103-Original.pdfHOLD HARMLESS AGREEMENT
APN 326-39-056
10161 Phar Lap Drive, Cupertino, CA 95014
.loetta A. Maier and Daniel S. Maier, Wife and husband, as Community Properh,
with RiLht of Survivorship, hereinafter referred to as the "OWNER", this Zs' day of
.2010. shall hereby hold harmless, defend and indemnify the City of Cupertino, a
Municipal Corporation, hereinafter referred to as the "CITY", and its officers, officials,
employees and volunteers from and against an), and all liability; loss, damage, expense,
costs (including without limitation costs and fees of litigation) of every nature arising out
of or in connection with the ONVNER'S use of that portion of public ri(,ht-of way that is
located between the back of sidewalk adjacent the westerly portion of the property and the
westerly property line of the OWNER'S certain real property situate in -the County of
Santa Clara; State of California, and specifically described as follows:
SEE A"rTAC1-IED F XI-IIBIT "A"
IN WITNESS WHEREOF, GRANTOR has executed this instrument the day and
year first above written.
OWNERS:
c
.loetta . Maier
Daniel S. Maier
(Acknowledgment and Notarial Sea] Attached)
r�
EXHIBIT 1eA"
LEGAL DESCRIPTION
The land referred to herein is situated in the State of California,
County of Santa Clara, City of Cupertino, described as follows:
LOT 39, as shown upon that certain Map entitled, "TRACT NO. 3442
OAICDELL RANCH," which Map was filed for record in the office of
the Recorder of the County of Santa Clara, State of California,
on August 22, 1963 in Book 165 of Maps at Pages 30 and 31.
EXCEPTING THEREFROM the underground water or rights thereto,
with no rights of surface entry, as granted by Duc & Elliot
Builders, a partnership, to the City of Cupertino, a municipal
corporation, by instrument dated August 22, 1963 and recorded
September 10, 1963 in Book 6163 of Official Records, Page 407.
APN/ARB: 326-39-056
End of Legal Description
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of J 0',-�, �t6-,"a,
p
On �I b 5 /( C) � _ before me, LIf.A /4-7Jr r7 L—_ 3 � 1v 0-1 7h2y
Date Here Insert Name and Title of the Officer
personally appeared
ARCELIA ANIT ESTOESTA
Commission # 1674205
Z ,=� Notary Public - California Z
Santa Clara County
Mycomm, E>Oires,hn 10, 2010
A / r--12_
who proved to me on the basis of satisfactory evidence to
be the person(-sj hose names) is/are-subscribed to the
within instrument and acknowledged to me that
peishe/thWlexecuted the same in_,hiS/her/tf�r authorized
capacity(ie& and that by.bis/her/theirSignature(&)-cn the
instrument the person(s)�or the entity upon behalf of
which the person(f4_�cted, executed the instrument.
certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is
true and correct.
WITNESS y hand and official seal.
JA,,"( 4signature�
Place Notary Seal Above Signature of Noiafy Public
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
u
Document Date: —., > -2) Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate Officer—Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing
RIGHTTHUMBPRINT
OF SIGNER
I
Signer's Name:
❑ Individual
❑ Corporate Officer — Title(s):
❑ Partner — 0 Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing
RIGHTTHUMSPRfNT
OF SIGNER
®2007 National Notary Association • 9350 De Soto Ava_, P.O, Box 24D2 -Chatsworth, CA 91313-2,102- www.NationW14u(ary.0rg ltem #5907 Reorder. Call Toll -Free 1-800-876-6827
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
State of California
County of S�„� 11_tk�
On `� l before me.
personally appeared �� L
4Jtly EM EE ; V, 061
(Here insert name and title of t e officer)
5. MA-1E
who proved to me on the basis of satisfactory evidence to be the persott.(s�vhose names) is/are subscribed to
the within instrument and acknowledged to me that helsketthey executed the same in his/fir authorized
capacity(.i•esj, and that by hislha�it signaturc(.&)-on the instrument the persor> or the entity upon behalf of
which the person acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
AREELIA 111iT MUS0
• COMM. #IU924T'
WITNESS my hand and official seal. Notary Public • California
Santa Ctara +-
o�/ Comm. EOM AM. 10, 2014
(Notary Seal}
S ignalure of Notary i'ubl is
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION, OFF THE, A-T]TAC�H�ED DOCUMENT
('title or d rption of attached document)
('ride or description of attached document conlit}tle }
Number of Pages I Document Date 17
(Additional information)
CAPAC -Y CLAIMED BY THE SIGNER
Individual (s)
❑
Corporate Officer
(Title)
❑
Partner(s)
❑
Attomey-in-Fact
❑
Trustee(s)
❑
Other
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledginew completed in California must contain verbiage exactly as
appears above in the notary section or a separate acknowledgment form must be
properly completed and attached to that document. The only exception is if a
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acknowledgment verbiage as may be printed on such a document so long as the
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document carefullyfor proper notarial wording and attach this fora: if required.
• State and County information must be the State and County where the document
signer(s) personally appeared berme the notary public for acknowledgment,
• Date of notarization must be the date that the signer(s) personally appeared which
must also be the same date the acknowledgment is completed.
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public).
• Print the name(s) of document signer(s) who personally appear at the time of
notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e.
he/shc/they- is lure) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording.
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Impression must not cover text or lines, If seal impression smudges, re -seal if a
sufficient area permits, otherwise complete a different acknowledgment form.
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the count' clerk.
Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
Indicate title or type of attached document, number of pages and date_
Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indicate the title (i.e. CEO, CPO, Secretary).
• Securely attach this document to the signed document
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