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MYERS AND SONS HI-WAY SAFETY, INC
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MYERS AND SONS HI-WAY SAFETY, INC
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Last modified
1/8/2018 4:15:59 PM
Creation date
7/17/2017 3:08:31 PM
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Contracts
Company Name
MYERS AND SONS HI-WAY SAFETY, INC
Contract #
15-6833
Agency
Public Works
Council Approval Date
4/4/2017
Insurance Exp Date
9/10/2020
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <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 February 2nd, 2017 before me, Susan Pugh Notary Public, <br />Data <br />Insert Name of Notary exactly as it appears on the official seal <br />personally appeared Shaunna Rozelle Ostrom <br />Nama(s) of Signers) <br />who proved to me on the basis of satisfactory evidence to <br />be the person(s) whose name(s) is/are subscribed to the <br />within Instrument and acknowledged to me that he/she/they <br />uSnN Puutl <br />j carnet +r osnc)a <br />p„bhc-ce,nrarnie <br />executed the same in his/her/their authorized capacity(les), <br />and that by his/her/their signature(s) on the instrument the <br />Net,ry W <br />person(s), or the entity upon behalf of which the person(s) <br />sl oteANrr cauNrr <br />c r,M t,� My Camm &rpaes AVr 29, 2019 <br />acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of <br />the State of California that the foregoing paragraph is true <br />and correct. <br />Witness my hand and official seal. <br />Signature _nt! <br />Place Notary Seal Above <br />of Lary Public <br />Signature of Notary Publlo- San Pugh <br />OPTIONAL <br />Though the information below is not required by law, it may prove valuable to persons relying on the document <br />and could prevent fraudulent removal and reattachment of the form to another document. <br />Description of Attached Document <br />Title or Type of Document: Bid Bond <br />I <br />Document Date: 02/02/2017 <br />Number of Pages: One <br />Signer(s) Other Than Named Above: <br />Capacity(les) Claimed by Signer(s) <br />I <br />Signer's Name: Shaunna Rozelle Ostrom <br />Signer's Name: <br />❑ Individual <br />❑ Individual <br />❑ Corporate Officer — Title(s):_ <br />❑ Corporate Officer--Title(s): <br />❑ Partner ❑ Limited ❑ General <br />❑ Partner ❑ Limited ❑ General <br />[0 Attorney in Fact <br />❑ Attorney in Fact <br />❑ Trustee IllulJoIg <br />❑ Trustee • <br />❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here <br />❑ Other: <br />❑ Other: <br />Signer is Representing: <br />Signer is Representing> <br />
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