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NOC - American Pipeline Services - Project No. 18-PW-251RECORDING REQUESTED BY City of Gilroy WHEN RECORDED, MAIL TO Shawna Freels, City Clerk City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 24298683 Regina Alcomendras Santa Clara County - Clerk -Recorder 10/07/2019 01:07 PM Titles: 1 Pages: 3 Fees: 0.00 Taxes: 0 Total: 10.00 mill WOM K FAI 1L4060 V11101:461, WAK 7114' 11111 (SPACE ABOVE THIS LINE FOR RECORDER'S USE) Recorded without fee per California Government Code Section 27383 NOTICE OF ACCEPTANCE OF COMPLETION LARGE WATER METER REPLACEMENT Project No. 18-PW-251 American Pipline Services SEPARATE PAGE PURSUANT TO GOVERNMENT CODE SECTION 27361.6 NOTICE OF ACCEPTANCE OF COMPLETION NOTICE IS HEREBY GIVEN that, as of the 16th day of September, 2019, the City of Gilroy, California ("City") has accepted as completed the work required to be performed under the following agreement ("Agreement") by and between Polychrome Construction, Inc., ("Developer") and City: Large Meter Replacement Project No. 18-PW-251 American Pipeline Services Project No.: 18-PW-251 Developer Name: American Pipeline Services Developer Address: PO Box 1931 Monrovia, CA 91017 Surety on Contract: American Contractors Indemnity Company Location of Project: Gilroy, California Description of Work: The proiect consists of but not limited to furnishing all labor, materials, tools, equipment and incidentals required in completing all work for replacement of large water meters (size 3 inches and larger) with new large water meters, coordination with city staff for picking up of new meters, removal of existing retired meters, installation of meter boxes, valves, and bypass assemblies as required and directed by the engineer and City of Gilroy Water crews, and submitting a complete inventory list of all meters that has been removed and replaced. Interest of City: 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: City of Gilroy, 7351 Rosanna Street, Gilroy, CA 95020 Work Done: See above, Description of Work This notice is given in accordance with the provisions of Section 3093 of the Civil Code of the State of California. The undersigned, being duly sworn, deposes and say: That I am an officer of the City of Gilroy, that I have read the foregoing Notice of Acceptance of Completion and know the contents thereof, and that the same is true of my own knowledge, except as to those matters that I believe to be true. I certify under penalty of perjury that the foregoing is true and correct. Executed at the City of Gilroy, County of Santa Clara, State of California, on - / 3 c`i 9 CITY OF GILRROOjY BY:`L- �� Gary Heap ITLE: City Engineer CA IFOR IA L -PU POS ACK a0WL DG CI` IL CODE .c� .c� .c� ,c�C.a .tif.s��t.af.c�t�<.. C.c�,�� ,c�t!TC.c� _c�.C_aC� .a ,a ,v,. •.cat. 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 California County of San*a C 1 a�� O3d� 0 i 9before me, J Date personally appeared e a r , Andrea P. lira kla / AIv rrfzt n V1A) l'C Here Insert Name and Titll the Officer e Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the persono whose name(s) is/afe subscribed to the within instrument and acknowledged to me that he/sh&thja executed the same in his/I}e"r/t*r authorized capacity(ie6), and that by his/b r/tPeir signature on the instrument the person(s) or the entity upon behalf of which the person acted, executed the instrument. 00-15'. SANDRA E. NAVA Notary Public - CaliforniaSanta Clara County Commission # 2262752 My Comm. Expires N6v 11, 2022 Place Notary Seal Above 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 -�7z''�oc— Signature of Notary Public - - - -- - - - OPTIONAL 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: No+)(e o� A-rr1ptonu 4 (Ople "Document Date: 1 -30 20) I 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: I.16'L�"- 't iC C C " �t't L i L i L L L L � <1tay1� :i6C".bNKV1AtA6the�•t6t it'f t. {�jt'%.L�4 � _ "t��, 02014 National Notary Association ^ www.NationalNotary.org a 1-800-US NOTARY (1-80M76-6827) Item #5907