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EXCEL PAVING COMPANY (PALP INC.)
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Last modified
6/18/2024 10:58:02 AM
Creation date
6/18/2024 10:57:58 AM
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Contracts
Company Name
EXCEL PAVING COMPANY (PALP INC.)
Contract #
A-2024-069-03
Agency
Public Works
Council Approval Date
5/21/2024
Expiration Date
5/20/2027
Insurance Exp Date
6/1/2025
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CALIFORNIA ALL- PURPOSE <br /> CERTIFICATE 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 Angeles ) <br /> JAN 3 0 2024 <br /> On before me, R. Covington Notary Public <br /> p/ere mean name end MIA of the Weer). <br /> personally appeared Curtis P. Brown III <br /> who proved to me on the basis of satisfactory evidence to be the person(s)whose <br /> name(s) is/axe subscribed to the within instrument and acknowledged to me that <br /> he/streidevy executed the same in his/keraieir authorized capacity(ies), and that by <br /> his/bexabeir slgnature(s)on the instrument the person(s), or the entity upon behalf of <br /> which the person(s) 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 /> l <br /> WITNESS my hand and official seal. R.COVINGTON <br /> M COMM.P2339692 re <br /> Nnttay Public-California K <br /> u i t &NGELES COUNTY LL. <br /> Notary Public Signature (Notary Public Seal) <br /> INSTRUCTIONS FOR COMPLETING THIS FORM <br /> ADDITIONAL OPTIONAL INFORMATION <br /> This form complies with current California statutes regardtngnotary wording and, <br /> DESCRIPTION OF THE ATTACHED DOCUMENT ttneded,should be completed andatlachedlo the document 4c1snov4edgmen1s <br /> from other states may be completed for 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 /> (Yule or description of attached document) • State and County information must be the Slate and County where the document <br /> signor(s)personally appeared before the notary public for acknowledgment <br /> • Date of notarization must be the date that the signor(s)personally appeared which <br /> (Title or description of attached document continued) 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 /> Number of Pages Document Date commission followed by a comma and then your title(notary public). <br /> • Print the name(s) of document signer(s)who personally appear at the time of <br /> notarization, <br /> CAPACITY CLAIMED BY THE SIGNER • indicate the correct singular or plural forms by crossing off incorrect forms(i.e. <br /> he/she/they;is/arc)or circling the correct forms.Failure to correctly indicate this <br /> ❑ Individual(a) information may lead to rejection of document recording. <br /> XX Corporate Officer • The notary seal impression must be clear and photographically reproducible, <br /> President Impression must not cover text or lines.If seal impression smudges,re-seal if a <br /> (Title) sufficient area permits,otherwise complete a different acknowledgment form. <br /> ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of <br /> the county clerk, <br /> ❑ Attorney-In-Fact 4. Additional information is not required but could help to ensure this <br /> ❑ Trustee(s) acknowledgment is not misused or attached to a different document. <br /> Other 4 Indicate title or type of attached document,number of pages and date, <br /> ❑ 4 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 /> 2015 Version wwwNoteryClasses.corn 800.873-98a5 • Securely attach this document to the signed document with a staple <br />
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