL can be used for the SIA if the existing securities' duration,
amounts, and scope are applicable. Permit issuance and SIA issuance should be
coordinated with all City applicants to avoid double bonding. In general, SIA
issuance and the related bonding eliminate the requirement for subsequent permit
bonding.
Proiects with Approved Final Map and Subdivision Improvement Agreement (SIA) -
If the applicant has entered into a SIA with the City guaranteeing the completion of
the improvements related to the Tract Map and has an approved Final Map, no
additional securities are required beyond bonding pursuant to Columns 6-9, as
applicable per Table 1.
Projects with Improvements All Complete - A Subdivision Improvement Agreement
(SIA) is not required if all improvements have been completed and final inspection
is found to be in compliant with the project specifications. Performance and Labor
& Material Securities shall be released after final acceptance of the work by the
City Council. A warranty security for on -site and off -site improvements shall be
received by the City prior to the item being placed on the City Council agenda per
Column 10 of Table 1. The warranty security amount will be based on an
approved engineer's cost estimate. The duration of the warranty security is one
year from the City Council project acceptance date.
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FAITHFUL PERFORMANCE BOND
(LQMC 8.02.01 & CBC 331 1)
BOND No. 71324488
Grading Bond
WHEREAS, the City of La Quinta, California, is prepared to issue Encroachment Permit
# in accordance with the La Quinta Municipal Code, and the California Building Code
which is adopted by reference, to Village Park Animal Hospital , as Principal,
whereby Principal will be authorized to perform certain grading improvements identified in the permit,
and as further detailed on the grading plans referenced therein, to privately -owned property generally
known to the City and others as ;and
WHEREAS, Said Principal is required under the terms of the permit to furnish a bond
for the faithful performance of the grading work in accordance with the approved plans,
specifications, and permit requirements; or, if the work is abandoned (not completed as required),
Principal shall correct or eliminate any hazardous conditions that may exist.
NOW, therefore, we the Principal and WESTERN SURETY COMPANY
, as Surety, are held and firmly bound unto the City of La Quints, as
Obligee, in the penal sum of Thirty Three Thasad Tto Fludred Fcrty SEV81 and no/100 Dollars ($
33, 247.00 ) lawful money of the United States, for the payment of which sum well and truly to be
made, we bind ourselves, our heirs, successors, executors and administrators, jointly and severally,
firmly by these presents.
The condition of this obligation is such that if the above bonded Principal, his or its heirs, executors,
administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep
and perform the covenants, conditions and provisions in the said permit and any alteration thereof
made as therein provided, on his or their part, to be kept and performed at the time and in the manner
therein specified, and in all respects according to their true intent and meaning, and shall indemnify
and save harmless the Obligee, its officers, agents and employees, as therein stipulated, then this
obligation shall become null and void; otherwise, it shall be and remain in full force and effect.
As a part of the obligation secured hereby and in addition to the face amount specified therefore,
there shall be included costs and reasonable expenses and fees, including reasonable attorney's fees,
incurred by the Obligee in successfully enforcing such obligation, all to be taxed as costs and included
in any judgment rendered.
The surety hereby stipulates and agrees that no change, extension of time, alteration or addition to
the terms of the permit or to the work to be performed there under or the specifications
accompanying the same shall in anywise affect its obligations on this bond, and it does hereby waive
notice of any such change, extension of time, alteration or addition to the terms of the Permit or to
the work or to the specifications.
Page 1 of 2
T Drive/Administrative Services Division/Fonns/Odginzls/Faithft l Performance Bond Grading Bond.doc
Grading Bond
Encroachment Permit #
Page 2 of 2
In witness whereof, this instrument has been duly executed by the Principal and Surety above
named, on September 18, ,.2G12.
Principal VILLAGE PARK ANIMAL HOSPITAL
(Seal)
Signature of Principal ,f
Title of Signatory
Surety WESTERN SURETY COMPANY
(Seal)
Signature of Surety
Title of Signatory L. Davis, AWL Sec.
Address of Surety 333 S. Wabash Ave., 41st Floor
Chicago, IL 60604
Phone # of Surety 605-336-0850
Contact Person For Surety
T Drive/Adminisuative Services Division/For ns/Originals/Standard Grading Bond Form.doc
;1
Western Surety Company
POWER OF ATTORNEY - CERTIFIED COPY
Bond No. 71324488
Know All Men By These Presents, that WESTERN SURETY COMPANY, a corporation duly organized and existing under the
laws of the State of South Dakota, and having its principal office in Sioux Falls, South Dakota (the "Company"), does by these presents
make, constitute and appoint T, - Davi S
its true and lawful attorney(s)-in-fact, with full power and authority hereby conferred, to execute, acknowledge and deliver for and on
its behalf as Surety, bonds for:
Principal: Village Park Animal Hospital
Obligee: City of La Quinta
Amount: $500,000.00
and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the Senior Vice President, sealed
with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said
attorney(s)-in-fact may do within the above stated limitations. Said appointment is made under and by authority of the following
bylaw of Western Surety Company which remains in full force and effect.
"Section 7. All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President or by such
other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the
Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of
the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other
obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile."
All authority hereby conferred shall expire and terminate, without notice, unless used before midnight of September 18
2013 —,but until such time shall be irrevocable and in full force and effect.
In Witness Whereof, Western Surety Company has caused these presents to be signed by its Vice President, Paul T. Bruflat, and
its corpora%gy%k)&be affixed this 18th day of September 2012 .
WES SURE Y COMPANY
Paul T. $ruflat, Vice President
SOUT ATA
as
On this 18th day of — eprem P_r, in the year 2012 , before me, a notary public, personally appeared
Paul T. Bruflat, who being to me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of
WESTERN SURETY COMPANY and acknowledged said instrument to be the voluntary act and deA of sai�or ti
♦+\\\\\\w\\\\\\\\\\\w\\\\ ♦ l\
S. PETRIK
ROTARY PUBLIC Nora Public i
i sou SOUTH DAKOTA�� Notary -South Dakota
My Commission Expires August 11, 2016
I the undersigned officer of Western Surety Company, a stock corporation of the State of South Dakota, do hereby certify that the
attached Power of Attorney is in full force and effect and is irrevocable, and furthermore, that Section 7 of the bylaws of the Company
as set forth in the Power of Attorney is now in force.
In testimony whereof, I have hereunto set my hand and seal of Western Surety Company this 18th day of
September 2012
WES SURE YCOMPANY
Paul T. Auflat, Vice President
Form F5306-8-2012
FAITHFUL PERFORMANCE BOND
(LQMC 14.16.180)
BOND No. 71324480
WHEREAS, the City of La Quinta, California, is prepared to issue Encroachment
Permit # in accordance with the La Quinta Municipal Code, to
Vil lago Park �n imal i-rncii+al , as Principal, whereby Principal
will be authorized to construct certain improvements in the public right of way as identified in the
permit, and further detailed on the improvement plans referenced therein; and
WHEREAS, Said Principal is required to furnish a surety bond in accordance with La
Quinta Municipal Code Section 14.16.180 to faithfully perform and construct the permitted
improvements, or restore the right of way to its former condition in the event the proposed
improvements are not completed in accordance with the approved plans, specifications, and permit
requirements to the satisfaction of the Public Works Director; or, if the work is abandoned (not
completed as required), Principal shall shall complete the improvements, or restore the right of way to its
former condition, whichever is the less expensive alternative of these two alternatives to perform.
NOW, therefore, we the Principal and WESTERN SURETY COMPANY
as Surety, are held and firmly bound unto the City of La Quinta, as
Obligee, in the penal sum of
Dollars (1 29, 580.00 ) lawful money o the United States, for
the payment of which sum well and truly to be made, we bind ourselves, our heirs, successors,
executors and administrators, jointly and severally, firmly by these presents.
The condition of this obligation is such that if the above bonded Principal, his or its heirs, executors,
administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep
and perform the covenants, conditions and provisions in the said permit and any alteration thereof made
as therein provided, on his or their part, to be kept and performed at the time and in the manner therein
specified, and in all respects according to their true intent and meaning, and shall indemnify and save
harmless the Obligee, its officers, agents and employees, as therein stipulated, then this obligation shall
become null and void; otherwise, it shall be and remain in full force and effect.
As a part of the obligaton secured hereby and in addition to the face amount specified therefore, there
shall be included costs and reasonable expenses and fees, including reasonable attorney's fees, incurred
by the Obligee in successfully enforcing such obligation, all to be taxed as costs and included in any
judgement rendered.
The surety hereby stipulates and agrees that no change, extension of time, alteration or addition to the
terms of the permit or to the work to be performed thereunder or the specifications accompanying the
same shall in anywise affect its obligations on this bond, and it does hereby waive notice of any such
change, extension of time, alteration or addition to the terms of the permit or to the work or to the
specifications.
Page 1 of 2
T Drive\Administrative Services Division\Forms\0riginalsTaitfifol Performance Bond -Restoration Bond
Restoration Bond
Encroachment Permit #
Page 2 of 2
In witness whereof, this instrument has been duly executed by the Principal and Surety above
named, on
September 18, 20 12.
Principal VILLAGE PARK ANIMAL HOSP�I%TAL/%
(Seal) al �;7A, Signature of Principal
Title of Signatory rreSlt
Surety WESTERN SURETY CCMPANY
(Seal) , /J �_ _
Signature of Surety vJl`Sf �t��
Davis, Ass't. sec.
L.
Title of Signatory
Address of Surety 333 S. Wabash Ave., 41st Floor
Chicago, IL 60604
Phone # of Surety 6051 336-0850
Contact Person For Surety
T Drive\Administrative Services Division\Forms\Originals\Restoratim Bond
Western Surety Company
POWER OF ATTORNEY - CERTIFIED COPY
Bond No. 71324480
Know All Men By These Presents, that WESTERN SURETY COMPANY, a corporation duly organized and existing under the
laws of the State of South Dakota, and having its principal office in Sioux Falls, South Dakota (the "Company"), does by these presents
make, constitute and appoint _ T,. DaviS
its true and lawful attorney(s)-in-fact, with full power and authority hereby conferred, to execute, acknowledge and deliver for and on
its behalf as Surety, bonds for:
Principal: Village Park Animal Hospital
Obligee: City of La Quinta
Amount: $500, 000.00
and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the Senior Vice President, sealed
with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said
attorney(s)-in-fact may do within the above stated limitations. Said appointment is made under and by authority of the following
bylaw of Western Surety Company which remains in full force and effect.
"Section 7. All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President or by such
other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the
Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of
the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other
obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile."
All authority hereby conferred shall expire and terminate, without notice, unless used before midnight of September 17
2013 , but until such time shall be irrevocable and in full force and effect.
In Witness Whereof, Western Surety Company has caused these presents to be signed by its Vice President, Paul T. Bruflat, and
its co`rp`or�6%R tAja,be affixed this 18th day of September 2012 .
WESC SURE Y COMPANY
�i.,� �� ' f*•�z Paul T. Jfruflat, Vice President
4
STTI AA .
COUN'rF'Y+ TT t
On this 18th day of September , in the year 2012 , before me, a notary public, personally ap
peared
Paul T. Bruflat, who being to me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of
WESTERN SURETY COMPANY and acknowledged said instrument to be the voluntary act and deA of as r or tioq
J\
S. PETRIK
/I�c/SOUTH DAKOTA o NOTARY PUBLIC rs'
Nora Public -South Dakota
J
My Commission Expires August 11, 2016
I the undersigned officer of Western Surety Company, a stock corporation of the State of South Dakota, do hereby certify that the
attached Power of Attorney is in full force and effect and is irrevocable, and furthermore, that Section 7 of the bylaws of the Company
as set forth in the Power of Attorney is now in force.
In testimony whereof, I have hereunto set my hand and seal of Western Surety Company this 18 th day of
September 2012
WE5 SURE Y COMPANY
Paul T. Pfuflat, Vice President
Form F5306-8-2012
LABOR AND MATERIAL BOND
BOND No. 71324480
WHEREAS, the City of La Quinta, California, is prepared to issue Encroachment
Permit A in accordance with the La Quints Municipal Code, to
Village Park Animal Hospital , as Principal, whereby Principal
will be authorized to construct certain improvements in the public right of way as identified in the
permit, and further detailed on the improvement plans referenced therein; and
WHEREAS, the principal is required before entering upon the performance of the permitted work,
to file a good and sufficient payment bond with the City of La Quints to secure the claims to which
reference is made in Title 15 (commencing with Section 3082) of Part 4 of Division 3 of the Civil Code
of the State of California.
NOW, THEREFORE, we the principal and WESTERN SURETY COMPANY
, as Surety, are held firmly bound unto the City of La Quints and all
contractors, subcontractors, laborers, materialmen, and other persons employed in the performance of
the permitted improvements and referred to in Title 15 (commencing with Section 3082) of Part 4 of
Division 3 of the Civil Code in the sum of_ Twenty Nine Thousand Five Hundred Eighty
and no/100 DOLLARS ($ 29, 580.00 ), for materials furnished or labor thereon of
any kind, or for amounts due under the Unemployment Insurance Act with respect to this work or labor,
that the surety will pay the same in an amount not exceeding the amount hereinabove set forth, and
also in case suit is brought upon this bond, will pay, in addition to the face amount thereof, costs and
reasonable expenses and fees, including reasonable attorney' s fees, incurred by city in successfully
enforcing this obligation, to be awarded and fixed by the court, and to be taxed as costs and to be
included in the judgment therein rendered.
It is hereby expressly stipulated and agreed that this bond shall inure to the benefit of any and all
persons, companies, and corporations entitled to file claims under Title 15 (commencing with Section
3082) of Part 4 of Division 3 of the Civil Code, so as to give a right of action to them or their assigns in
any suit brought upon this bond.
Should the condition of this bond be fully performed, then this obligation shall become null and
void, otherwise it shall be and remain in full force and effect.
The surety hereby stipulates and agrees that no change, extension of time, alteration or addition
to the terms of the permit or to the work to be performed thereunder or the specifications accompanying
the same shall in anywise affect its obligations on this bond, and it does hereby waive notice of any
such change, extension of time, alteration or addition to the terms of the permit or to the work or to the
specifications.
Labor and Material Bond
Encroachment Permit #
Page 2 of 2
In witness whereof, this instrument has been duly executed by the principal and surety above
named, on September 18 20 12.
VILLAGE PARK ANIMAL HOSPITAL
Princip
(Seal)/
gn rture of Prii ipal
Title of Signatory
WESTERN SURETY COMPANY
Surety 1
(Seal) /'k- �' r to
Signature of Surety
L. Davis, Ass't. Sec.
Title of Signatory
333 S. Wabash Ave., 41st Floor
Chicago, IL 60604
Address of Surety
605-336-0850
Phone # of Surety
Contact Person For Surety
Western Surety Company
POWER OF ATTORNEY - CERTIFIED COPY
Bond No. 71324480
Know All Men By These Presents, that WESTERN SURETY COMPANY, a corporation duly organized and existing under the
laws of the State of South Dakota, and having its principal office in Sioux Falls, South Dakota (the "Company"), does by these presents
make, constitute and appoint T Davi s
its true and lawful attorney(s)-in-fact, with full power and authority hereby conferred, to execute, acknowledge and deliver for and on
its behalf as Surety, bonds for:
Principal: Village Park Animal Hospital
Obligee: City of La Quinta
Amount: $500,000.00
and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the Senior Vice President, sealed
with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said
attorney(s)-in-fact may do within the above stated limitations. Said appointment is made under and by authority of the following
bylaw of Western Surety Company which remains in full force and effect.
"Section 7. All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President or by such
other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the
Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of
the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other
obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile."
All authority hereby conferred shall expire and terminate, without notice, unless used before midnight of September 17
2 013 • but until such time shall be irrevocable and in full force and effect.
In Witness Whereof, Western Surety Company has caused these presents to be signed by its Vice President, Paul T. Bruflat, and
its corp0o`a%@gA)6 be affixed this 1Sth day of September 2012 .
v ... {`WES SURE Y COMPANY
Paul T. jfruflat, Vice President
lam'.'•
ST% g S0 T .+61A 1 COUNss91gSi+ i6 (teEAHA I
On this 18th day of—_yep-emher in the year 2012 , before me, a notary public, personally appeared
Paul T. Bruflat, who being to me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of
WESTERN SURETY COMPANY and acknowledged said instrument to be the voluntary act and deAp of said r or ti
S. PETRIK
• NODIRY PUBLIC
r L SEAL ± Notary Public - South Dakota
SOUTH DAKOfAI
My Commission Expires August 11, 2016
I the undersigned officer of Western Surety Company, a stock corporation of the State of South Dakota, do hereby certify that the
attached Power of Attorney is in full force and effect and is irrevocable, and furthermore, that Section 7 of the bylaws of the Company
as set forth in the Power of Attorney is now in force.
In testimony whereof, I have hereunto set my hand and seal of Western Surety Company this 18th day of
September 2012
W E S SURE Y COMPANY
Paul T.)Kunst, Vice President
Forth F5306-6-2012
CASH DEPOSIT STATUS SHEET*
Budget Account No. Assign by Finance
DIN: VUP 2008-042 Project Location: Village Park Animal Hospital; Eisenhower Dr and Avenida Montezuma
Owner: Village Park Animal Hospital, Inc.; P.O. Box 1711, La Quinta, CA 92247
®CASH SECURITY- DESCRIPTION OF OBLIGATION PROMPTING DEPOSIT
ust control; QAs-built plans; []Removal of temporary improvements
Other
I
❑CASH PAYMENT - DESCRIPTION OF OBLIGATION PROMPTING DEPOSIT
i
DATE
DEPOSIT
DEBIT
I
BALANCE I
Amount
Receipt#
4/25/2012
$700
$700
i
i
AP
F LA QUJWTA
COMMENTS PM-10 DUST CONTROL CASH DEPOSIT 1100%1 C FINANCEDEPT
Cash deposits placed in City administered trust accounts are typically received for two basic reasons: 1) CASHSECURITY-to provide a source of funds for the City
to draw upon if the City incurs costs satisfying obligations of the developer, or 2) CASH PAYMENT- to provide a source of funding for improvements, property, or
services to be acquired, or administered, by the City at the developers expense. The City will release the fund balance when the developers obligations that
prompted the cash deposit are fully satisfied. The release function is initiated via the Request/Demand for Release of,Cash Deposit (Form F058)
I1100 19 Tall' -r: k 2 2 28 7 280C . 20 L 60 i 38 i L1I'