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ALL AMERICAN ASPHALT (19)
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ALL AMERICAN ASPHALT (19)
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Entry Properties
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 ACKNOWLEDGMENT CIVIL CODE § 1186 <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 attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of Orange <br />On 07/08/2019 before me, Liliana Gomez, Notary Public <br />Date Here Insert Name and Title of the Officer <br />personally appeared Rebecca Haas -Bates <br />Name(s),of Signerj`9,1 <br />who proved to me on the basis of satisfactory evidence to be the persons} whose name(L* Ware <br />subscribed to the within instrument and acknowledged to me that Wshe/they executed the same in <br />hislher/their authorized capacity(, and that by his(her/their signature�*on the instrument the person(s), <br />or the entity upon behalf of which the persons) acted, executed the instrument. <br />LILIANA GOMEZ <br />Notary Public' California <br />Orange County <br />commission N 2243326 <br />My Comm. Expires May 20, 2022 <br />Place Notary Seat Above <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and official seal. <br />Signature <br />Signature of No ary Public <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: Payment Bond No. 7661002 Document Date: 07/08/2019 <br />Number of Pages: One 1 Signer(s) Other Than Named Above: All American Asphalt <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: Rebecca Haas -Bates <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual QAttorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Fidelity and Deposit Company of Maryland <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />('✓✓G�✓G'e/G'✓:'Y4'v1�.'uG`Y Y�Y/' ✓S.'✓�✓gLG�G'YG'Y' <br />'✓G�,"Y ice. `bGC✓ Y:L, ' <br />'11O 1 • , s s ;11 • �:11 : '1 <br />
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