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NOC - Insituform Technologies - Project No. 17-PW-235RECORDING REQUESTED BY: City of Gilroy 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 24091491 Regina Alcomendras Santa Clara County - Clerk -Recorder 01/03/2019 11:11 AM Titles: 1 Pages: 3 Fees: 10.00 0.00 Taxes: 0 Total: 1111 Paw. V, itwli+ i�w1�M'i ���li ��'� IN Li K i" (SPACE ABOVE THIS LINE FOR RECORDER'S USE) Notice of Acceptance of Completion Sewer Rehabilitation First Street Project No. 17-PW-235 Insituform Technologies, LLC SEPARATE PAGE PURSUANT TO GOVT. CODE 27361.6 NOTICE OF ACCEPTANCE OF COMPLETION NOTICE IS HEREBY GIVEN that, as of the P day of December, 2018, the City of Gilroy, California ("City") has accepted as completed the work required to be performed under the following agreement ("Agreement") by and between Insituform Technologies, LLC; ("Developer") and City: Sewer Rehabilitation First Street Project No. 17-PW-235 Insituform Technologies, LLC Project No.: 17-PW-235 Developer Name: Insituform Technologies, LLC Developer Address: 17988 Edison Avenue, Chesterfield, MO 63005 Surety on Contract: Travelers Casualty and Surety Company of America Location of Project: Gilroy, California Description of Work: The proiect included rehabilitation of the existing sewer main along First Street using Cured -in -Place Pipe (CIPP) Lining method to rehabilitate the existing 8-inchVitrified Clay Pipe (VCP) between Monterey Street and Wayland Lane for approximately 3,000 linear feet (LF). Work also included the rehabilitation of nine (9) existing manholes and the replacement of two (2) others. Interest of City: Owner in Fee Vendee under Agreement to Purchase Lessee Owner of Easements _ Holder of License Owner of Streets X Owner of Utilities, Water, Sewer, Storm Systems Owner's Name/Address: City of Gilroy, 7351 Rosanna St., 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 i CITY OF GILROY BY: Gary Heap T LE: City Engineer CALIFORNIA ACKNOWLEDGMENT CIVIL CONE § 1189 A notary public or other officer completing this certificate verifies only the identityof the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of -';(70+,,A C to CO ^' On p-cP,t i �,)e r l9 1 203 before me, Sal dC6( l_ . 1�aVa rty Date // Here Insert Name and Title of the Clffcer personally appeared 6 Name(s) of Signers) who proved to me on the basis of satisfactory evidence to be the person( whose name¢) is/ate subscribed to the within instrument and acknowledged to me that he/511e/tf dy executed the same in his/b4Eii their authorized capacity(�p�), and that by his/tler/t"i r signatures) on the instrument the person(,T), or the entity upon behalf of which the person() acted, executed the instrument. I certiSv under PENALTY OF PERJURY under the SANDRA E. NAVA Iavvs of the State of California that the foregoing Notary Public - California paragraph is true and correct. UR-56' Santa Clara County Commission M 2262752 My Comm. Expires Nov 11, 2022 WITNESS my hand and official seal. Signature i . / 4v,�,_ Place Notary Seal and/or Stamp Above Signature of Notary Public 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: 0)t lte o� A�&Ce pi-(mce o� Co rnQ) +'ion 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: O,2018 National Notary• • Number of Pages: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: