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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT <br />STATE OF CALIFORNIA <br />County of <br />On April 14. 2011 before me, Lorie Mandel. Notary Public <br />Dafe Here Insert Name and Title of [he Officer <br />personally appeared Michael J Wasko III <br />Nama(s) of Signers) <br />OPT /ONAL <br />Though the information be /ow is not required by law, it may prove valuable to persons relying on the document <br />and could prevent fraudulent remove/ and reattachment of this form to another document. <br />Description of Attached Document <br />Title or Type of Document: Payment Bond SB036000119 <br />Document Date: <br />Signers) Other Than Named Above: <br />Capacity(ies) Claimed by Signers) <br />Signer's Name: <br />� Individual <br />D Corporate Officer Title(s): <br />D Partner � Limited D General <br />� Attorney in Fact <br />D Trustee <br />D Guardian or Conservator <br />� Other: <br />Signer Is Representing: <br />Ullico Casualty Company <br />Top of thumb here <br />Number of Pages: <br />Signer's Name: <br />O Individual <br />D Corporate Officer Title(s): <br />D Partner O Limited O General <br />D Attorney in Fact - c - <br />� Trustee � <br />D Guardian or Conservator Top of thumb here <br />D Other: <br />Signer Is Representing: <br />®2007 National Notary Associa[ion • 9350 De Solo Ave., P.O. Box 2402 •Chatsworth. CA 9131 3 -2402 • wwwNationelNO[ary . org Item N5907 Reorder. Cnll Toll -Free 1- 800 - 8766827 <br />who proved to me on the basis of satisfactory evidence to <br />be the persons) whose names) is /are subscribed to the <br />within instrument and acknowledged to me that he /she /they <br />executed the same in his /her /their authorized capacity(ies), <br />and that by his /her /their signatures) on the instrument the <br />person(s), or the entity upon behalf of which the persons) <br />LORIE MANDEL <br />acted, executed the instrument. <br />_ <br />,/� COMM. # 1914573 <br />rrf NOTARY PUBLIC - CALIFORNIA U1 <br />1 certify under PENALTY OF PERJURY under the laws of <br />Mr co MpAEii. oeoN s�, 7ot� <br />the State of California that the foregoing paragraph is true <br />and correct. <br />Witness my hand and official seal. <br />Signature 'T7'"'7T yL�e �/ // <br />Place Notary Seal Above <br />Signa re o Notary Public <br />OPT /ONAL <br />Though the information be /ow is not required by law, it may prove valuable to persons relying on the document <br />and could prevent fraudulent remove/ and reattachment of this form to another document. <br />Description of Attached Document <br />Title or Type of Document: Payment Bond SB036000119 <br />Document Date: <br />Signers) Other Than Named Above: <br />Capacity(ies) Claimed by Signers) <br />Signer's Name: <br />� Individual <br />D Corporate Officer Title(s): <br />D Partner � Limited D General <br />� Attorney in Fact <br />D Trustee <br />D Guardian or Conservator <br />� Other: <br />Signer Is Representing: <br />Ullico Casualty Company <br />Top of thumb here <br />Number of Pages: <br />Signer's Name: <br />O Individual <br />D Corporate Officer Title(s): <br />D Partner O Limited O General <br />D Attorney in Fact - c - <br />� Trustee � <br />D Guardian or Conservator Top of thumb here <br />D Other: <br />Signer Is Representing: <br />®2007 National Notary Associa[ion • 9350 De Solo Ave., P.O. Box 2402 •Chatsworth. CA 9131 3 -2402 • wwwNationelNO[ary . org Item N5907 Reorder. Cnll Toll -Free 1- 800 - 8766827 <br />