HomeMy WebLinkAboutFile Documents.101 S 7th St.0002.2017 (7).ARBU.
Valid Maintenance Bond
.
$72
by
no larger than 11”x17”
minimum of 5
922–1987
F& City of Aspen Right -of -Way Permit
130 South Galena Street Aspen, Colorado 81611
c -.trtH Phone (970) 9205080 Fax (970) 9205440
PERMIT NO.
Project Add res,:
Master Building Permit g:
Owner:
Owner's Mailing Address:
Owners Phone:
Applicant:
Applicant's Email Address:
Applicants Phone:
Excieator&Contact:
Excavistars Contact Email Address:
Excavator's Phone:
Include in description, plans to abandon, repair, replace, or new installation of:
Sanitary Sewer/Storm Water/Water/Irrigation/Curb & Gutter/Sidewalk
Driveway/Telecom Cable-Fiber/TV Cable-Fiber/Electric/Gas/Other
Description of Work:
Valuation of Work:
Proposed Date(s) of Work:
though
Applicant shall notify City of Aspen Engineering Department (970-920-5080) no less than 20 hours prior to commencement of work. This permit is issued with
the specific undemanding that it is subject to suspension or revocation for failure to comply with the terms and conditions of Vile 21 of the City of Aspen
Municipal Code, and upon any other conditions upon which it is approved. The City Engineer or Designee is amhorited to impact the project site.
Owner/ Applicant's Signature: Print Name: Data:
For Office Use Only:
❑ Permit Fees Paid Dare Received:
❑ Bond # Date Received:
STAMP OF JUDGMENT
KNOW ALL MEN BY THESE PRESENTS That we, the undersigned, as,
(Legal Business Officer, etc.)
of as Principal, hereinafter referred to as “Contractor” and
(Company’s Name)
, a corporation organized under the laws of the
(Surety’s Name)
State of , and qualified to transact business in the State of Colorado, as “Surety”, are held and firmly
bound unto the City of Aspen, Colorado, as obligee, hereinafter referred to as “Owner”,in the penal sum of (the greater of $2,500 or
the
Dollars ($), lawful
money of the United States of America, for the payment of which sum, well and truly to be made to the Owner, we bind ourselves,
and our heirs, executors, administrators, successors, and assignees, jointly and severally, by these presents:
WHEREAS, said Contractor has made or about to make application to said obligee for Right-Of -Way permit for disturbing public right
of
, for furnishing all equipment, labor, tools, and materials for completion of work in accordance
with detailed plans and specifications satisfactory to the Engineering Department, City of Aspen, Pitkin County, Colorado.
NOW THEREFORE, The conditions of the foregoing obligations are such that if said Contractor shall well and truly perform all the
covenants and conditions of the for the said work to be performed, and repair or replace all defects for a period of two years as
provided herein, and protect and save harmless the City of Aspen, Colorado from all losses and damages to life or property suffered
or sustained by any person, firm or corporation, caused by said Contractor or its agents of its employees, in the performance of said
work, or by, or in consequence of any negligence, carelessness,or misconduct in guarding and protecting same, or from any
improper or defective equipment or materials used in the work, or other damages, then this obligation shall be void, otherwise it shall
remain in full force and effect in law.
This Bond is for; Single project,Multiple Occurrence Work,Blanket Coverage (check only one category)
and guarantees that the material and equipment is furnished and used, and the workmanship employed in the performance of the
work described in the right of way permit will be of such character and quality as to insure it to be free from all defects and in
continuous good order and in a condition satisfactory to the Governing Body of the City of Aspen for a period of two years from the
date of issuance of the final Inspection Log indicating 100% satisfactory completion of work. This bond shall be non-cancelable for
two full years from the date of issuance.
Insurance Company’s Name
Attorney-In-Fact (Name and Signature)
City of Aspen - Engineering Department 970-920-5080 REVISED: 12/31/08