NOC - Don Chapin Company - Project No. 15-PW-216RECORDING REQUESTED BY:
City of Gilroy
WHEN RECORDED, MAIL TO: J
Shawna Freels, City Clerk )
City of Gilroy )
7351 Rosanna Street )
Gilroy, CA 95020 )
DOCUMENT: 23096736 Pages: 3
AMT PA I D
REGINA ALCOMENDRAS RDE ## 025
SANTA CLARA COUNTY RECORDER 10/01/2015
Recorded at the request of 2 :09 PM
City
RECORDED WITHOUT FEE PER CALIFORNIA GOVERNMENT CODE SECTION 27383
(SPACE ABOVE THIS LINE FOR RECORDER'S USE)
NOTICE OF ACCEPTANCE OF COMPLETION
Sixth Street Improvements, LED Trail Lighting, LED Upgrades and Fiber Optic Repair
Project No. 15 -PW 216
Don Chapin 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 28`h Day of Member, 2015
Project No.: 15 -PW -216
Contractor Name: Don Chapin Company
Contractor Address: 560 Crazy Horse Canyon Road, Salinas, CA 93907 -8434
Surety on Contract: Travelers Casualty and Surety Company of America
Location of Project:
Description of Work: LED Upgrades
Interest of City: X Owner in Fee: Vendee under Agreement to Purchase; Lessee;
Owner of Easements; Holder of License; Owner of t�s;
Owner of Utilities, Water, Sewer, Storm Systems
Owner's Name: City of Gilroy, CA
Work Done: LED Upgrades, concrete work, landscaping, and fiber optic repair
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 foreg 'ng is trije and correct. Executed at t ty of Gilroy,
County of Santa Clara, State of California on Jg 015.
CITY G
STATE OF CALIFORNIA
COUNTY OF SANTA CLARA BY
TITLE Director of Public Works /Cit�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 o the State of California.
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of Calif nia
County of
On before me,
Date
personally appeared
k I� 1 onzG , I I
Here Insert Name and Title of the
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person whose name( is rer
subscribed to the within instrument and acknowledged to me that a h�eAtTey executed the same i
her�thetrauthorized capacity(igS} and that b is sr�fheir signature on the instrument the person(,
or the entity upon behalf of which the person(s) acted, executed the ins rument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my h nd and officia eal.
NU ALOWD
Commissioh * 2103700
z
o6-
Notary Public - Ca ft*a Signature
L
soft Clara County i nature of Notary P lic
MV Comm. E irs r 15 2019 r
Place Notary Seal Above
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Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Document Date:
Number of Pages: Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing: