Form TR-0001 "Performance Bond of State Highway Encroachment Permittee" - California

What Is Form TR-0001?

This is a legal form that was released by the California Department of Transportation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2017;
  • The latest edition provided by the California Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form TR-0001 by clicking the link below or browse more documents and templates provided by the California Department of Transportation.

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Download Form TR-0001 "Performance Bond of State Highway Encroachment Permittee" - California

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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
PERFORMANCE BOND OF STATE HIGHWAY ENCROACHMENT PERMITTEE
TR-0001 (REV 07/2017)
FM 90 1068 M
PLEASE FILL OUT FORM COMPLETELY
[ To Accompany the Permit ]
Streets and Highways Code Section 677
BOND NUMBER
ENCROACHMENT PERMIT NUMBER
PRINCIPAL
DISTRICT
COUNTY
ROUTE
POST MILE
PREMIUM AMOUNT
EFFECTIVE DATE
LOCATION
INSTRUCTIONS TO SURETY COMPANY
On the Surety Bond, under the "Description of Attached Document," on the line labeled "Title or Type of Document," the Surety
Company shall list the description of either PERFORMANCE BOND or PAYMENT BOND and shall also include the ENCROACHMENT
PERMIT NUMBER.
On the line, under the "signer is representing", the Surety Company shall also include the telephone number of the Principal.
Performance bonds and payment bonds shall be held in force for a period of one-year, from the date of project completion, unless so
stipulated differently by the State.
Know All Persons by These Presents:
That
, as PRINCIPAL,
having an address for service of
,
and
,
a Surety Company qualified and duly licensed to do business in the State of California, as SURETY, are held and firmly bound to the
STATE OF CALIFORNIA, as OBLIGEE, in the sum of
Dollars
($
), lawful money of the United States of America, to be paid to the OBLIGEE, for which payment, we bind
ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, to those persons referred to in paragraph 4 below.
THAT THE CONDITION OF THIS OBLIGATION IS SUCH:
1. That whereas PRINCIPAL has made, or is about to make, application to the State of California for a permit under Article 2 of Chapter 3 of
Division 1 of the Street and Highways Code to place, change or renew an encroachment in, under or over any portion of a state highway,
and Streets and Highways Code Section 677 requires a bond payable to the State of California as a condition therefore, this payment bond
is executed and tendered in accordance therewith.
2. That this bond shall be subject to all of the terms and provisions of the afore-mentioned provisions of the Streets and Highways Code.
3. That if the PRINCIPAL shall fail to faithfully perform the work for which the encroachment permit was issued, or fail to pay all
encroachment permit fees then the SURETY herein shall pay for the same, otherwise this obligation is null and void.
4. No right of action shall accrue under this bond to or for the use of any person or entity other than the State of California.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
PERFORMANCE BOND OF STATE HIGHWAY ENCROACHMENT PERMITTEE
TR-0001 (REV 07/2017)
FM 90 1068 M
PLEASE FILL OUT FORM COMPLETELY
[ To Accompany the Permit ]
Streets and Highways Code Section 677
BOND NUMBER
ENCROACHMENT PERMIT NUMBER
PRINCIPAL
DISTRICT
COUNTY
ROUTE
POST MILE
PREMIUM AMOUNT
EFFECTIVE DATE
LOCATION
INSTRUCTIONS TO SURETY COMPANY
On the Surety Bond, under the "Description of Attached Document," on the line labeled "Title or Type of Document," the Surety
Company shall list the description of either PERFORMANCE BOND or PAYMENT BOND and shall also include the ENCROACHMENT
PERMIT NUMBER.
On the line, under the "signer is representing", the Surety Company shall also include the telephone number of the Principal.
Performance bonds and payment bonds shall be held in force for a period of one-year, from the date of project completion, unless so
stipulated differently by the State.
Know All Persons by These Presents:
That
, as PRINCIPAL,
having an address for service of
,
and
,
a Surety Company qualified and duly licensed to do business in the State of California, as SURETY, are held and firmly bound to the
STATE OF CALIFORNIA, as OBLIGEE, in the sum of
Dollars
($
), lawful money of the United States of America, to be paid to the OBLIGEE, for which payment, we bind
ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, to those persons referred to in paragraph 4 below.
THAT THE CONDITION OF THIS OBLIGATION IS SUCH:
1. That whereas PRINCIPAL has made, or is about to make, application to the State of California for a permit under Article 2 of Chapter 3 of
Division 1 of the Street and Highways Code to place, change or renew an encroachment in, under or over any portion of a state highway,
and Streets and Highways Code Section 677 requires a bond payable to the State of California as a condition therefore, this payment bond
is executed and tendered in accordance therewith.
2. That this bond shall be subject to all of the terms and provisions of the afore-mentioned provisions of the Streets and Highways Code.
3. That if the PRINCIPAL shall fail to faithfully perform the work for which the encroachment permit was issued, or fail to pay all
encroachment permit fees then the SURETY herein shall pay for the same, otherwise this obligation is null and void.
4. No right of action shall accrue under this bond to or for the use of any person or entity other than the State of California.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
PERFORMANCE BOND OF STATE HIGHWAY ENCROACHMENT PERMITTEE
TR-0001 (REV 07/2017)
FM 90 1068 M
5. That this bond shall be deemed continuous in form, remain in full force and effect up to a period of one-year from the date of project
completion, or until cancellation or withdrawal of the SURETY COMPANY from the bond by means of abatement. If no work has
commenced under the encroachment permit, the SURETY may cancel this bond upon thirty (30) days written notice to the OBLIGEE.
Bond cancellation notices shall be sent to the Department of Transportation's District Office issuing the encroachment permit
(See Appendix G, Encroachment Permits Manual). The notice of cancellation shall include the Encroachment Permit Number and
the project's location: county, route, and post mile.
http://www.dot.ca.gov/trafficops/ep/docs/Appendix_G_(WEB).pdf
6. That theSURETY shall bear no liability on this bond in the event the encroachment permit issued to the PRINCIPAL is canceled or
withdrawn prior to commencement of work on State property by the PRINCIPAL.
7. This bond is executed to comply with the provisions of Chapter 3 of Division 1 of the Streets and Highways Code and of Chapter 2, Title
14, Part 2 of the Code of Civil Procedure, and said bond shall be subject to all of the terms and provisions thereof.
NAME OF PRINCIPAL
DATE
BUSINESS ADDRESS OF PRINCIPAL
BUSINESS PHONE
CITY
STATE
ZIP CODE
PRINT OR TYPE NAME OF AUTHORIZED SIGNATURE AND TITLE
AUTHORIZED SIGNATURE AND TITLE
NAME OF SURETY
DATE
BUSINESS ADDRESS OF SURETY
BUSINESS PHONE
CITY
STATE
ZIP CODE
I certify (or declare) under penalty of perjury that I have executed the foregoing bond under an unrevoked power of attorney.
Executed on (DATE)
in (CITY)
STATE)
under the laws of the State of California.
PRINT OR TYPE NAME OF ATTORNEY-IN-FACT FOR SURETY
SIGNATURE OF ATTORNEY-IN-FACT FOR SURETY
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
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