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NV5, INC - A-2020-076-01
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NV5, INC - A-2020-076-01
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Last modified
5/20/2024 4:24:04 PM
Creation date
5/6/2020 4:28:46 PM
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Contracts
Company Name
NV5, INC
Contract #
A-2020-076-01
Agency
PUBLIC WORKS
Council Approval Date
4/21/2020
Expiration Date
4/21/2023
Insurance Exp Date
5/1/2025
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CALIFORNIA JURAT WITH AFFJANT STATEMENT GOVERNMENT CODE S 8202 <br />❑ See Attached Document (Notary to cross out lines 1-6 below) <br />❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) <br />Sign re of Doc ment Signer No. 1 <br />Signature of Document Signer No. 2 i7if any) <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 Califo <br />County of <br />s MABIAGNADAWPE MEnia _ <br />Notary GUADALUPaliMEST <br />Orange County <br />CaMMMut,en n 2196245 <br />My ComM. ra <br />p <br />, <br />mz May 9, 2g21 ' <br />Seal <br />Place Notary Seal Above <br />Subscribed and sworn to (or affirmed) before me <br />on this % � day of a)" . 20 19 . <br />by Date Month Year <br />(and (2) ), <br />Name(s) of Signer(s) <br />proved to me on the basis of satisfactory evidence <br />to be the person(s) who appeared before me. <br />Signature <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 Doc <br />Title or Type of Document: Document Document Date: y " 1 r,,20 II <br />Number of Pages: --)— Signer(s t they Than Named Above: <br />zr_zxxx;c�.x=c.�:s�c�c.�c�z:�c�;z>urc�-:cuacnercx%cx:cux:cx�x:cu,u>sc'r.cwz�.�c.u,�vrz,�c�cscst.cuxau.u."<z� <br />02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5910 <br />
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