24091491 - Sewer Rehabiliation First Street - Insituform Technologies, LLC - Recorded 01/03/2019RECORDING 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
l
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:
(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 3 d 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 protect 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 Pine (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 1 Z / i
CITY OF GILROY
BY:
Gary Heap
T LE: City Engineer
CALIFORNIA 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 California
Countyof 5;(7n -a Clara �c
On DKGOM62r 19 2,0($ before me, JAndf-6( L. [yCILVG( 0DA1
prU QubliL-
Date Here Insert Name and Title of the Officer
personally appeared
711
who proved tome on the basis of satisfactory evidence to be the personr(d) whose namao) is/al subscribed
to the within Instrument and acknowledged to �me that he/We/they executed the same in his/tr/tfjerir
authorized capacity(), and that by his/ /itielr signatures) on the instrument the person($), or the entity
upon behalf of which the person acted, executed the Instrument.
SANDRA E. NAVA
Notary Public - California
Santa Clara County 5
Commission M 2262752
My Comm. Expires Nov 11, 2022
Place Notary Seal and/or Stamp Above
1 certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph Is true and correct.
WITNESS my hand and official seal.
Signature L .
Signature of Notary Public
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: Oof ice o- A�cce.)ance o� Conme)e4torl
Document Date: Nu tuber of Pages:
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:
02018 National Notary Association
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other -
Signer is Representing: