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24732458 - Notice of Acceptance of Completion Bridge Preventative Maintenance Program - - Recorded 12/02/202024732458 4 REC PPG REQUESTED BY: City of Gilroy WHEN RECORDED, MAIL TO: Shawna Freels City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 Regina Alcomendras Santa Clara County - Clerk -Recorder 12/02/2020 01:16 PM Titles: 1 Pages: 3 Fees: $0.00 Taxes: $0 Total: $0.00 1111 iNcilli,1117.11F0111.k XI 11:111L'ill'il I 11111 (SPACE ABOVE THIS LINE FOR RECORDER'S USE) RECORD WITHOUT FEE UNDER SECTION 27383 GOVERNMENT CODE OF STATE OF CALIFORNIA Notice of Acceptance of Completion Bridge Preventative Maintenance Program Project No. 18-PW-246 Federal Project No. BPMP-5034(026) American Civil Constructors West Coast LLC SEPARATE PAGE PURSUANT TO GOVT. CODE 27361.6 — k - NOTICE OF ACCEPTANCE OF COMPLETION NOTICE IS HEREBY GIVEN that, as of the 16t1i day of November, 2020, the City of Gilroy, California ("City") has accepted as completed the work required to be performed under the following agreement ("Agreement") by and between American Civil Constructors West Coast LLC ("Contractor") and City: Bridge Preventative Maintenance Program Project No. 18-PW-246 Federal Project No. BPMP-5034(026) American Civil Constructors West Coast LLC Project No.: City Project No. 18-PW-246, Federal Project No. BPMP-5034(026) Contractor Name: American Civil Constructors West Coast LLC Contractor Address: 2990 Bay Vista Court. Suite D, Benicia, CA 94510 Surety on Contract: Argonaut Insurance Company Location of Project: Gilroy, California Description of Work: All labor, material. supervision, and equipment necessary to complete the bridge deck treatment with High Molecular Weight Methacrylate (HMWM), pavement traffic stripes and pavement markings, and other incidental and appurtenant work necessary for the proper construction of the improvements at six bridges in the City of Gilroy. Interest of City: Owner in Fee Vendee under Agreement to Purchase Lessee Owner of Easements Holder of License X Owner of Streets 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 10 / 7--1/ z� CITY OF GILROY BY: ary Heap TIT -L E: City Engineer CALLOFORLt1D1 AIL —PURPOSE ACKIn1OWLEDOCvJENT 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 California County of Sr*nit C laro. On Z 1) 2172.0 Date personally appeared ) before me, So r )\)0kAia DiA f` 1" 1, i 6 Here Insert Name and title of the -Officer lme(s) of Signers) who proved to me on the basis of satisfactory evidence to be the person) whose name is/ subscribed to the within instrument and acknowledged to me that he/9Mittley executed the same in his/Fyf/tlfr authorized capacityL1 ), and that by his/bcr/t{leir signatureK on the instrument the personks), or the entity upon behalf of which the persor1(s) 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. SANDRA E. NAVA Notary Public - California Santa Clara County Commission # 2262752 [ My Comm. Expires Nov 11, 2022 Place Notary Seal Above 11011. WITNESS my hand and official seal. Signature OPTIONAL Signature of Notary Public 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 o1 Attached Document 2I Icy Title or Type of Document: N ()Fite a # / CCk i1 C? 1 Cc;+f Document Date: �SDJLm �L r IL 2 DZQ Number of Pages: Signer(s) Other Than Named Above: Capacity(es) Claimed by Signers) 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 El Attorney in Fact El Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: •r.%:r..i^-"",�-ti. Y4"::'�.:., szv +'.._.�.;aa:x;-<.:`s i,1.:.�'.:t�s..`.�,r� =.;' z'v �v-•".�.;..;nl:�+..��•..- • ,..:!..y,- e:.`."tfi-�C:'-.�..- C�..i.: -ci`�- '--+�i ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907