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Last modified
10/23/2018 9:22:43 AM
Creation date
4/3/2017 12:48:05 PM
Metadata
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Template:
Contracts
Company Name
GOLDEN STATE CONSTRUCTOR
Contract #
16-2671
Agency
Public Works
Council Approval Date
2/7/2017
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CALIFORNIA .ALL-PURPOSE ACKNOWLEDGMENT <br />A notary public or other officer completing this certificate verifies only the identity of the <br />individual who signed the docunieat to which this certificate is attached, and not the truthfulness, <br />accuracy, or validity of that docusneaat. <br />State of TALI RNIA. <br />County of. <br />On December 6th, 2016 before meERIKA CUT®O, NQT PUBLIC <br />personally appeared _ MAHfl,gyV_R. QQBYNS, <br />who proved to me on the basis of satisfactory evidence to be the persons} <br />whose name(s) is/tee subscribed to the within instrument and <br />acknowledged to me that he/sire/they executed the same in lits/her/their <br />authorized capacity 0*, and that by his/her/their signature( on the <br />instrument the person��, or the entity upon behalf of which the person(s) <br />acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the Mate of <br />California that the foregoing paragraph is true and correct, <br />ERIKA GUIDO l <br />r,O�AM- # 2022071 ;2 WITNESS ray artai9 nd official seal. <br />NoiAORANOECO!UN�f'.pijBLIG o�ryryNglit *_0 � <br />of Nbtir y <br />Though the data below is not required by lava, it may prove valuable to persons relying on the document and <br />could prevent fraudulent reattachment of this form. <br />CAPACITY CLAIMED BY SIGNER <br />Q INDIVIDUAL <br />D CORPORATE OFFICER. <br />[J PARTNER(S) LIMITED <br />ATTORNEY -IN -FACT <br />TRUSTEE(S) <br />GUARDIAN/ CONSERVATOR <br />OTHER. <br />SIGNER IS REPRESENTING-, <br />NAME OF PERSON(S) OR ENTITY('IES) <br />DESCRIPTIO! OF A17ACHED DOCUMENT <br />W <br />
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