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Item 11 - Civic Center Drive Rehabilitation from Shelton Street to Flower Street
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03/18/2025
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Item 11 - Civic Center Drive Rehabilitation from Shelton Street to Flower Street
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5/21/2025 5:40:29 PM
Creation date
3/13/2025 8:10:29 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
11
Date
3/18/2025
Destruction Year
P
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CITY OF SANTA ANA <br />BONDS <br />PROJECT NO.: 25-6711 <br />CIVIC CENTER REHABILITATION <br />Notary Acknowledgment <br />A notary public or other officer completing this certificate verities <br />only the identity of the individual who signed the document to <br />which this certificate is attached, and not the truthfulness, <br />accuracy, or validity of that document. <br />STATE OF CALIFORNIA <br />COUNTY OF Orange <br />On February 26th 2025 , before me, Melissa Ann Vaccaro , Notary Public, personally <br />Date Natne And Title Of Ofrtcer (e.e, "Jane Doe. NotaryPublic) <br />appeared Dwight Reilly , who proved to me on the basis of satisfactory <br />Natne(s)ofS%b r(s) <br />evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me <br />that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) <br />on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph <br />is true and correct. <br />MELISSA ANN VACCARO <br />COMM. #2401942 H WITNESS my hand and official seal. <br />Notary Public California <br />a > ORANGE COUNTY LL <br />My Comm. Expires May 12.2026 'M� <br />cCcO�J <br />Place Notary Seal Above Signature of Notary Public Melissa Ann Vaccaro <br />OPTIONAL <br />Though the information below is not required by 1mv. it may prove valuable to persons relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br />CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT <br />n Individual <br />Corporate Officer <br />Title(s) <br />Partner(s) <br />X Attorney -In -Fact <br />Trustee(s) <br />Guardian/Conservator <br />Other: <br />Signer is representing: <br />Name OfPerson(s) Or Entity(ies) <br />Limited <br />General <br />Fidelity and Deposit Company of Maryland <br />Payment Bond (Labor and Materials) <br />Title or Type of Document <br />Four(4) <br />NOTE: This acknowledgment is to be completed for the Attorney -in -Fact. The Power -of -Attorney to local <br />representatives of the bonding company must also be attached. <br />END OF PAYMENT BOND <br />4of5 <br />
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