24732458 - Bridge Preventative Maintenance Program - American Civil Constructors West Coast - Recorded 12/02/2020r
RECOR V%JG REQUESTED BY:
City of Gilroy J
WHEN RECORDED, MAIL TO:
Shawna Freels
City of Gilroy
7351 Rosanna Street
Gilroy, CA 95020
RECORD WITHOUT FEE UNDER SECTION 27383
GOVERNMENT CODE OF STATE OF CALIFORNIA
24732458
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
■III ��.�F ,k 1� k' I': �li;AMI I Ilk VIA'A 11111
(SPACE ABOVE THIS LINE FOR RECORDER'S USE)
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
.- %- NOTICE OF ACCEPTANCE OF COMPLETION
NOTICE IS HEREBY GIVEN that, as of the 161h 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 f
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 L u / 2-1/ zazN
CITY OF GILROY
BY:
ary Heap
TITLE: City Engineer
CALUFORMOA tiL FU Paim ACKNOWLEDOMMIXIT CIVIL CODE
' e w a -oNi .+.ew .x - - -wC.- .rKw .. - ..Nordin a✓al�9..a «Yi:.K r.r«e:
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 Califomia
County of c;nnia Clara )
On 06+02er Z I 1 2,VZZ before me, Sa nd rq
Date Here Insert Name and title of th Ificer
personally appeared
of
who proved to me on the basis of satisfactory evidence to be the personA whose nameA is/qLW
subscribed to the within instrument and acknowledged to me that he//#* executed the same in
hisAjef/tWr authorized capacity�14), and that by his/tWr/Atfeir signature(S on the instrument the person(o,
or the entity upon behalf of which the personA 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.
$ANDRA E. NAVA WITNESS my hand and official seal.
Notary Public - California
Santa Clara County c� - ,� /'
07=,"
Commission N 22ii2152 Signature uL64 Z .
My Comm. Expires Nov 11, 2022 g
Signature of Notary Public
Place Notary Seal Above
OP77ONAL
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 { on
Title or Type of Document: NDHCe o Acce91'A I D4 Coro�IDocument Date: NDAmber
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 ❑ Attomey 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
n nth,=.r-
Signer Is Representing:
02014 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907