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25245419 - Notice of Completion - W. 10th Crossing at Orchard Drive Project - - Recorded 02/23/2022
RECORDING REQUESTED BY: City of Gilroy WHEN RECORDED, MAIL TO: City Clerk's Offic City of Gilroy 7351 Rosanna Stre t Gilroy, CA 95020 R E@IEO�D APR 0 6 2022 GILROY CITY CLERK'S OFFICE 25245419 Regina Alcomendras Santa Clara County - Clerk -Recorder 02/23/2022 08:21 AM Titles: 1 Pages: 3 Fees: 0.00 Taxes: 0 Total: 0.00 IN 111111 (SPACE ABOVE THIS LINE FOR RECORDER'S USE) RECORD WITHOUT FEE UNDER SECTION 27383 GOVERNMENT CODE OF STATE OF CALIFORNIA Notice of Acceptance of Completion W. 10t1' Crossing at Orchard Drive Project Project No. 21-PW-269 Golden Bay Construction, Inc SEPARATE PAGE PURSUANT TO GOVT. CODE 27361.6 NOTICE OF ACCEPTANCE OF COMPLETION NOTICE IS HEREBY GIVEN that, as of the 24th day of January, 2022, the City of Gilroy, California ("City") has accepted as completed the work required to be performed under the following agreement ("Agreement") by and between Golden Bay Construction, Inc. ("Contractor") and City: W. 1061 Crossing at Orchard Drive Project Project No. 21-PW-269 Golden Bay Construction, Inc. Project No.: 21-PW-269 Contractor Name: Golden Bay Construction, Inc Contractor Address: 3826 Depot Road, Hayward, CA 94545 Surety on Contract: Everest Reinsurance Company Location of Project: Gilroy, California Description of Work: Scope of work of the project includes removal of concrete sidewalk, ramp, and curb & gutter; installation of concrete sidewalk, ramp, island, curb & gutter, and refuge area; installation of flexible posts, signing and striping, installation of Rectangular Rapid Flashing Beacon (RRFB), and other work per plans and specifications. Interest of City: Owner in Fee Vendee under Agreement to Purchase Lessee Owner of Easements Holder of License X Owner of Streets Owner of Utilities, Water, Sewer, Storm Systems Owner's Name/Address: City of Gilroy, 7351 Rosanna Street, 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 ! 2/ zv/ z i . CITY OF GILROY BY: Gary Heap ITLE: City Engineer O/P 11ONAE. Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Descriraidon oii Atitsclhed Document Title or Type of Document: P Number of Pages: Signer(s) Other Than Carpaciuy(iles) Clakiroed 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: Cnr>mVOR la Allal! -PU POatua is mEN 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 California County of Sa n±4 C L. 6t On becervl‘x.r 2-CD 2.o2.i before me, 5Undr6\ E-, 1\10,,Vct No r Puy►iC, Date Here Insert Name and Title of the Officer Name(s) of Signer(s) personally appeared who proved to me on the basis of satisfactory evidence to be the personcs) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/She/tjaey executed the same in his/hey%their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of vvhich the person(s)' 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. SANDRA E. NAVA Notary Public - California Santa Clara County Commission # 2262752 My Comm. Expires Nov 11, 2022 Place Notary Seal Above WITNESS my hand and official seal. )124444-- C &Kra-- Signature Signature of Notary Public price ucFi�� n t'# (MPlr l'Document Date: Named Above: �ecervi b4 C 24 7.c z1 Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: ©2014 National Notary Association www.NationalNotary.org 1-800-US NOTARY (1-800-876-6827) Item #5907