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ALL AMERICAN ASPHALT (27)
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ALL AMERICAN ASPHALT (27)
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Last modified
6/20/2022 10:57:20 AM
Creation date
2/22/2021 9:08:46 AM
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Template:
Contracts
Company Name
ALL AMERICAN ASPHALT
Contract #
P 18-6908
Agency
Public Works
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL <br />.. <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 Orange <br />On 11/17/2020 before me, Liliana Gomez, Notary Public <br />Date Here Insert Name and Title of the Officer <br />personally appeared William Syrkin <br />NameNLof SignerN <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 />his7hecithi4 authorized capacity I�, and that by his/her/iheir signature�*on the instrument the person(a), <br />or the entity upon behalf of which the persons) acted, executed the instrument. <br />LILIANA GOMEZ <br />Qii <br />Notary IA14A -MEfornia <br />Orange County <br />Commission # 2243326 <br />My Comm. Expires May 20, 2022 <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 sealAlic <br />Signature <br />Signature of Not <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. 7664629 Document Date: 12/15/2020 <br />Number of Pages: One 1 Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: William Svrkin <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ld 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 />h/q'CG'✓G"✓G'u vGv'\>G'✓tt�/.G<.':4�G<✓�L. \�G�.GV'V ✓0..G�4�✓GL,G�Q'Y�G'vG�4 d v✓GAG-✓�i�✓.2\-5<\✓G`vG� <br />
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