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VIDO SAMARZICH, INC.
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VIDO SAMARZICH, INC.
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Last modified
7/11/2025 2:57:50 PM
Creation date
10/23/2019 3:28:44 PM
Metadata
Fields
Template:
Contracts
Company Name
VIDO SAMARZICH, INC.
Contract #
20-7532
Agency
Public Works
Council Approval Date
7/16/2019
Expiration Date
12/19/2019
Document Relationships
23A - PROJ - STREET CURB RAMP IMPROVEMENTS
(Attachment)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2019\07/16/2019
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CALIFORNIA ALL- PURPOSE <br />GERTIMCA E OF ACKNOWLEDGMENT <br />A notary public or other officer completing this certificate verifies only the identity <br />of the individual who signed the document to which this certificate is attached, <br />and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of Los Ag-d-e$ } <br />On Ju Lq A .20 Z before me, Gr`sn � �' f Zt � • /i/v Y�o/ ! <br />(Here insert na a and title a Ne mer) <br />personally appeared VI <br />who proved to me on the basis of satisfactory evidence to be the personV) whose <br />name($) is/aft- subscribed to the within instrument and acknowledged to me that <br />he/s ey executed the same in his/heFAheir authorized capacity(ies), and that by <br />hisilheFAhelr signature(s) on the instrument the person(s), or the entity upon behalf of <br />which the person(g) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that <br />the foregoing paragraph is true and correct. <br />WITNES my hand and official seal. usA o. SMITH <br />comm.#2205686 -+ <br />7 Nabry Public - CBRam. y <br />/ r LOS gNGELEG COUNlV <br />• My Comm E•puu JUl. 19, 2a21� <br />a Public a-4ZAignature (Notary Public Seal) <br />UPI IUNAL INFORMAT <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />KI 7 ✓1 r,J O,f-Yoaino c.,e <br />(Titleor <br />oor description of attached document) <br />datMel <br />(Title or descripton of attached document continued) <br />Number of Pages _ Document Date-7 •2 9 <br />FCAPACrrYAIMED BY THE SIGNER <br />(s) Officer <br />)n-Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version vmw.NotaryClasses.com 800-873-9865 <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />DN Thrsform complies with current California statutes regarding notary wording and, <br />ifneeded, should be completed and attached to the document. Acknowledgments <br />from other states may be completedfor documents being sent to that state so long <br />as the wording does not require the California notary to violate California notary. <br />law. <br />• State and County information must be the State and County where the document <br />signer(s) personally appeared before the notary public for acknowledgment. <br />• Date of notarization must be the date that the signer(s) personally appeared which <br />must also be the same date the acknowledgment is completed. <br />• The notary public must print his or her name as it appears within his or her <br />commission followed by a comma and then your title (notary public). <br />• Print the name(s) of document signers) who personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural forms by crossing off incorrect farms (i.e. <br />he/she/they, is /are ) or circling the correct fors. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />• The notary seal impression must be clear and photographically reproducible. <br />Impression must not cover text or lines. If seal impression smudges, re -seal if a <br />sufficient area permits, otherwise complete a different acknowledgment farm. <br />• Signature of the notary public must match the signature on file with the office of <br />the county clerk. <br />Additional information is not required but could help to ensure this <br />acknowledgment is not misused or attached to a different document. <br />Ae Indicate title or type of attached document, number of pages and date. <br />Indicate the capacity claimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title (i.e_ CEO, CFO, Secretary). <br />• Securely attach this document to the signed document with a staple. <br />
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