HomeMy WebLinkAbout5. Construction Of A Water System - Agreement Application
Otay Water District | Public Services Division | (619) 670-2241 | 2554 Sweetwater Springs Blvd | Spring Valley, CA 91978-2004
BOND PACKAGE APPLICATION
Y:\Public Services New\Webpage\Previous\BOND INFORMATION APPLICATION 2019MASTER.docx
OWD Project Number: OWD Project Name:
Attach Engineer's Estimate
a. stamped and signed by engineer
b. OWD Project Number / OWD Project Name
c. separate potable, recycled water and sewer appurtenances
Developer Name as it appears on all legal documents:
Contact Name: Contact E-Mail Address:
Address:
City: State: ZIP Code:
Phone: Fax: Cellular:
Business Entity:
Please state if the business entity is a sole proprietor, corporation, limited partnership, general partnership, limited
liability partnership, or limited liability company
and where the entity was formed, e.g., a California corporation, a California limited partnership, a Delaware
company, a California limited liability partnership.
Insurance Agency:
Contact Name: Contact E-Mail Address:
Address:
City: State: ZIP Code:
Phone: Fax: Cellular:
For which required Insurance Liability shall we contact this agent:
Pollution Workers Compensation Auto Commercial General Liability
add additional pages for all other contact information for the remainder of the required Insurance Liability policies.
Jurisdiction of your project:
Does the project include potable water?
Does the project include recycled water?
Does the project include OWD sewer?
Send bond package to:
Address:
City: State: ZIP Code:
Information provided by: