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NOC - CXT, Inc. - Miller Park Restroom Replacement ProjectRECORDING REQUESTED BY: ) ) City of Gilroy ) WHEN RECORDED, MAIL TO: ) Shawna Freels, City Clerk ) City of Gilroy ) 7351 Rosanna Street ) Gilroy, CA 95020 ) DOCUMENT: 23394480 111111111111111111111111 REGINA ALCOMENDRAS SANTA CLARA COUNTY RECORDER Recorded at the request of City Pages: Fees.... * No Fees Taxes... Copies.. AMT PAID RDE # 888 8/09/2016 9:47 AM RECORDED WITHOUT FEE PER CALIFORNIA GOVERNMENT CODE SECTION 27383 (SPACE ABOVE THIS LINE FOR RECORDER'S USE) NOTICE OF ACCEPTANCE OF COMPLETION Miller Park Restroom Replacement Project CXT Incorporated, an LB FOSTER Company 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 12th Day of July, 2016. Project No.: N/A Contractor Name: CXT Incorporated, an LB FOSTER Company Contractor Address: 388 N. Sullivan Road, Bldg 7, Spokane, WA 99126 Surety on Contract: N/A Location of Project: Miller Park bounded by Princevalle St on the West, Carmel St on the East and Second St on the South side of the park. Description of Work: Capital Improvements Interest of City: Owner in Fee: en ee un er greement to Purchase; Lessee; Owner of Easements; Holder of License; Owner of tom; Owner of Utilities, Water, Sewer, Storm Systems Owner's Name: City of Gilroy Work Done: Installation of pre - manufactured restroom building surrounded by 15 -ft concrete walkway. 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 fore ' s true d correct. Executed at e City of Gilroy, County of Santa Clara, State of California on. 2016. CITY O STATE OF CALIFORNIA COUNTY OF SANTA CLARA BY /Rick e se TITLE Public Works Director /City Ener. 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 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 Calif�rniia , (� County of mac- ��t I ' t 1iir� . On Date personally appeared Name y f Signer* who proved to me on the basis of satisfactory evidence to be th personofwhose name i re— subscribed to the within instrument and acknowledged to me that e? hefncey executed the sa a in RS710er4hei uthorized capacity(X, and that bkKFD erAlwk signature(kon the instrument the person(; e entity upon behalf of which the person( Vac ed, 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 my an d official seal. ■ A ALON:O Co n- # 2105704 Signature Notary PubNc - California z Santa Clara County ' g ture of Notary Public My Comm. Egires 15, 2019 Place Notary Seal Above OPTIONAL 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 Title or Type of Document: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) 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 ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: