NOC - Specialty Construction, Inc. - Project No. 11-CDD-177
RECORDING REQUESTED BY: ) DOCUi~ENT:
) 21204748 Pages: 3
South County Regional Wastewater ) II m 1m 111/111 Fees. * No Fees
Authority (SCRWA) ) Taxes.
) Copies.
) AMT PAID
WHEN RECORDED, MAIL TO: ) REGINA ALCOMENDRAS
Shawna Freels City Clerk ) SANTA CLARA COUNTY RECORDER RDE ** 007
City of Gilroy ) Recorded at the request of 6/13/2011
7351 Rosanna Street ) City 9:15 AM
Gilroy, CA 95020 )
RECORDED WITHOUT FEE PER CALIFORNIA GOVERNMENT CODE SECTION 27383
(SP ACE ABOVE THIS LINE FOR RECORDER'S USE)
NOTICE OF ACCEPTANCE OF COMPLETION
SOUTH PIPELINE
Project No. ll-CDD-177
Specialty Construction, Inc.
RECORDING REQUESTED BY:
South County Regional Wastewater Authority
WHEN RECORDED MAIL TO:
Shawna Freels
City of Gilroy
7351 Rosanna Street
Gilroy, CA 95020
NOTICE OF ACCEPTANCE OF COMPLET~ tf gf
. ~~ Zi7/(
NOTICE IS HEREBY GIVEN that, as of the _ ay of~. 20H, the South County Regional
Wastewater Authority (SCRW A), (Authority) has accepted as completed the work required to be
performed under the agreement between the SCRW A and the Contractor mentioned below who
developed said project:
Project No.:
Contractor Name:
Contractor Address:
Surety on Contract:
Location of Project:
11-CDD-177
Specialty Construction. Inc.
645 Clarion Court. San Luis Obispo. CA 93401
Fidelitv and Deposit Company orMaryland
Gilroy. CA
Description of Work: Capital Improvements
Interest ofSCRWA: _ Owner in Fee; _ Vendee under Agreement to Purchase; _Lessee;
_ Owner of Easements; _ Holder of License; _Owner of Streets;
--X- Owner of Utilities, Water, Sewer, Storm Systems
Owner's Name/Address: SCRWA, 1500 Southside Drive. Gilroy. CA 95020
Work Done: Construct all work as required by Improvement Plans
This notice is given in accordance with the provisions of Section 1192.1 of the Code of Civil
Procedure and Section 3093 of the Civil Code of the State of California.
The undersigned, being duly sworn, deposes and say:
That he is an officer ofthe SCRW A, that he has read the foregoing Notice of Acceptance of
Completion and knows the contents thereof; and that the same is true of his own knowledge,
except as to those matters that he believes it to be true.
I certify under penalty of perjury that the foregoing is true and cOITec~xecuted at the 1if}f of
:~::EC:::A:I:::~:~~ State OfCIDifOnllai::~UR. 11. 20tr.~:y ~Ority
COUNTY OF SANTA CLARA BY V
Ri k Sme ser
TITLE SCRWA Engineer
,2011
~ 'LD~ ~l
\\ C~~ o.oj...... ifv.; ....J
<. et. (X ~ ,\c~(: 0- ~ Notary Public in and for the County
;> ()..C ~ L-t< of Santa Clara, State of California
This document is for the benefit of the City of Gilroy. Request for Recordation without fee is
made in accordance with Section 27383 of the Government Code ofthe State of California.
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
CIVIL CODE t 1189
On M~j 31, '2.0\\
Date
before me,
}
So..nA,o f. NCAVo. I N(;Jt~ r~ fv-b(lC
Here Insert Name and Title of the 0fficer
hle\( Sm~\(""e(
Name(s) of Signer(s)
State of California
County of
Su 0+t\ C I [(yU
personally appeared
who proved to me on the basis of satisfactory
evidence to be the person~ whose name~ is/are
subscribed to the within instrument and acknowledged
to me that he/s~/tpey executed the same in
his/I)ef/tpefr authorized capacity{ieS), and that by
his/tJ.et/tpeir signature.(81 on the instrument the
person~, or the entity upon behalf of which the
person~ acted, executed the instrument.
. SANDRA E. MAYA
Commission 1# 1908111
I' -....... - c_
Santa CIIfI County
_ ~ _ _ _ ~~orJ~r~~~~zr~
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Place Notary Seal Above
Signature:
OPTIONAL
~ f, 12ttWv
Signature of Notary Public
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: N 01- \ C f () f
Ml1~ 3i I ~ 01\
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer{s)
Signer's Name:
D Corporate Officer - Title(s):
D Individual
D Partner - D Limited D General Top of thumb here
D Attorney in Fact
D Trustee
D Guardian or Conservator
D Other:
Document Date:
ACC/f tnna:J rl ( OM f\et7Or)
Number of Pages: \
RIGHT THUMBPRINT
OF SIGNER
Signer's Name:
D Corporate Officer - Title(s):
D Individual
D Partner - D Limited D General
D Attorney in Fact
D Trustee
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
D Guardian or Conservator
D Other:
Signer Is Representing:
Signer Is Representing:
@2010 National Notary Association' NationaINotary.org' 1-800-US NOTARY (1-800-876-6827)
Item #5907