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23A - PROJ - PAVEMENT MAINTENANCE
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01/17/2017
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23A - PROJ - PAVEMENT MAINTENANCE
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Last modified
1/12/2017 3:57:50 PM
Creation date
1/12/2017 2:49:45 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
1/17/2017
Destruction Year
2022
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CALIFORNIA ALL - PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 9188 <br />A notary public or other officer completing this certificate verities only the identity ofthe 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 12/07/2016 before me, Rebecca Angela Parra, Notary Public <br />Date Here Insert nema and Title of the Officer <br />personally appeared Edward J. Carlson <br />Namara) of siguege) <br />9 <br />who proved to me on the basis of satisfactory evidence to be the <br />persons) whose name(s) is /are subscribed to the within instrument <br />and acknowledged to me that he /shelthey executed the same in <br />3 RF6EGGA ANGELA 1?AHNA his /hefAhelr authorized capacity(les), and that by his /heFAM4, <br />, Commission ce2 ornia p signature(s) on the instrument the person(s), or the entity upon behalf <br />of which the person(s) acted, executed the Instrument. <br />Riverside county _ <br />M corm. Expires May It, 201 / 1 certify under PENALTY OF PERJURY under the laws of the State of <br />California that the forgoing paragraph is true and correct. <br />WITNES=my <br />cial seal Place Notary Seal Above filgltSitinakC C 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 Bid Bond <br />Document Date: 11/28/2016 Number of Pages: 01le (1) <br />Signer(s) Other Than Named Above: Fidelity and Deposit Company of Maryland _ <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: Edward J. Carlson <br />n Individual <br />X Corporate Officer— Title(s): Vice President <br />in Partner LI in Limited o General <br />in Attorney in Fact <br />n Trustee <br />o Other: <br />Signer is Representing: <br />Top of thumb here <br />Signer's Name: <br />n Individual <br />o Corporate Officer — Title(s): _ <br />in Partner I_i ❑ Limited n General <br />in Attorney in Fact <br />n Trustee <br />Q Other: <br />Signer Is Representing: <br />23A -20 <br />Top of thumb here <br />
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