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BELCO ELECTRIC, INC.
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Last modified
7/31/2019 8:54:30 AM
Creation date
6/27/2018 3:53:38 PM
Metadata
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Template:
Contracts
Company Name
BELCO ELECTRIC, INC.
Contract #
17-6893
Agency
Public Works
Council Approval Date
4/3/2018
Document Relationships
23A - TRAFFIC SIGNAL MODIFICATION
(Attachment)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2018\04/03/2018
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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 of San Bernardino <br />On April 13, 2018 before me, Guadalupe L. Sandoval "Notary Public' r <br />Date Here Insert Name and Title of the Officer <br />personally appeared Alberto Garcia EssecutiveyP <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the person() whose name) t Yare <br />subscribed to the within instrument and acknowledged to me that eXshe/they executed the same in <br />&/her/their authorized capacity(jA), and that by 1 Yher/their signature(u) on the instrument the person(, <br />or the entity upon behalf of which the personae)' acted, executed the instrument. <br />w-aJ. ...A.. <br />GUADAI.111E1.11 DgllVAL <br />Notary Public- California z <br />San Bernardino County <br />v Commission n 2193154 <br />My Comm. Expires Apr 22, 2021 <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 />WITNESS my hand and official seal. n <br />Signature <br />Signature of Notary Public <br />Place Notary Seal Above <br />OPTIONAL <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: Cify of Santa Ana- Bonds Project No: 17-6893 Payment Bond <br />Document Date: Number of Pages: <br />Signer(s) Other Than Named Above: _ <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />02016 National Notary Association - www.NationalNotary.org - 1-800-US NOTARY (1-800-876-6827) Item #5907 <br />
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