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PAVEMENT COATINGS CO.
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Last modified
7/9/2025 8:49:16 AM
Creation date
3/30/2018 12:44:07 PM
Metadata
Fields
Template:
Contracts
Company Name
PAVEMENT COATINGS CO.
Contract #
17-6882
Agency
Public Works
Council Approval Date
6/20/2017
Expiration Date
9/29/2017
Document Relationships
23B - AWARD CONTRACT TO PAVEMENT COATINGS CO.
(Attachment)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2017\06/20/2017
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <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 />Co__�2range <br />On `,/v before me, Lynn A. Slone, Notary Public <br />Duio Here Insert Name and Title ofthe Officer <br />personally appeared <br />Richard LWells <br />of <br />who proved iunnoonthe basis ofsatisfactory evidence tnbe the (% whose nmnoewiu/e* <br />subscribed tnthe within instrument and acknowledged in nnathat ha/wW444executed the same in <br />hin/hmnMteh`authorized oopaoity(iam),andthu1byhs/hw,fMh/8rui ok,*(%mniheinotrunoontthnpenovnAW' <br />or the entity upon behalf of which the person(@) acted, executed the instrument. <br />Orange County ZZ <br />Commission * 2134740 <br />Place Notary Seal Above <br />| certify underPENALTY OFPERJURY under the laws <br />u[the State vfCalifornia that the foregoing paragraph <br />istrue and correct. <br />\mITVEG8 my hand <br />, anPfficial seal. <br />Signature <br />gna vure of Notary Public <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment oythis form tomnunintended document. <br />Description c6Attached Document <br />This orType nfDocument: Document Date: <br />Number of Pages: —5igner(o) Other 'Than Named Above: <br />Capacity(les) Claimed by Signer(s) <br />Signer's Name: <br />[] Corporate Officer --Th|ekV: <br />[]Partner --[]Limited []General <br />[lIndividual [] Attorney inFatt. <br />i!Trustee [] Guardian n,Conservator <br />[lOthoc <br />Signer Is Representing: <br />Signer's Name: <br />[] Corporate Officer ~`Th|ek8: <br />LPortner— OUmitod C. General <br />1_1 Individual [] Attorney inFact <br />[]T,uutwe [| Guardian nrConservator <br />[] {8hyc <br />Signer ioRepresenting: <br />@2O}4National Notary Association ^wwe.NatiomdNodory»rg^1~0AO~USNOTARY p~800'87V^882D |tom#5807 <br />
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