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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 ACKNOWLEDGMENT 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 Orange <br /> On 10/03/2019 before me, A.MacFarlane,Notary Public <br /> Date Here Insert Name and Title of the Officer <br /> personally appeared Rebecca Haas-Bates <br /> Name( of Signerl`s,1 <br /> who proved to me on the basis of satisfactory evidence to be the persons) whose name(§). is/aze <br /> subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br /> his/herfth€ir authorized capacity] ),and that by his(her/their signature on the instrument the person(s),. <br /> or the entity upon behalf of which the person(s), acted, executed the instrument. <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 /> A,MACFARLANE WITNESS my hand and official seal. <br /> A Notary Public-California <br /> Orange County <br /> ` f Commission#2188592 <br /> 1 — — My ComrtExpires Ma-27,2021 SignatureSignature of Notary Public <br /> Place Notary Seal Above <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: Faithful Performance Bond No.7661790 Document Date: 10/15/2019 <br /> Number of Pages: One(1) Signer(s) Other Than Named Above: All American Asphalt <br /> Capacity(ies) Claimed by Signer(s) <br /> Signer's Name: Rebecca Haas-Bates Signer's Name: <br /> ❑Corporate Officer — Title(s): El Corporate Officer — Title(s): <br /> ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑General <br /> Fl Individual 2'Attorney in Fact ❑ Individual ❑Attorney in Fact <br /> ❑Trustee ❑Guardian or Conservator ❑Trustee ❑ Guardian or Conservator <br /> ❑Other: ❑ Other: <br /> Signer Is Representing: Signer Is Representing: <br /> Fidelity and Deposit Company of Maryland <br /> ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 <br />
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