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HomeMy WebLinkAboutPW 140 Deer Park Fence & Ret Wall Rev License Agmt1IIIIIi 1I1111111111111111111111111W 111111111111111111111111111111111
2018-0004.322
RECORD WITHOUT
FEE PER G.C. 27383
RECORDING REQUESTED, AND
WHEN RECORDED RETURN TO:
LINDSAY LARA, Interim City Clerk
City of San Rafael
P.O. Box 151560
San Rafael, CA 94915-1560
Reee·rded
C!fiiciel Reee.rti:;
CClunty clf
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fi·ICHARD hi. BEt<J!:Jj"J
A=:;sor-Reee.rtier
CClunty (Jeri:
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Assessor's Parcel No. 016-041-01
CITY OF SAN RAFAEL
REVOCABLE LICENSE AGREEMENT NO. EP14-379
(FOR USE OF PUBLIC RIGHT-OF-WAY)
TillS REVOCABLE LICENSE AGREEMENT is entered into as of the ~ day of
FckxY\~I[~ ,2018, by and between the CITY OF SAN RAFAEL, a charter city duly
incorporated under the laws of the State of California (hereinafter referred to as "CITY"), and
Patrick Suberville and Sophie Suberville, two individuals (hereinafter referred to as
"LICENSEE"), with reference to the following:
WHEREAS, CITY is the owner of celiain public right-of-way described as follows:
Deer Park Avenue as shown on Recorded Survey 29 RS 52, 18 RS 16, and Parcel Map 22 PM 22
(hereinafter "the PREMISES"); and
WHEREAS, LICENSEE is the owner of the private real property commonly known as:
Address: 140 Deer Park Avenue, San Rafael, California;
Assessor's Parcel No: 016-041-01;
which property is situated directly adjacent to the PREMISES; and
WHEREAS, pursuant to the provisions of San Rafael Municipal Code Section
11.04.050, LICENSEE has applied for and desires to obtain from CITY a license for the purpose
of constructing, placing, maintaining, operating or otherwise using the following major
continuing encroachment in, on or over the PREMISES: "Maintenance of existing frontage
improvements including fence, gate, retaining wall and entryway for a single family residence"
(hereinafter the "ENCROACHMENT"); and
WHEREAS, CITY'S DIRECTOR OF PUBLIC WORKS (hereinafter "DIRECTOR")
has found that LICENSEE'S application is complete, true and correct; and
CITY OF SAN RAP AEL REVOCABLE LICENSE NUMBER EP14-379 Page 1
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WHEREAS, DIRECTOR has found that the proposed ENCROACHMENT conforms to
the design and location standards for above-ground facilities adopted by resolution of the City
Council of CITY; and
WHEREAS, LICENSEE alleges, and DIRECTOR finds, that the ENCROACHMENT
will incidentally be of benefit to or serve the interests of the CITY and/or its residents generally,
in that: the project will retain the soil adjacent to the roadway to provide a widened roadway
shoulder; and
WHEREAS, the DIRECTOR has found that with the conditions imposed in this
agreement, the ENCROACHMENT shall not be detrimental to the public health, safety and
welfare.
NOW, THEREFORE, the parties agree as follows:
1. Grant of LICENSE.
In consideration of the benefit to the CITY and! or its residents generally, as described
above, CITY grants to LICENSEE a non-exclusive LICENSE (hereinafter "LICENSE") for the
limited purposes described herein and for no other purpose. This LICENSE is granted as to the
PREMISES, which is a portion of the public right-of-way owned by CITY, as described in
Exhibit "A" Land Description of the Revocable License to 140 Deer Park Avenue and as shown
in Exhibit "B" Plat of Legal Description for 140 Deer Park Ave Area of Revocable License
Agreement, attached hereto and incorporated herein by this reference.
2. Term of LICENSE; Personal to LICENSEE.
A. The Term of this License is as follow (Check One):
[ ] This LICENSE shall terminate on ______ _
[X] This LICENSE shall be of indeterminate duration.
B. LICENSEE understands, acknowledges and agrees that the grant of this LICENSE
does not convey any interest in real property, and that the LICENSE is personal to the
LICENSEE. Should title to LICENSEE'S property adjacent to the PREMISES, or the
ENCROACHMENT thereon, be sold or otherwise transferred to a different ownership, this
LICENSE shall terminate. The new title holder shall be required to execute a new Revocable
License Agreement within thirty (30) days following the transfer of title, or, upon direction from
the DIRECTOR, shall remove the ENCROACHMENT from the PREMISES.
3. Purpose of LICENSE.
CITY grants LICENSE to LICENSEE for the limited purpose of constructing, placing,
maintaining, operating or otherwise using the ENCROACHMENT in, on, or over the
PREMISES. LICENSEE understands, acknowledges and agrees that its LICENSE to use
PREMISES is for this sole purpose and for no other purpose. LICENSEE'S use of PREMISES
for any other purpose shall automatically terminate this LICENSE.
CITY OF SAN RAFAEL REVOCABLE LICENSE NUMBER EP14-379 Page 2
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4. LICENSE Non-Exclusive.
CITY grants this LICENSE subject to any and all licenses, leases, easements, conditions,
restrictions, covenants, encumbrances, liens and claims of title which may affect PREMISES as
of the effective date of LICENSE. CITY reserves the right to use PREMISES in any manner,
provided that such use does not unreasonably interfere with LICENSEE'S rights granted herein.
CITY agrees to cooperate with LICENSEE in the exercise of CITY'S right to use PREMISES.
5. Conditions of LICENSE.
A. All facilities shall be located, constructed, operated, and maintained in the time,
place and manner that cause the least interference with the public's use of the public right-of-
way, CITY'S management and use of the right-of-way, and the rights or reasonable convenience
of property owners who adjoin the public right-of-way, all as approved by the DIRECTOR.
B. LICENSEE shall maintain all encroachments in a safe and clean manner.
C. LICENSEE shall promptly remove all graffiti on any encroachment.
D. LICENSEE shall contact Underground Service Alert (USA) prior to commencing,
and as appropriate during, any permitted work.
E. Upon the request of any person who has contracted to perform work on a public
right-of-way, LICENSEE shall provide accurate detailed information regarding the location of
his existing and proposed structures in the public right-of-way.
F. Such other reasonable conditions, including specific accessibility facilities and
accommodations, as may be deemed necessary by the DIRECTOR to protect the public health,
interest, safety and welfare.
6. Repair and Maintenance.
A. LICENSEE shall exercise reasonable care in inspecting and maintaining the area
affected by ENCROACHMENT after completion of all construction or installation work, and
shall maintain the PREMISES in good and safe condition, free from waste and in good repair to
the reasonable satisfaction of CITY.
B. LICENSEE shall immediately repair any damage or nuisance in any portion ofthe
public right-of-way resulting from the work done under this LICENSE or from the maintenance
of the ENCROACHMENT.
C. In the event that the whole or any part of the ENCROACHMENT on PREMISES
or any portion of the PREMISES are damaged or destroyed in any manner, by any cause
whatsoever, LICENSEE, at its sole cost and expense, shall repair, replace, and restore
PREMISES to satisfaction of CITY.
CITY OF SAN RAFAEL REVOCABLE LICENSE NUJv1BEREP14-379 Page 3
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D. LICENSEE shall bear the full and complete cost of repair and restoration under
this section. In the event that LICENSEE fails to act promptly or should the exigencies of the
damage require repairs or replacement to be made before LICENSEE can be notified by the
DIRECTOR or can respond to notification, CITY may at its option make the necessary repairs or
replacements or perfonn the necessary work and LICENSEE shall be charged with all the
expenses incurred in the perfonnance of the work.
7. Termination, Suspension, or Revocation of LICENSE; Relocation of Encroachment;
Restoration of PREMISES.
A. Tennination by LICENSEE. LICENSEE may tenninate this LICENSE at will and
without cause upon SUbmitting a written request to tenninate, in a fonn acceptable to CITY.
B. Suspension or Revocation by CITY. The LICENSE may be suspended or revoked
by the DIRECTOR where he finds that:
1) LICENSEE has violated any provision of this LICENSE or any applicable
law; or
2) LICENSEE has failed to pay any required fees , or to post or maintain any
bond or insurance required by this chapter; or
3) The ENCROACHMENT adversely affects the safety, capacity or integrity
of CITY' S right-of-way or increases CITY'S liability exposure; or
4) The ENCROACHMENT is causing CITY to incur substantial additional
maintenance costs; or
5) Material misrepresentations, omissions or inaccuracies were made in the
application for the LICENSE.
The DIRECTOR shall give LICENSEE at least ten (10) days' written notice of a
hearing before CITY 'S City Manager or his designee on the suspension or revocation of the
LICENSE. The hearing shall be held within thirty (30) days after service of written notice of the
hearing or at such later time as may be agreed to by LICENSEE . The decision of the City
Manager or his designee shall be final.
C. Relocation. If any future construction, reconstruction or maintenance work is
required or requested by the City in the public right-of-way that necessitates the relocation,
removal or abandonment of the ENCROACHMENT, LICENSEE shall relocate, remove or
abandon the ENCROACHMENT at the LICENSEE'S sole expense. When relocation or removal
is required or requested, the DIRECTOR shall make written demand of LICENSEE that the
ENCROACHMENT be relocated within the right-of-way to a satisfactory location provided by
the DIRE CTOR, or removed, and shall designate a reasonable time for such relocation or
removal. In detennining what is a reasonable time under this section, the DIRECTOR shall take
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into consideration the nature ofthe ENCROACHMENT, the urgency of the need for its removal,
the cost of its removal, the difficulty of its removal, the value of the ENCROACHMENT to the
owner, and other facts peculiar to the particular situation. If LICENSEE fails to comply with
such instructions, CITY may relocate the ENCROACHMENT at the sole expense of LICENSEE.
If requested by LICENSEE within ten (10) days of the date of the DIRECTOR'S
written demand to relocate or remove, LICENSEE may request a hearing before CITY'S City
Manager or his designee on the relocation of the ENCROACHMENT. The DIRECTOR shall
give LICENSEE at least ten (10) days' written notice of any scheduled hearing, and such hearing
shall be held within thirty (30) days after service of written notice of the hearing or at such later
time as may be agreed to by LICENSEE. The decision of the City Manager or his designee shall
be final.
D. Restoration. In the event of termination of this LICENSE by any party, or in the
event relocation of the ENCROACHMENT is required, LICENSEE, at its sole cost and expense,
shall immediately commence and diligently pursue removal of the ENCROACHMENT from
PREMISES, shall restore PREMISES to their original condition to the satisfaction of CITY and
shall complete such removal and cease all use of PREMISES within thirtr (30) days of the
Notice.
8. Assumption of Risk.
LICENSEE shall assume all risk of damage or injury to its property, to itself, its agents,
its employees and to any persons or property under LICENSEE'S control or custody, or any
persons or property under the control or custody of its employees or agents, while upon or near
PREMISES, or incident to LICENSEE'S use of PREMISES.
9. Indemnity.
LICENSEE hereby agrees:
A. To the maximum extent permitted by law, to indemnify, defend and hold harmless
CITY, its officials, agents, employees and voltmteers against any and all liabilities, losses,
claims, actions, causes of action or demands whatsoever against any of them, including any
injury to or death of any person or damage to property or other liability of any nature, including
but not limited to attorney's and expert fees and court costs, arising out of or connected with the
installation, operation and maintenance of any facilities in, or the use of any public right-of-way
by, LICENSEE or LICENSEE'S employees, officers, officials, agents, transferees, contractors or
subcontractors pursuant to the permit issued pursuant to this application; provided, that the
obligation to indemnify CITY hereunder shall not apply to any liabilities, losses, claims, actions,
causes of action or demands arising from CITY'S sole negligence, willful misconduct or criminal
acts.
B. To the maximum extent permitted by law, to defend, indemnify, release and hold
harmless CITY, its agents, officers, attorneys, employees, boards and commissions from any
CITY OF SAN RAFAEL REVOCABLE LICENSE NUMBER EP14-379 Page 5
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claim, action or proceeding brought against any of the foregoing individuals or entities
("indemnitees"), the purpose of which is to attack, set aside, void or annul the approval of this
LICENSE, or the adoption of any environmental document which accompanies CITY'S approval
of this LICENSE.
C. In the event that any claim, action or proceeding as described above is brought,
CITY shall promptly notify LICENSEE of any such claim, action or proceeding, and CITY will
cooperate fully in the defense of such claim, action, or proceeding. In the event LICENSEE is
required to defend CITY in connection with any said claim, action or proceeding, CITY shall
retain the right to approve any and all settlements affecting the validity or interpretation of a
CITY ordinance or regulation, which approval shall not be unreasonably withheld. Nothing
herein shall prohibit CITY from participating in the defense of any claim, action or proceeding,
provided that if CITY chooses to have counsel of its own to defend any claim, action or
proceeding where LICENSEE already has retained counsel to defend CITY in such matters, the
fees and the expenses of the counsel selected by CITY shall be paid by CITY.
10. Insurance.
LICENSEE shall provide CITY with satisfactory evidence, in the form of a Certificate of
Insurance, that LICENSEE is insured in accordance with the following terms and conditions.
Such insurance shall remain in effect throughout the term of this LICENSE and failure to
maintain the required insurance shall automatically terminate this LICENSE.
A. Homeowner's Insurance.
LICENSEE shall, at its own cost and expense, obtain and maintain a
homeowner's insurance policy in the minimum amount of one million dollars ($1,000,000)
liability coverage per occurrence for death, bodily injury, or property damage. Prior to execution
of this Agreement, LICENSEE shall provide CITY with a Certificate of Liability Insurance
evidencing such an insurance policy, a copy of the Declaration and endorsement pages from that
policy, copies of any endorsements required by CITY, and a copy of the policy if requested.
Thereafter, upon renewal of the homeowners insurance policy or substitution of a different
homeowners insurance policy, LICENSEE shall provide CITY with a Certificate of Liability
Insurance, and also shall provide, upon request, copies of the Declaration and endorsement
pages, any required endorsements, and/or the policy.
B. Terms and Conditions of Insurance.
The required homeowner insurance policy shall satisfy the following
requirements:
1) The insurance company issuing such policy shall issue an endorsement or
endorsements stating that the CITY is recognized as having an additional interest under the
policy, requiring that the CITY be given written notice of any material alteration of the policy,
including a reduction in policy limits, and providing at least ten (10) days' notice of cancellation
to CITY.
CITY OF SAN RAFAEL REVOCABLE LICENSE NUMBER EP14-379 Page 6
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2) The insurance company providing the insurance required in this section shall
be an insurer admitted to do business in California.
11. Compliance with Laws.
In addition to any other provisions of this LICENSE, this LICENSE is subject to, and
LICENSEE shall comply with all applicable provisions of San Rafael Municipal Code Chapter
11.04 concerning Major Continuing Encroachments. LICENSEE shall comply, at LICENSEE'S
sole expense, with all other applicable laws, regulations, rules, and orders with respect to the use
of PREMISES, regardless of when they become or became effective, including, without
limitation, those relating to construction, grading, signage, health, safety, accessibility, noise,
environmental protection, hazardous materials, waste disposal, and water and air quality, and
furnish satisfactory evidence of such compliance upon request of CITY. LICENSEE shall also
obtain, at LICENSEE's sole expense, any and all CITY permits required for its use of
PREMISES as permitted under this LICENSE.
12. Notices.
All notices required or permitted to be given under this LICENSE shall be in writing and
mailed postage prepaid, or by personal delivery or by overnight courier, to the appropriate
address indicated below or at such other place or places as either CITY or LICENSEE may, from
time to time, respectively, designate in a written notice given to the other. Notices shall be
deemed sufficiently served four (4) days after the date of mailing by certified or registered mail,
one (1) day after mailing by overnight courier, or upon personal delivery.
To CITY:
To LICENSEE:
Director of Public Works
City of San Rafael
111 Morphew
San Rafael, CA 94901
Fax: 415-485-3334
Patrick Suberville, and
Sophie Suberville
140 Deer Park Avenue
San Rafael, CA 94903
13. Successors and Assigns.
CITY'S grant of this LICENSE to LICENSEE is the grant of a personal right to the use of
the PREMISES. LICENSEE shall not assign nor sublet, in whole or in pali, ally rights granted
by this LICENSE, or permit any other person, film, entity, or corporation to use, in whole or in
part, any of the rights or privileges granted pursuant to this LICENSE. Should title to
LICENSEE'S property adjacent to the PREMISES, or the ENCROACHMENT thereon, be sold
or otherwise transferred to a different ownership, this LICENSE shall terminate. LICENSEE
shall notify the DIRECTOR prior to such transfer of title and shall disclose to the terms of this
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LICENSE to the transferee. The new title holder shall be required to execute a new Revocable
License Agreement within thirty (30) days following the transfer oftitle, or, upon direction from
the DIRECTOR, to remove the ENCROACHMENT from the PREMISES.
14. No Waiver.
No waiver of any default or breach of any covenant of this LICENSE by either party shall
be implied from any omission by either party to take action on account of such default if such
default persists or is repeated, and no express waiver shall affect any default other than the
default specified in the waiver, and then the waiver shall be operative only for the time and to the
extent stated. Waivers of any covenant, term, or condition by either party shall not be construed
as a waiver of any subsequent breach of the same covenant, term, or condition. The consent or
approval by either party to or of any act by either party requiring further consent or approval
shall not be deemed to waive or render unnecessary their consent or approval to or of any
subsequent similar acts.
15. Severability.
Each provision of this LICENSE is intended to be severable. If any term or provision
shall be determined by a court of competent jurisdiction to be illegal or invalid for any reason
whatsoever, such provision shall be severed from this LICENSE and shall not affect the validity
ofthe remainder of this LICENSE.
16. Attorney's Fees.
If any legal proceeding should be instituted by either of the parties to enforce the terms of
this LICENSE or to determine the rights of the parties under this LICENSE, the prevailing party
in the proceeding shall receive, in addition to all court costs, reasonable attorney's fees.
17. Condition to Effectiveness.
As a condition precedent to the effectiveness of this Agreement and LICENSE,
LICENSEE shall provided CITY 1) satisfactory proof of insurance by way of a Certificate of
Insurance and 2) actual endorsements to the insurance policies as specified in section 10 herein.
18. Governing Law.
The rights and liability of the parties under this Agreement and LICENSE shall be
interpreted in accordance with the laws of the State of California.
19. Integration.
This LICENSE constitutes the complete expression of the agreement between the paIiies
and supersedes any prior agreements, whether written or oral, concerning the subject of this
LICENSE, which are not fully expressed herein. Any modification of or addition to this
LICENSE must be in writing signed by both parties.
CITY OF SAN RAFAEL REVOCABLE LICENSE NUMBER EP14-379 Page 8
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WHEREFORE, the parties have signified their agreement by entering their signatures
below.
CITY OF SAN RAFAEL LICENSEE
Bill Guerin, Public Works Director Patrick Suberville
,
Sophie Suberville
ATTEST:
L DSA Y LARA, Intenm CIty Clerk
CITY OF SAN RAFAEL REVOCABLE LICENSE NUMBER EP14-379 Page 9
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L.A. Stevens & Associates, Inc.
Professional Land Surveyors
7 Commercial Blvd., Suite 1
Novato, California 94949
(415) 382-7713
Job 13·1524
LAND DESCRIPTION OF THE REVOCABLE LICENSE TO 140 DEER PARK
AVENUE
EXHIBIT "A"
All that certain real property situated in the City of San Rafael, County of Marin, State of
California, being a portion of Deer Park Avenue as shown on the unfiled Map of Country Club
Heights by C.H. Towle dated 1935 and referenced on that certain Record of Survey entitled
Lands ofSuberville, filed in Book 2016 of Maps, Page 32, Marin County Records, more
particularly described as follows:
Commencing at a % inch iron pipe with a brass tag stamped "RCE 3230" lying westerly of the
Deer Park Avenue as shown on said Record of Survey and the most northerly point of the Basis
of Bearings of said survey; thence South 36°01 '49" East along said Basis of Bearings 149.46
feet to a % inch iron pipe with brass tag stamped "LS3971"; thence South 59°20'35" East 56.65
feet to the intersection of the southwesterly side of a wood fence with the easterly line of said
Deer Park Avenue and being the Point of Beginning of this description;
1. Thence along the southwesterly and westerly edge of said wood fence North 17°05'32" West
27.36 feet;
2. North 8°38'17" West 14.95 feet;
3. North 20°03'12" West 28.23 feet;
4. North 28°08'26" West 20.25 feet;
5. North 39°49'22" West 39.93 feet;
6. North 45°30'31" West 56.64 feet to the end ofa wood fence and the beginning ofa wire
fence;
7. Thence along the westerly and northerly edges of said wire fence North 36°03 '21 " West
18.95 feet;
8. North 28°20'08" West 20.02 feet;
9. North 22°39'39" West 19.98 feet;
to. North 16°34'25" West 29.51 feet;
11. North 5°50'11" West 19.54 feet;
Page 1 of2
12. North 8°02'16" East 10.00 feet;
13. North 77°29'09" East 11.19 feet to the easterly right of way line of Deer Park Avenue;
14. Thence along the easterly, southeasterly and easterly right of way South 21 °56'40" West
23.41 feet;
15. South 33°04'20" East 241.72 feet;
16. South 1 °38'40" West 42.84 feet to the Point of Beginning.
Containing 3,100 sq. ft., more or less.
Lawrence A Stevens, PLS 6649
Page 2 of2
All distances shown are In feet and decimals thereof
La
LEGEND
--0--Wood Fence
-x-x-Wire Fence
'·r ~ ,,/
-.-L --Edge of Pavement
_ Revocable License Area \ ------/" IJ;/
~ ~7 CA
Point of ::: ~(
Conanaencenaent I
Found 3/4" Iron I
Pipe and Tag
Stamped, "LS 3230"~S6'S5'
SS1'26'23":5r' si 1
24.08' \ Found 3/4" Iron
Pipe and Tog
Stomped "LS 3971" 'to 1 ~
Found 3/4" Iron
Pipe and Bross
Stomped, "LS 3971
Point of
Beginning
il ~\,
1::
1
1 ~ \ ~ :J
of Revocable
License Agreement
with City of Son
Rafael
LANDS OF
SUBERVILLE
(D.N. 2012-079931)
AP: 016-041-01
2016 M 032
GRAPHIC SCALE
'~LO ._~-~_."~O_.i_.i
( IN FEET)
Line Table
Line # Length DIrection
L1 27.36 N17'OS'32"W
L2 14.95 N8'38'17"W
L3 28.23 N20'03'12"W
L4 20.25 N28'08'26"W
LS 39.93 N39'49'22"W
L6 S6.64 N4S'30'31 "w
L7 18.95 N3S'03'21"W
L8 20.02 N28'20'08"W
L9 19.98 N22'39'39"W
Ll0 29.51 N16'34'25"W
L11 19.54 NS'SO'11"W
L12 10.00 N8'02'16"E
L13 11.19 N77'29'09"E
~ ~'11 ~// I
. ~/ L/ Y LANDS OF Exhibit "B u
FORGAN TRUST
D.N. 2001-039751
AP: 016-041-02
1-22-2018
Plat of Legal Description
for 140 Deer Park Ave
Area of Revocable License
Agreement
(D,N, 2012-0079991)
San Rafael Marin County CaUfornia
Scale: 1 n = 60' January 22, 2018
L.A. Stevens & Associates, Inc.
Profell8ional Land Surveyorll • (415) 982-7719
7 Commercial Blvd., Suite 1 • NaTala, CA 941U9
Copyrlght©LQwrence A. Stevens 2018 Job , 131524 Page 1 Of 1
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Marin
On __ --.:.'2-~/l-g----'-/...!::-z.~O-\!....l~"'"""----before me, _L_i_nd_s_a_y_F_a_ye_La_r_a_, _N_ot_a_ry_P_ub_l_ic-----,-___ _
(insert name and title of the officer)
personally appeared 'Vo... m C.J( SUb-e.rv ~ \ \ e.
who proved to me on the basis of satisfactory evidence to be the person(s1 whose name~) is/are
subscribed to the within instrument and acknowledged to me that he/sAefthey executed the same in
his/hefl.tAetr authorized capacity(iest, and that by his/AeFltAeir signature(at on the instrument the
personfsj, or the entity upon behalf of which the person.(st acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature __ b1-=-_.---,~,---=-_~_--=------="",-~_ (Seal)
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Marin
On "2../ ~ 1'2..0 , 'P before me, Lindsay Faye Lara, Notary Public
----~.--~--~~------(insert name and title of the officer)
personally appeared So Ph; e LG\.v-\-~ \ \ c:u)(
who proved to me on the basis of satisfactory evidence to be the person(-s7 whose name(st is/are-
subscribed to the within instrument and acknowledged to me that-he/she/they executed the same in
his/her/their authorized capacity(i~, and that by l:Hs/her/thetf-signature(ston the instrument the
person(-st or the entity upon behalf of which the perso$) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
S · t ~~~ Igna ure ________________________ _ (Seal)
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Marin
On ___ 1----4-I---'4t...,../-.:"Z..::::..:D::.....J1L....If>...L-__ before me, Lindsay Faye Lara, Notary Public
(insert name and title of the officer)
personally appeared 1), \ \ (3 u. eri n
who proved to me on the basis of satisfactory evidence to be the person(.gI) whose name(s'J is/aFe
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacityv~, and that by his/Rerltt:tetr signature(i1 on the instrument the
person~, or the entity upon behalf of which the person(~ acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature ~~ ~ (Seal)