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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 <br />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 May 24, 2019 before me, Guadalupe L, Sandoval "Notary Public' <br />, <br />Date Here Insert Name and Title of the Officer <br />personally appeared Alberto Garcia President & CEO <br />Name(s) of Signer(s) <br />who proved to me on the basis of satisfactory evidence to be the persorX whose name(4 Gare <br />subscribed to the within instrument and acknowledged to me that Ij0he/they executed the same in <br />dgPher/their authorized capacity(yA, and that by er/their signature on the instrument the personK, <br />or the entity upon behalf of which the personjdi) acted, executed the instrument. <br />a'+• GUADALUPE L. SANDOVAL <br />Commbsbn 0 2193154 J <br />NotaryPublic-CaliforniaSan Bernardino County <br />My Comm. Expires Apr. 22, 202" �., _ _ ,� <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />1s true and correct. <br />WITNESS my hand an official seal. <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: City of Santa Ana Earns No: 1-6893 w <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): N <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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