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HomeMy WebLinkAboutPM 2010-09 - Cashier Memo - 3/3/2014 City of MEMO"NDUM VA L®r PUBLIC WORKS DEPARTMENT LAND DIVISION 2600 FRESNO STREET FRESNO,CA 93721 DATE: March 3, 2014 TO: BETH REUSCH Public Works Department FROM: JONATHAN BARTEL Public Works Department SUBJECT: SUBMITTAL OF PAYMENT FOR PARCEL MAP NO. 2010-09 THE FOLLOWING ITEMS ARE SUBMITTED FOR PROCESSING: 1. Certificate of Deposit in the amount of$331,000.00 (Premier Valley Bank) 2. Certificate of Deposit in the amount of$165,500.00 (Premier Valley Bank) 3. Check in the amount of$22,464.70 (Premier Valley Bank 447) 4. Copy of the Subdivision Agreement identifying itemized applicable charges. If you have any questions, please contact me at 621-8684. Thank you, Jonathan Bartel ACCOUNT PREMIER VALLEY BANK NUMBER 108008301 MAIN OFFICE 255 E RIVER PARK CIR STE 180 ACCOUNT OWNERIS) NAME&ADDRESS FRESNO, CA 93720 (559) 438-2002 PAINTBRUSH LLC FOR BENEFIT OF CITY OF FRESIO PERFORMANCE SECURITY PURSUANT TO SUBDIV OWNERSHIP OF ACCOUNT -CONSUMER PURPOSE AGMT PARCEL MAP NO 2010-09 ❑ INDIVIDUAL ❑ 2700 FRESNO STREET ❑ JOINT ACCOUNT ❑ TENANCY IN COMMON ACCOUNT FRESNO, CA 93721 ❑ COMMUNITY PROPERTY ACCOUNT OF HUSBAND AND WIFE ❑ JOINT ACCOUNT OF HUSBAND AND WIFE WITH RIGHT OF SURVIVORSHIP ❑ TRUST-SEPARATE AGREEMENT: TOTTEN TRUST OR PAY-ON-DEATH DESIGNATION AS DEFINED IN THIS AGREEMENT © NEW ❑ EXISTING Name and Address of Beneficiaries: TYPE OF ❑ CHECKING ❑ SAVINGS ACCOUNT ❑ MONEY MARKET ] CERTIFICATE OF DEPOSIT ❑ NOW ❑ This is your (check one): BUSINESS CERTIFICATE © Permanent ❑ Temporary account agreement. 6 MONTH CERTIFICATE OF DEPOSIT AT.15% Number of signatures required for withdrawal 1 FACSIMILE SIGNATURE(S) ALLOWED? ❑ YES © NO OWNERSHIP OF ACCOUNT -BUSINESS PURPOSE ❑ SOLE PROPRIETORSHIP Ix ElCORPORATION: ElFOR PROFIT ElNOT FOR PROFIT ❑ PARTNERSHIP The undersigned certifies the accuracy of the information he/she has © Limited Liability Company provided and acknowledges receipt of a completed copy of this REAL ESTATE INVESTMENT form. The undersigned authorizes the financial institution to verify BUSINESS: credit and employment history and/or have a credit reporting agency COUNTY & STATE FRESNOCA prepare a credit report on the undersigned, as individuals. The OF ORGANIZATION: undersigned also acknowledge the receipt of a copy and agree to the AUTHORIZATION DATED: terms of the following agreement(s) and/or disclosure(s): © Terms & Conditions © Truth in Savings © Funds Availability DATE OPENED 02/24/14 By Dianne McIntosh El Electronic and Transfers © Privacy ❑ Substitute Checks INITIAL DEPOSITS 331,000 .00 ❑ COmmQh F (tures ❑ ❑ CASH ❑ CHECK ❑ HOME TELEPHONE N BUSINESS PHONE N (559) 224-0871 (�)' [X DRIVER'S LICENSE N B WAGNER, AUT IZED MEMBER EMAIL BRYANQWAGNERANDWAGNER.COM I.p. N N2233 1 D.c�)3 06/26156� _ EMPLOYER MOTHER'S MAIDEN NAME (2): Name and address of someone who will always know your location: IX I.D. N D.O.B. l BACKUP WITHHOLDING CERTIFICATIONS (3). Ix TIN: 20-3384928 © TAXPAYER I.D. NUMBER - The Taxpayer Identification Number shown above(TIN)is my correct taxpayer identification number. I.D. N D.O.B. © BACKUP WITHHOLDING - I am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividends,or the Internal Revenue Service has notified me (4): that I am no longer subject to backup withholding. Ix ❑ EXEMPT RECIPIENTS - I am an exempt recipient under the Internal Revenue Service Regulations. I.D. N D.O.B. SIGNATURE: I certify under penalties of perjury the statements checked in this section and that I am a U.S. citizen or other U.S. person (as defined in the ❑Authorized Signer(Individual Accounts Only) instru tion Ix J X r (Date) I.D.N D.O.B. Signature Card-CA MPSC-LAZ•CA 5/21/2012 Bankers Systems m Wolters Kluwer Financial Services ©1992,2009 Page 1 of 1 ASSIGNMENT (Subdivision Agreement) SECURITY FOR: Paintbrush LLC, hereinafter called ASSIGNOR, whose principal place of business is 7110 N. Fresno St., Suite 340, Fresno, CA 93720, does hereby assign, and set over to the City of Fresno of the State of California, all right, title and interest of whatever nature, of assignor, in and to the insured account of assignor in the Premier Valley Bank, evidenced by Certificate of Deposit in the amount of$331,000, Account Number 108008301 which is to be delivered to the City of Fresno herewith. Assignor agrees that this assignment carries with it the right in the insurance of the account by the Federal Deposit Insurance Corporation, and includes and gives the right to the City of Fresno to redeem, collect, and withdraw the full amount as indicated above at any time WITHOUT NOTICE TO ASSIGNOR. This assignment is given as security for performance of the works and improvements set forth in that certain Subdivision Agreement Parcel Map No. 2010-09, including interest and penalties, and to insure compliance with the applicable code or ordinances of the City of Fresno, State of California. Assignor hereby notifies the above-named Bank of this assignment. Dated this�-f day of , 2014. Pai b sh LLC By: > l . � RECEIPT FOR NOTICE OF ASSIGNMENT Receipt is hereby acknowledged to the City of Fresno of the State of California of written notice of the assignment to the City of the account identified above. We have noted in our records the City's interest in the account as shown by the above assignment and have retained a copy of this sheet. We certify that this account is fully insured by the Federal Deposit Insurance Corporation and that we have received no notice of any lien, encumbrance, hold, claim or obligation of the above-identified account prior to the assignment to the City of Fresno. We agree to make payment to the City of Fresno upon request in accordance with the Commercial Banking laws applicable to the institution. Dated this;,-A aay of , 2014. Premier Valley Bank Main Office 255 E. River Park Circle, Suite 180 Fresno, CA 93720 �► /CT I By: Dianne McIntosh AVP, Business Banking Officer glpainibrush Ilclassisted living fa61hyldocumen1sWsignmen1(subdivision agml).docx ACCOUNT PREMIER VALLEY BANK NUMBER 108008319 MAIN OFFICE 255 E RIVER PARK CIR STE 180 ACCOUNT OWNERIS)NAME&ADDRESS FRESNO, CA 93720 (559) 438-2002 PAINTBRUSH LLC FOR BENEFIT OF CITY OF FRE NO PERFORMANCE SECURITY PURSUANT TO SUBDIV OWNERSHIP OF ACCOUNT-CONSUMER PURPOSE AGMT PARCEL MAP NO 2010-09 ❑ INDIVIDUAL ❑ 2700 FRESNO STREET ❑ JOINT ACCOUNT ❑ TENANCY IN COMMON ACCOUNT FRESNO, CA 93721 ❑ COMMUNITY PROPERTY ACCOUNT OF HUSBAND AND WIFE ❑ JOINT ACCOUNT OF HUSBAND AND WIFE WITH RIGHT OF SURVIVORSHIP ❑ TRUST-SEPARATE AGREEMENT: TOTTEN TRUST OR 0 PAY-ON-DEATH DESIGNATION AS DEFINED IN THIS AGREEMENT © NEW ❑ EXISTING Name and Address of Beneficiaries: TYPE OF ❑ CHECKING ❑ SAVINGS ACCOUNT ❑ MONEY MARKET 91 CERTIFICATE OF DEPOSIT ❑ NOW ❑ This is your (check one): BUSINESS CERTIFICATE © Permanent ❑ Temporary account agreement. 6 MONTH CERTIFICATE OF DEPOSIT AT.15% Number of signatures required for withdrawal 1 FACSIMILE SIGNATURE(S)ALLOWED? ❑ YES © NO OWNERSHIP OF ACCOUNT-BUSINESS PURPOSE ❑ SOLE PROPRIETORSHIP ❑ CORPORATION: ❑ FOR PROFIT ❑ NOT FOR PROFIT IX ❑ PARTNERSHIP The undersigned certifies the accuracy of the information he/she has © Limited Liability Company provided and acknowledges receipt of a completed copy of this REAL ESTATE INVESTMENT form. The undersigned authorizes the financial institution to verify BUSINESS: credit and employment history and/or have a-credit reporting agency COUNTY&STATE FRESNO CA prepare a credit report on the undersigned, as individuals. The OF ORGANIZATION: undersigned also acknowledge the receipt of a 9 9 P copy and agree to the AUTHORIZATION DATED: terms of the following agreement(s) and/or disclosure(s): © Terms & Conditions DI Truth in Savings © Funds Availability DATE OPENED 02/24/14 By Dianne McIntosh ❑ Electronic. Fund Transfers E�l Privacy ❑ Substitute Checks INITIAL DEPOSITS 165,500.00 ❑ Common Features ❑ ❑ CASH ❑ CHECK ❑ HOME TELEPHONE# BUSINESSPHONE N (559) 224-0871 (1)' [X DRIVER'S LICENSE # BRY WAGNER, A JHORIZED MEMBER EMAIL BRYAN®WAGNERANDWAGNER.COM I.D. N223 7 5 O.B. 06/28/56 EMPLOYER MOTHER'S MAIDEN NAME (2): Name and address of someone who will always know your location: IX I.D. # D.O.B. BACKUP WITHHOLDING CERTIFICATIONS 13). IX TIN: 20-3384928 ® TAXPAYER I.D. NUMBER - The Taxpayer Identification Number shown above(TIN)is my correct taxpayer identification number. I.D. # D. . © BACKUP WITHHOLDING - 1 am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of a 1 failure to report all interest or dividends,or the Internal Revenue Service has notified me (4): J that I am no longer subject to backup withholding. IX ❑ EXEMPT RECIPIENTS -I am an exempt recipient under the Internal Revenue Service Regulations. I.D. # D.O.B. SIGNATURE: 1 certify under penalties of perjury the statements checked in this section d that I am a U.S. citizen or other U.S, person (as defined in the ❑Authorized Signer(Individual Accounts Only) instru io ). l [x J x (Date) I.D.# D.O.B. Signature Card-CA MPSC-LAZ-CA 5121/2012 Bankers Systems Wolters Kluwer Financial Services O 1992,2009 Page 1 of 1 ASSIGNMENT (Subdivision Agreement) SECURITY FOR: Paintbrush LLC, hereinafter called ASSIGNOR, whose principal place of business is 7110 N. Fresno St., Suite 340, Fresno, CA 93720, does hereby assign, and set over to the City of Fresno of the State of California, all right, title and interest of whatever nature, of assignor, in and to the insured account of assignor in the Premier Valley Bank, evidenced by Certificate of Deposit in the amount of$ 165,500 Account Number 108008319 which is to be delivered to the City of Fresno herewith. Assignor agrees that this assignment carries with it the right in the insurance of the account by the Federal Deposit Insurance Corporation, and includes and gives the right to the City of Fresno to redeem, collect, and withdraw the full amount as indicated above at any time WITHOUT NOTICE TO ASSIGNOR. This assignment is given as security for performance of the works and improvements set forth in that certain Subdivision Agreement Parcel Map No. 2010-09, including interest and penalties, and to insure compliance with the applicable code or ordinances of the City of Fresno, State of California. Assignor hereby notifies the above-named Bank of this assignment. Dated this_day of 2014. Pain r sh LLC By: -� RECEIPT FOR NOTICE OF ASSIGNMENT Receipt is hereby acknowledged to the City of Fresno of the State of California of written notice of the assignment to the City of the account identified above. We have noted in our records the City's interest in the account as shown by the above assignment and have retained a copy of this sheet. We certify that this account is fully insured by the Federal Deposit Insurance Corporation and that we have received no notice of any lien, encumbrance, hold, claim or obligation of the above-identified account prior to the assignment to the City of Fresno. We agree to make payment to the City of Fresno upon request in accordance with the Commercial Banking laws applicable to the institution. Dated this 4 ay of _, 2014. Premier Valley Bank Main Office 255 E. River Park Circle, Suite 180 Fresno, CA 93720 )sN�T� By: �� 11 � Name and Title of officer gApaintbrush Ilc\assisled living facility\documentstassignmenl(subdivision agml).docx PAINTBRUSH LLC 447 7110 N.FRESNO ST.,STE.340 FRESNO,CA 93720 ' 1 / 90-4327/121 DATE 1 / PAY TO THECJFAJ-",�� _�--- — — ---- �— -- -- v ��� ORDER OF 0/�r •. ,� l-� }-x� �lw X rt, trt c ✓' Wit} —'-- DOLLARS i PREMIER 255 East River Park Circle,Ste.180 VALLEY BANK Fresno,California 93720 FOR 116000447111 1: L2LL43273i: OL03013SOLow U