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ALL AMERICAN ASPHALT (19)
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ALL AMERICAN ASPHALT (19)
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Last modified
10/23/2019 3:20:21 PM
Creation date
10/23/2019 3:01:43 PM
Metadata
Fields
Template:
Contracts
Company Name
ALL AMERICAN ASPHALT
Contract #
19-6942
Agency
Public Works
Council Approval Date
7/2/2019
Document Relationships
23A - PROJ STREET MAINTENANCE
(Attachment)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2019\07/02/2019
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br />document to which this certificate is attachel and not the truthfulness. accuracy. or validity of that document. <br />State of California <br />County of Riverside <br />On July 10, 2019 before me, Courtney Chagas, Notary Public <br />Date Here Insert name and The of the Officer <br />personally appeared Edward J. Carlson <br />Neal of Signeds) <br />COURTNEY CHAPAS <br />Notary Public - California <br />a �=re e Riverside County n <br />z : . <br />z m � Commission # 2172984 <br />my Comm. Expires Nov 20, 2020 <br />who proved to me on the basis of satisfactory evidence to be the <br />persons) whose name(s) is/are subscribed to the within instrument <br />and acknowledged to me that he/she4hey executed the same in <br />his/her/their authorized capacity(ies), and that by his/herll <br />signatures) on the instrument the person(s), or the entity upon behalf <br />of which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of <br />California that the forgoing paragraph is true and correct. <br />WITNESS my hand Ltd official se <br />Signature V1MF'1/ I, 'I U <br />Place Notary Seal Above S ature of N t ry Public <br />OPTIONAL <br />Though the information below is not required by law, it may prove valuable to person relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br />Description of Attached Document <br />Title or Type of Document Payment Bond <br />Document Date: July 8, 2019 Number of Pages: <br />Signer(s) Other Than Named Above: <br />Capacity(lea) Claimed by Signers) <br />Signers Name: Edward J. Carlson <br />❑ Individual <br />X Corporate Officer —Title(s): Vice President <br />• Partner o to Limited o General <br />❑ Attorney in Fact <br />❑ Trustee Top of thumb here <br />❑ Other: <br />is Representing: <br />Name: <br />❑ Partner ❑ o LTlvy <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Other: <br />— Title(s): — <br />:d o General <br />Top of thumb here <br />
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