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23A - PROJ - EDINGER ST REHAB
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11/19/2019
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23A - PROJ - EDINGER ST REHAB
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Last modified
11/14/2019 7:40:49 PM
Creation date
11/12/2019 2:35:52 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
11/19/2019
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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 09/24/2019 before me, Liliana Gomez, Notary Public <br />Date Here Insert Name and Title of the Officer <br />personally appeared Rebecca Haas -Bates <br />Name(�k),of Signerl`sl <br />who proved to me on the basis of satisfactory evidence to be the person(* whose narri is/are <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />hWher/their authorized capacity(i*, and that by hic(her/their signatureZ *on the instrument the person(s), <br />or the entity upon behalf of which the persons) 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 />LILIANA GOMEZ WITNESS my hand and official se I. <br />Notary PubliC - California <br />' Orange County <br />Commission B 2243726 Signature <br />My Comm. Expires May 20, 2022 Signature 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: Bid Bond Document Date: 09/24/2019 <br />Number of Pages: One I Signer(s) Other Than Named Above: All American Asphalt <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: Rebecca Haas -Bates <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual RAttorney 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 />F1 Other: <br />Signer Is Representing: <br />G\.GCv�ti +/<(�f'• .t\ fCe! -. G\ G(�q.•/GL�.' hKG<✓.A 0.. ��h."vf'.v.. ��iN'. <a'7\ <br />02014 National Notary Association - www.NationaiNotary.org - 1-800-US NOTARY (1-800-876-6827) Item#5907 <br />
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