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NOC - Perma-Green Hydroseeding - Project No. 05-CDD-112 " , RECORDING REQUESTED BY: City of Gilroy DOCUMENT: 19413363 WHEN RECORDED, MAIL TO: Rhonda Pellin City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 REGINA ALCOMENDRAS SANTA CLARA COUNTY RECORDER Recorded at the request of City APN: 841-18-067 RECORD WITHOUT FEE UNDER SECTION 27383 GOVERNMENT CODE OF STATE OF CALIFORNIA Notice of Acceptance of Completion Fees, Taxes, Copies, AMT PAID Forest Street Park and the Oaks Play Area at Las Animas Veterans Park Project No. 05-CDD-112 Perm a Green Hydroseeding, Inc. SEPARATE PAGE PURSUANT TO GOVT. CODE 27361.6 Pages: 4 IF' * No Fees RDE f:l 008 5/04/2007 8:47 AM , .- NOTICE OF ACCEPTANCE OF COMPLETION NOTICE IS HEREBY GIVEN that, as of the 16th day of April, 2007, the City of Gilroy, California ("City") has accepted as completed the work required to be performed under the following agreement ("Agreement") by and between Perm a Green Hydroseeding, Inc. ("Developer") and City: Forest Street Park and the Oaks Play Area at Las Animas Veterans Park Project No. 05-CDD-112 Perma Green Hydroseeding, Inc. Project No.: 05-CDD-112 Developer Name: Perma Green Hydroseeding, Inc. Developer Address: 7096 Holsclaw Road, Gilroy, CA 95020 Surety on Contract: Contractors Bonding and Insurance Location of Project: Gilroy, California Description of Work: Construct all work as required by Improvement Plans. Interest of City: X Owner in Fee _ Vendee under Agreement to Purchase Lessee Owner of Easements Holder of License Owner of Streets _ Owner of Utilities, Water, Sewer, Storm Systems Owner's Name/Address: Work Done: City of Gilroy, 7351 Rosanna St., Gilroy, CA 95020 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. BY: ,m Executed at the City of Gilroy, County of Santa Clara, State of California, on TITLE: NCJTt1(2'i PtU3(.._/ C- On {tf,{IL {I, LC>D7 ' before me, PA'KIC/I-l I";. f.;c/VF-50/V CAPACITY CLAIMED BY SIGNER Personally appeared f( 1 t C K .5, JI E L SL:, I"; _ , Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying on the document. STATE OF CALIFORNIA } ss COUNTY OF~1-VUIf4 Q/...A(~~ Kl personally known to me -OR- Dproved to me on the basis of satisfactory evidence to be the person(s) whose name(~TS7are subscribed to the within instrument and acknow ledged to me thatrJid-she/they executed the same in@fher/their authorized capacity(ies), and that by ~er/their signature(s) on the '-..--" instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. ~ ,//'"") 1 /" \,----",) . '-~'- ~ -7:;' -' ~ -~ . '.. ". . ~k~~"''''L) '.. it -:J~...~ SIGNATURE OF NOTARY o INDIVIDUAL o CORPORATE OFFICERS(S) Title(s) o PARTNER(S) 0 LIMITED o GENERAL D ATTORNEY. IN. FACT D TRUSTEE(S) o GUARDIAN/CONSERVATOR Eil OTHER: C tT'-/ fA'~/tv[ f;;!, SIGNER IS REPRESENTING: Name of Person(s) or Entity(ies) (l/Jl./ C' F (lILI2D V , l~~~--~~-~~--~ fa PATRICIA K. BENTSON .~,;. Commlulon#1417341 , i . -e; Notary pubnc . Canfomla ~ J ' Santa Clara County , t .1-~,~ _ ~:o:m,:,.Ex~re~J~9.:.2~7 " / , J!-WA I ',,=W/ tz:~PR / I _..~ ~1 ' (I) .' & / :: I , VICINITY SITE MAP HEa<ER PASS HIGHWAY t ,~/ " Forest Street Park and the Oaks Play Area at Las Animas Veterans Park Project No. OS-CDD-l12 Perma Green Hydroseeding, Inc. Exhibit A