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ALL AMERICAN ASPHALT (18)
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ALL AMERICAN ASPHALT (18)
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Last modified
10/23/2018 9:28:13 AM
Creation date
7/24/2018 11:10:56 AM
Metadata
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Template:
Contracts
Company Name
ALL AMERICAN ASPHALT
Contract #
18-6907
Agency
Public Works
Council Approval Date
6/5/2018
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CM'DE $k <br />... ..> '. a T w < eaa » < a. v -. . :.>< S e3a,u�<5% • e • sY <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 06/08/2018 before me, A. MacFarlane, Notary Public <br />Date Here Insert Name and Title of the Officer <br />personally appeared Rebecca Haas -Bates <br />NameKof SignetN <br />who proved to me on the basis of satisfactory evidence to be the person(* whose narl Were <br />subscribed to the within instrument and acknowledged to me that Wshe/they executed the same in <br />hrWherltheir authorized capacity( es), and that by ItWher/their slgnatureZ on the instrument the person(s}, <br />or the entity upon behalf of which the person(4 acted, 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 />WITNESS my hand and official seal. <br />` <br />Notary Public z Signature <br />Orange County € Signature of Notary Public <br />Commission h 2188592 <br />My Comm. Expires Mar 27, 2027 <br />Place Notary Seal Above 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: Payment Bond No. 7657095 Document Date: 06/08/2018 —. <br />Number of Pages: One D— Signer(s) Other Than Named Above: All American Asphalt <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: Rebecca Haas -Bates _— <br />• Corporate Officer — Title(s): <br />• Partner — ❑ Limited ❑ General <br />C] Individual WAttorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer is Representing: <br />Fidelity and Deposit Company of Maryland <br />Signer's Name: <br />Cl Corporate Officer — Title(s): <br />❑ Partner — CI Limited ❑ General <br />❑ Individual ❑ Attorney in Fact <br />❑ Trustee ❑ Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />02014 National Notary Association - www.NationaiNotary.org - 1.800 -US NOTARY (1-800-876-6827) Item #5807 <br />
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