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NOC - American Asphalt Repair & Resurfacing Co. - Project No. 13-PW-204RECORDING REQUESTED BY City of Gilroy WHEN RECORDED, MAIL Shawna Freels, City Clerk City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 DOCUMENT: 22602553 Idlf VIIIV6IIIIOVVII�!I�II�I Pages: 3 Fees.... No Fees Taxes... Copies.. AMT PAID REGINA ALCOMENDRAS RDE # 004 SANTA CLARA COUNTY RECORDER 5/21/2014 Recorded at the request of 2 :22 PM City RECORDED WITHOUT FEE PER CALIFORNIA GOVERNMENT CODE SECTION 27383 (SPACE ABOVE THIS LINE FOR RECORDER'S USE) NOTICE OF ACCEPTANCE OF COMPLETION PA VEMENT MAINTENANCE PROJECT FY 13 Project No. 13 -PW -204 American Asphalt Repair & Resurfacing Co., Inc. SEPARATE PAGE PURSUANT TO GOVERNMENT CODE SECTION 27361.6 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 21" Day of ,March , 2014 Project No.: 13 -PW -204 Contractor Name: American Asphalt Repair & Resurfacing, Inc. Contractor Address: 24200 Clawiter Rd., Hayward, CA 94545 Surety on Contract: The Guarantee Company of North America USA Location of Project: Various locations with the City of Gilroy. Description of Work: Tract Improvements Interest of City: X Owner in Fee: Vendee under Agreement to Purchase; Lessee; Owner of Easements; Holder of License; Owner of tom; Owner of Utilities, Water ewer, Storm Systems Owner's Name: City of Gilroy, CA Work Done: spot asphalt repair, slurry sealing, new striping_ 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 foregoingg 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 foregoing is true and correct. Executed t the ity of Gilroy, County of Santa Clara, State of California on May 7 , 2014. CITY OF I STATE OF CALIFORNIA COUNTY OF SANTA CLARA BY TIT This document is for the benefit of the City of Gilroy. Request for Recordation without fee is made in accordance with Section 27383 of the Government Code of the State of California. CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CML CODE § 1189 State of California rni County o \ al l %� I �l On I `f before me. V zn Date Here Insert Na and Title of the Officer personally appeared ) L k= WITNESS m Signature: Place Notary Seal Above OPTIONAL Though the information below is not required by law, it may prove valuable and could prevent fraudulent removal and reattachment of this fi 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: ❑ Corporate Officer — Title(s): Individual El El El El El Sig Partner — ❑ Limited ❑ General Top of thumb here Attorney in Fact Trustee Guardian or Conservator Other: ner Is Representing: and official seal. of Notary Public Wsons relying on the document to another document. Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Individual ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: © 2010 National Notary Association • NationalNotary.org • 1- 800 -US NOTARY (1- 800 -876 -6827) Item #5907 who proved to me on the basis of satisf ctory evidence to be the person4whose nameGare- subscribed tot a within instru ent and acknowledged to me that h he>'thur execu ed the same in is emheip- au orized capacity(), and that by his errstht signatureX on the instrument the 1NGA ALONZO person(s), or the entity upon behalf of which the Commission # 1931989 person(s) acted, executed the instrument. i �� Notary Public - CaMornia Santa Clara County My Comm. Expires Apr 15, 2015 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m Signature: Place Notary Seal Above OPTIONAL Though the information below is not required by law, it may prove valuable and could prevent fraudulent removal and reattachment of this fi 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: ❑ Corporate Officer — Title(s): Individual El El El El El Sig Partner — ❑ Limited ❑ General Top of thumb here Attorney in Fact Trustee Guardian or Conservator Other: ner Is Representing: and official seal. of Notary Public Wsons relying on the document to another document. Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Individual ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: © 2010 National Notary Association • NationalNotary.org • 1- 800 -US NOTARY (1- 800 -876 -6827) Item #5907