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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 /> On JAN 3 0 2G24 before me, R. Covington, Notary Public <br /> g'fere mnoalT name ands ne or to moo <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/sbreltktey executed the same in hishittrakair authorized capacity(ies), and that by <br /> his/bsthbair signature(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 urider the laws of the State of California that <br /> the foregoing paragraph is true and correct. <br /> R.COVINGTON II <br /> WITNESS myhand and official seal. ) COMM.N2339692 <br /> i Notary Public-California u <br /> LL i lNS UNTY <br /> Gomm.OSAGELE <br /> Expires DnrCO 3,2024 <br /> Notary Public Signature (Notary Public Seal) <br /> ♦---- - 4 <br /> ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM <br /> This form complies with current California statutes regarding notary wording and, <br /> DESCRIPTION OF THE ATTACHED DOCUMENT llneeded,should be completed and attached to the document Achnowledgments <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 /> (Tulle or description of attached document) • 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 /> (Title or desodptien of attached document continued) • 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 /> Number of Pages Document Date commission followed by a comma and then your title(notary public). <br /> • Print the name(s) of document signer(•) who personally appear at the time of <br /> _ • <br /> notarization, <br /> CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural tones by crossing off incorrect forms(i.e. <br /> he/she/they;is late)or circling the correct forms.Failure to correctly indicate this <br /> ❑ Individual(a) information may lead to rejection of document recording. <br /> XX Cornorate 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 areapewits,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 • 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 /> ❑ 3 %Meats the capacity claimed by the signer.If the claimed capacity is a <br /> corporate officer,indicate the title(i.e.CEO,(20,Sectary). <br /> 2015 Version www.NotaryClasses.corn 800.873-9855 • Securely attach this document to the signed document with a staple. <br />
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