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ALL AMERICAN ASPHALT (23)
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ALL AMERICAN ASPHALT (23)
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Last modified
4/23/2021 4:22:06 PM
Creation date
1/31/2020 4:51:08 PM
Metadata
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Template:
Contracts
Company Name
ALL AMERICAN ASPHALT
Contract #
19-6943
Agency
Public Works
Council Approval Date
12/17/2019
Notes
PROJECT
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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 Ognge ) <br />On 12/03/2019 before me, A. MacFarlane, Notary Public <br />Date Here Insert Name and Title of the Officer <br />personally appeared Rebecca Haas -Bates <br />NameKof Signer(ss) <br />who proved to me on the basis of satisfactory evidence to be the persons} whose name(S) is/am <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />his rher/their authorized capacity(IBs), and that by his(her/their signatures on the instrument the persons) <br />or the entity upon behalf of which the persons) acted, executed the instrument. <br />A. MACPARLANE <br />s. Notary Public - California <br />Orange County <br />Commission 82188592 <br />My Comm. Expires Mar 27, 2021 <br />Place Notary Seal 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 C <br />Signature of Notary 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. 7662235 Document Date: 12/17/2019 <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 <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual 1173 Attorney 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 />NO <br />0 1 • • • • • • . • • ;11 . • :11 • •:� • 1 <br />
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