NOC - CXT, Inc. - Miller Park Restroom Replacement ProjectRECORDING REQUESTED BY: )
)
City of Gilroy )
WHEN RECORDED, MAIL TO: )
Shawna Freels, City Clerk )
City of Gilroy )
7351 Rosanna Street )
Gilroy, CA 95020 )
DOCUMENT: 23394480
111111111111111111111111
REGINA ALCOMENDRAS
SANTA CLARA COUNTY RECORDER
Recorded at the request of
City
Pages:
Fees.... * No Fees
Taxes...
Copies..
AMT PAID
RDE # 888
8/09/2016
9:47 AM
RECORDED WITHOUT FEE PER CALIFORNIA GOVERNMENT CODE SECTION 27383
(SPACE ABOVE THIS LINE FOR RECORDER'S USE)
NOTICE OF ACCEPTANCE OF COMPLETION
Miller Park Restroom Replacement Project
CXT Incorporated, an LB FOSTER 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 12th Day of July, 2016.
Project No.: N/A
Contractor Name: CXT Incorporated, an LB FOSTER Company
Contractor Address: 388 N. Sullivan Road, Bldg 7, Spokane, WA 99126
Surety on Contract: N/A
Location of Project: Miller Park bounded by Princevalle St on the West, Carmel St on the East
and Second St on the South side of the park.
Description of Work: Capital Improvements
Interest of City: Owner in Fee: en ee un er greement to Purchase; Lessee;
Owner of Easements; Holder of License; Owner of tom;
Owner of Utilities, Water, Sewer, Storm Systems
Owner's Name: City of Gilroy
Work Done: Installation of pre - manufactured restroom building surrounded by 15 -ft concrete
walkway.
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 ' s true d correct. Executed at e City of Gilroy,
County of Santa Clara, State of California on. 2016.
CITY O
STATE OF CALIFORNIA
COUNTY OF SANTA CLARA BY
/Rick
e se
TITLE Public Works Director /City Ener.
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 of the State of California.
CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT
CIVIL CODE § 1189
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�rniia , (�
County of mac- ��t I ' t 1iir� .
On
Date
personally appeared
Name y f Signer*
who proved to me on the basis of satisfactory evidence to be th personofwhose name i re—
subscribed to the within instrument and acknowledged to me that e? hefncey executed the sa a in
RS710er4hei uthorized capacity(X, and that bkKFD erAlwk signature(kon the instrument the person(;
e entity upon behalf of which the person( Vac ed, 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 an d official seal.
■ A ALON:O
Co n- # 2105704 Signature
Notary PubNc - California
z Santa Clara County ' g ture of Notary Public
My Comm. Egires 15, 2019
Place Notary Seal Above
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fraudulent reattachment of this form to an unintended document.
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Title or Type of Document:
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Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
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❑ Other:
Signer Is Representing:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
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