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Last modified
4/25/2022 10:02:58 AM
Creation date
7/31/2020 2:42:47 PM
Metadata
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Template:
Contracts
Company Name
AMERICAN ASPHALT
Contract #
P 20-7533
Agency
Public Works
Council Approval Date
7/7/2020
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT 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. accuracv. or validity of that document. <br />State of California <br />County of Riverside <br />On June 2, 2020 before me, B. Rovster, Notary Public <br />Date Hwa Insen name and Title of the Officer <br />personally appeared Edward J. Carlson <br />Nam"19nw41'_ <br />who proved to me on the basis of satisfactory evidence to be the <br />_person(s) whose name(s) is/em subscribed to the within instrument <br />B. ROYSTER and acknowledged to me that he/shekhey executed the same in <br />Notary Public California hisfAerkhek authorized capaci /4eFA#e# <br />-ro Riverside County ty(ies), and that by h15,.,�.,.,,� <br />i \ _ Commission a 2260352 7 signalure(s) on the instrument the person(s), or the entity upon behalf <br />My Comm. Expires Oct 26, 2022 111of which the person(&) acted, executed the instrument <br />I certify under PENALTY OF PERJURY under the laws of the State of <br />California that the forgoing paragraph is true and correct. <br />WITNESS m h d an official seal. <br />Signature <br />Place Notary seal Above eianatu I <br />or Notary Public <br />OPTIONAL <br />Though the information below is not required by law, it may prove valuable to person relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br />Description of Attached Document <br />Title or Type of Document Faithful Performance Bond — City of Santa Ana <br />Document Date: June 2, 2020 Number of Pages: 3 <br />Signer(s) Other Than Named Above: William Syrkin, Attorney -in -Fact <br />Capacity(ies) Claimed by Signer(a) <br />Signer's Name: Edward J. Carlson Signers Name: <br />❑ Individual ❑ Individual <br />X Corporate Officer — Title(s): Vice President <br />❑ Partner I I ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Other: <br />Signer is Representing: <br />Top of thumb here <br />❑ Corporate Officer — Title(s): <br />❑ Partner ❑ ❑ Limited ❑ Gene <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Other: <br />Signer is Representing: <br />
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