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CITY OF PLEASANTON <br />SURETY BOND INFORMATION REPORT <br />Please complete the following information regarding your bonding company: <br />NAME <br />BROKERAGE FIRM : <br />MAILING ADDRESS <br />STREET ADDRESS <br />CONTACT PERSON <br />TELEPHONE NUMBER <br />Travelers casualty and Surety Company of America <br />CO . NAME: USI Insurance Services, LLC <br />ADDRESS : 575 Market St Ste 2750 <br />San Francisco, CA94105 <br />CONTACT : catherine Pinney <br />PHONE #: 707-n9-1029 <br />100 california St Ste 300 San Francisco, CA 94111 <br />100 califomia St Ste 300 San Francisco CA 94111 <br />Jacob Krause <br />415-732-1424 <br />This section is to be completed by City staff: <br />PROJECT ENGINEER : Huy Ho <br />CIP , ACCOUNT OR PROJECT NUMBER: CIP No. 24503 <br />PROJECT NAME OR DESCRIPTION : Annual Street Resurfacing & Preventative Maintenance <br />AWARD DATE <br />CONTRACT NO . <br />BEST'S RATING : <br />04/16124 --------- <br />--------- <br />DEVELOPER OR CONTRACTOR NAME: _o_'G_ra_d.,_y_P_a_v_in.;;:;g_, l_nc_. __________ BUSINESS LICENSE NO . ________ _ <br />CIRCLE BOND TYPE(S): <br />COPIES: <br />PERFORMANCE <br />LABOR & MATERIAL <br />PAYMENT <br />MAINTENANCE <br />Project Engineer (File) <br />Management Analyst <br />Business License Office <br />City Clerk's Office <br />PERFORMANCE LABOR & MATERIAL PAYMENT MAINTENANCE <br />BOND NUMBER BOND AMOUNT <br />WARRANTY EXPIRATION : --------- <br />A++ XV <br />RELEASED DATE <br />APPROVED <br />DocuSign Envelope ID: 481D2ACD-7F64-46CA-9ACB-AF08839CFE54