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23B - AWARD CONTRACT TO PAVEMENT COATINGS CO.
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23B - AWARD CONTRACT TO PAVEMENT COATINGS CO.
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Last modified
6/19/2017 8:43:54 AM
Creation date
6/15/2017 4:26:23 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23B
Date
6/20/2017
Destruction Year
2022
Document Relationships
PAVEMENT COATINGS CO.
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Path:
\Contracts / Agreements\ PROJECTS
PAVEMENT COATINGS CO. (2)
(Message)
Path:
\Contracts / Agreements\ PROJECTS
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT 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 0ibl i up rR I cL ) j j <br />On t 1 before me, a itI I v <br />Data Mere Insert Name and Title of � Officer <br />personally appeared <br />Name of Signer <br />who proved to me on the basis of satisfactory evidence to be the person,O whose name) is(aA <br />subscribed to the within instrument and acknowledged to me that he/sOlti)ey executed the same in <br />his/hlr/thbir authorized capacity(iV and that by his/hir/tolr signature(Von the instrument the persorLK, <br />or the entity upon behalf of which the person(9acted, executed the instrument. <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 />Ah SUNSHINE ApMSTgoile WITNESS an hand and official seal. <br />Notary Public • California <br />Riverside County <br />Commission $1 2169350 Signature <br />M COMM. Ex ire$ 0e 24.2620 9'igharttfe of Notary Public <br />Place Notary Seal Above <br />OPTff7NAA. <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: 0,(I US1 Qj Document Date: `Z <br />Number of Pages: Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />J Partner — ❑ Limited EI General <br />CJ Individual D Attorney in Fact <br />EI Trustee ❑ Guardian or Conservator <br />fl ntharr, <br />Signer Is Representing: <br />Signer's Name: <br />C Corporate Officer — Title(s): <br />C] Partner — ❑ Limited ❑ General <br />0Individual r Attorney in Fact <br />❑ Trustee C:; Guardian or Conservator <br />EJ Other: <br />Signer Is Representing: <br />02014 National Notary Association • www,NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 <br />23B-23 <br />
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