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NOC - O'Grady Paving - Project No. 12-PW-196a RECORDING REQUESTED BY: City of Gilroy WHEN RECORDED, MAIL TO: Shawna Freels, City Clerk City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 DOCUMENT: 21852608 IIIIIIIIIIIINIIIIIiflllllllilllll� � =., ... AMT PAID REGINA ALCOMENDRAS SANTA CLARA COUNTY RECORDER Recorded at the request of City Pages: 3 No Fees RIDE # 004 9/13/2012 3 :14 PM RECORDED WITHOUT FEE PER CALIFORNIA GOVERNMENT CODE SECTION 27383 (SPACE ABOVE THIS LINE FOR RECORDER'S USE), NOTICE OF ACCEPTANCE OF COMPLETION WREN AVENUE AND CHURCH STREET RESURFACING Project No. 12 -PW -196 O'Grady Paving, Inc. 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 27th Day of August, 2012 . Project No.: 12 -PW -196 Contractor Name: O'Gradin Paving, aving, Inc. Contractor Address: 2513 Wyandotte Street, Mountain view, CA 9.4.043 Surety on Contract: Travelers Casualty & Surety Co. of America Location of Project: Church St. and Wren Ave., Gilroy, CA 95020 Description of Work: Pavement grinding, repaving, slurry sealing, new striping, concrete improvements repair and construction of new access ramps of City: x owner in Pee: v enaee under Agreement to rurcnase; i TOwner of Easements; Holder of License; Owner of Streets; T Owner of Utilities, Water, Sewer, Storm Systems Owner's Name: Citv of Gilrov, 7351 Rosanna Street, Gilroy, CA 95020 Work Done: Construct all work as required by Capital Improvement Plan 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 forego' g is trueand correct. Executed at the 'ty of Gilroy, County of Santa Clara, State of California on 2012. CITY O STATE OF CALIFORNIA COUNTY OF SANTA CLARA BY TITLE Director of Public Works /City Eng. This document is for the benefit of the City of Gilroy. Reqqu�est for Recordation without fee is made in accordance with Section 27383 of the Government Code of the State of California. CALIFORNIA • ACKNOWLEDGMENT aa>,.s�. ��,s��.,: ac,: �. �:;�>,.�> s� <,s�. Via. �.,. T.,oa� �tA�s, ca �a� sa : �� � a wva. �a a� �>,.�:C_ •a �i4a a.,�z,: �. �.,: a. �s TTY" �5.� z�.. � a4 � State of Calif nia County of On � Date personally appeared before me, INCA ALONZO Commission # 1931989 = Notary Public - California Santa Clara County My Comm. Expires Apr 15.2015 } �nY171D. n UfnJ/1 I RLLbl I who proved to me on the basis of satisfactory evidence to be the person,) whose nam is re-subscribed to the within instrument and acknowledged to me that &e hetffey executed the same i hi emheir authorized capacity(i?the and that b is eeir signature( on the instrumen person, or the entity upon behalf of which the person) 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. WITNESS ha and official wal. Uot Si gnature Place Notary Seal Above gna uotary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Individual ❑ Corporate Officer —Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing RIGHT THUMBPRINT OF SIGNER •• of thumb here Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): _ ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing RIGHT THUMBPRINT OF SIGNER of • 02007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313 -2402 • www.NationalNotary.org Item #5907 Reorder: Call Toll -Free 1 -800- 876 -6827