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ALL AMERICAN ASPHALT (21)
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ALL AMERICAN ASPHALT (21)
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Last modified
11/8/2019 7:08:26 AM
Creation date
11/8/2019 7:02:05 AM
Metadata
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Template:
Contracts
Contract #
17-6885
Agency
Public Works
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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 attached.and not the truthfulness.accuracy.or validity of that document. <br /> State of California <br /> County of Riverside <br /> On October 9, 2019 before me, B. Royster,Notary Public <br /> Date Here Insert name and Title of the Officer <br /> personally appeared Edward J. Carlson <br /> Nameoef eigner <br /> ria"d646-a"6"116416-46-""ffil. who proved to me on the basis of satisfactory evidence to be the <br /> B.ROYSTER person(s) whose name(s) is/are subscribed to the within instrument <br /> Notary Public-California and acknowledged to me that he/she/they executed the same in <br /> t Riverside County L <br /> Commission✓<2260352 his/her/their authorized capacity(ies), and that by his/her/their <br /> My Comm.Expires Oct 26,2022 signature(s) 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 nd official seal. <br /> Signature <br /> Place Notary Seal Above Signs re of Notary 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 Faithful Performance Bond—City of Santa Ana <br /> Document Date: October 15, 2019 Number of Pages: 3 <br /> Signer(s) Other Than Named Above: Rebecca Haas-Bates, Attorney-in-Fact <br /> Capacity(ies)Claimed by Signer(s) <br /> Signer's Name: Edward J. Carlson Signer's Name: <br /> o Individual o Individual <br /> X Corporate Officer—Title(s): Vice President ❑ Corporate Officer—Title(s):o Partner L o Limited ❑ General o Partner I_ o Limited o Gen re <br /> RIGHT THUMBPRINT RIGHT THUMBPRINT <br /> ❑Attorney in Fact OF SIGNER ❑Attorney in Fact OF SIGNER <br /> ❑Trustee Top of thumb here Top of thumb here <br /> ❑Trustee <br /> o Other: o Other: <br /> Signer is Representing: Signer is Representing: <br /> All American As.halt <br />
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