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Last modified
4/25/2022 12:00:52 PM
Creation date
3/12/2020 3:42:34 PM
Metadata
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Template:
Contracts
Company Name
CIVIC CONSTRUCTION ASSOCIATES
Contract #
16-2654
Agency
Public Works
Council Approval Date
11/5/2019
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CALIFORNIA JIIRAT WITH AFFIANT STATEMENT GOVERNMENT CODE 6 8202 <br />® Sao Attochod Dooumenf (Notary to cross out fines 1.4 below) <br />See Statement Below (Lines 1-6 to be Completed only by document signer[s), not Notary) <br />Signature of Document Signer No, f Signature of Document Signer No. 2 <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 cedlficate Is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of Los Anaelas <br />&�H�IR4E+61'm " <br />Wary public • California <br />Subscribed <br />`� and sworn to (or affirmed) before me <br />on this.. 70Aday of— U Z- 20,ri-. L <br />by Date Month year <br />(1) Stephanie Hope Shear <br />and (2) ) <br />Name(s) of Signer(s) <br />=e '� Los Angeles county proved to me on the basis of satisfactory evidence <br />commission s 21638t7 to be the parson a who appeared before me. <br />MY Comm. Er dyes Sep 7, 2020 r <br />Signature <br />Place Notary Seat Above 61 re cf Notary Public <br />OP77ONAL <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: _ Document Date: <br />Number of Pages: __—_ Signer(s) Othor Than Named Above: <br />02016 National Notary Association ., www.NationaiNotary.org-1-600-US NOTARY (1-800-670-0827) Item i8910 <br />
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