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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. accuracy. or validity of that document. <br />State of California <br />County of Riverside <br />On June 2, 2020 before me, B. Royster, Notary Public <br />nets Ham Insert name and Title or the officer <br />personally appeared Edward J. Carlson <br />Nmn.*e Signeq <br />who proved to me on the basis of satisfactory evidence to be the <br />person(s) whose name(s) is/are subscribed to the within instrument <br />Egg e.ROYSTER and acknowledged to me that he/she" executed the same in <br />Notary Fubtic-Cagfornia hisApeNtherr authorized capacity(iss), and that by his/heNtheir <br />_ :•+ = Riverside County signature(s) on the instrument the person(s), or the entity upon behalf <br />Commission Y 2260352 of which the person(s) acted, executed the instrument. <br />My Comm. Expires Oct 26, 2022 <br />1 certify under PENALTY OF PERJURY under the laws of the State of <br />California that the forgoing paragraph is true and correct. <br />WITNESS my IVandcial seal. <br />Signature <br />Place Notary Seal Above signature t 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 Payment Bond — City of Santa Ana <br />Document Date: June 2, 2020 Number of Pages: 3 <br />Signer(s) Other Than Named Above: William Sorkin, Attorney -in -Fact <br />Capacity(lies) Claimed by Signer(s) <br />Signer's Name: Edward J. Carlson Signer's Name: <br />❑ Individual ❑ Individual <br />X Corporate Officer—Title(s): Vice President <br />❑ Partner D ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Other: <br />Signer is Representing: <br />❑ Corporate Officer—Title(s): <br />❑ Partner 7 ❑ Limited ❑ Gen <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Other: / <br />Signer is Representing: <br />
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