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NOC - Windsor Fuel Company - Project No. 13-PW-205RECORDING REQUESTED BY: City of Gilroy WHEN RECORDED, MAIL TO: Shawna Freels, City Clerk City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 DOCUMENT: 22424106 Pages: + No Fees AMT PAID REGINA ALCOMENDRAS RDE # 025 SANTA CLARA COUNTY RECORDER 10/24/2013 Recorded at the request of 12:39 PM County Agency RECORDED WITHOUT FEE PER CALIFORNIA GOVERNMENT CODE SECTION 27383 (SPACE ABOVE THIS LINE FOR RECORDER'S USE) NOTICE OF ACCEPTANCE OF COMPLETION CHURCH STREET PA VEMENT MAINTENANCE PROJECT Project No. 13 -PW -205 Windsor Fuel Company SEPARATE PAGE PURSUANT TO GOVERNMENT CODE SECTION 27361.6 SEPARATE PAGE PURSUANT TO GOVT. CODE 27361.6 RECORDING REQUESTED BY: City of Gilroy WHEN RECORDED MAIL TO: Shawna Freels City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 NOTICE OF ACCEPTANCE OF COMPLETION NOTICE IS HEREBY GIVEN that work agreed to be performed under the property agreement between the City of Gilroy, a municipal corporation, whose address is 7351 Rosanna Street, Gilroy, CA 95020 and the Contractor mentioned below who developed said project, was accepted as completed by the City of Gilroy on the 25th Day of September, 2013 Project No.: 13 -PW -205 Church Street Pavement Maintenance Project Contractor Name: Windsor Fuel Company Contractor Address: 1150 Willow Pass Road, Pittsburg, CA 94565 Surety on Contract: Western Surety Compan y Location of Project: Church St., Gilroy, CA 95020 Description of Work: Pavement Maintenance Improvements Interest of City: Owner in Fee: Vendee under Agreement to Purchase; Lessee; Owner of Easements; Holder of License; X OwnerZT-Streets; Owner of Utilities, Water ewer, Storm Systems Owner's Name: City of Gilroy Work Done: Kill weeds in pavement, pavement preparation, crack seal, slurry seal, and stripe road This notice is given in accordance with the provisions of Section 3093 of the Civil Code of the State of California. The undersigned declares: That he is an officer of the City of Gilroy, 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 fore ng is true and correct. Executed a e City of Gilroy, County of Santa Clara, State of California on 6 ; 2013. CITY O G STATE OF CALIFORNIA COUNTY OF SANTA CLARA BY TITLE Director of Public Works /City Engr. 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 ot-the State of California. CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of Califo nia County of �(..J '> On 2 (D U\_� before me, �6ZRj0Y1_7ZP()-PqQ Date _1, _ Here Insert Name -land Title of the Officer personally appeared INGA ALONZO Commission # 1931989 Notary Public - California i Santa Clara County My Comm. Ex ires Aw 15, 2015 Name(s) of Signer(s) CML CODE § 1189 who proved to me on the basis of satisfa tory evidence to be the person* whose nam is subscribed to the within instrument and acknowledged t me that QDha they executed the same in is rflffe�ir authorized capacity(, and that by Is er/thtsir signature(4K on the instrument the person*, 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. WITNESS my hand and official seal. Signature: OPTIONAL 6� /),,t t�� Place Notary Seal Above Signature of Notary Public Though the information below is not required by law, it may prove valuable 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: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Individual ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing RIGHT THUMBPRINT OF SIGNER .p of thumb here Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Individual ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing © 2010 National Notary Association - National Notary.org • 1- 800 -US NOTARY (1 -800- 876 -6827) Item #5907