2013-703721 DOC # 2013-0703721
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Recording Requested by: ) DEC 03, 2013 3:43 PM
OFFICIAL RECORDS
City of Encinitas ) SAN DIEGO COUNTY RECORDER'S OFFICE
Ernest J. Dronenburg,Jr., COUNTY RECORDER
00
When recorded Mail to: FEES: 0. PAGES: 3
City Engineer
CITY OF ENCINITAS
505 South Vulcan Ave nue
Encinitas, California 92024 )
CITY OF ENCINITAS, CALIFORNIA
NOTICE OF COMPLETION
To all subcontractors, Laborers, Material Men and Every Other Person Interested:
YOU WILL PLEASE TAKE NOTICE that on or about May 24, 2013, the project known as
the Gardendale Road Traffic Calming and Safe Routes to School Improvements (CS12F), and
other miscellaneous appurtenant works, in the City of Encinitas, in which PAL General
Engineering, Inc. was the contractor, and the Hanover Insurance Company was the surety, was
completed.
City of Encinitas, owner in fee
505 South Vulcan Avenue
Encinitas, California 92024
6��er �'_6 �A ,)
Greg Shiel
Deputy City Engineer
VERIFICATION OF CITY CLERK
I, the undersigned, say:
I am the City Clerk of the City of Encinitas; the City Council of said City, November 13, 2013,
accepted the above described work as completed and ordered that a Notice of Completion be
filed.
I declare under penalty of perjury that the foregoing is true and correct.
Executed on November 13, 2013, at Encinitas, California.
Owner - City of Encinitas
Kathy H&ywood
City Clerk
I, Kathy Hollywood, City Clerk of the City of Encinitas, a political subdivision of the
County of San Diego, State of California, which is the owner in fee of the public work described
within the Notice of Completion executed by the said City of Encinitas, do hereby certify that I
have read the same and know the contents thereof and that the facts herein stated are true to
the best of my own knowledge. I declare under penalty of perjury under the laws of the State of
California that the foregoing is true and correct, I make this verification for and on behalf of the
City of Encinitas.
Date: I �j I
Kathy ywoo , City Clerk
State of California )
County of San Diego )
On before me, , personally
appeared
who proved to me on the basis of satisfactory evidence to be the person whose name is
subscribed to the within instrument and acknowledged to me that he/she executed the same in
his/her authorized capacity, an at by his/her signature on the instrument the person, or the
entity upon behalf of which e person acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct. J
gE-
WITN y hand and official seal. AJ ��'� CN'D
Signature:
Place Notary Seal Above
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of LAO QUAD
On ]JOVP, Y bLi 1�:Q0/_3 before me, 6 iNA t�2An>Ce5 �5' , O�y R��J -PLt6V
Date / Here Insert Name and Title of the Officer
personally appearedjG��ev l✓hl /� l DTI o//y [iJV Od
Nam (s)of Signer(s)
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(s) is/afe subscribed to the
within instrument and acknowledged to me that
he/she/they executed the same in Isis/her/tl4eir authorized
capacity(ies), and that by 1:4s/her/their signatures) on the
CNIA FRANCES ZENNS instrument the person(,$), or the entity upon behalf of
Commtalloe*1878445 which the person(e) acted, executed the instrument.
Notary PvbUc-CaMorlda
San DIW County
Comm.Ex boa Jan 29,2014 t I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph is
true and correct.
WITNESS my hand and official seal.
Signatur
Place Notary Seal Above Signature of Notary P is
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document: U OTI C l- 0'F COY')P L FT/a6J (CS
Document Date: Nh il2,MUr )3, a01 ':�) Number of Pages:TI,J y
Signer(s) Other Than Named Above: A_ e l_-6 S]-/I e w�
Capacity(ies) Claimed L'
by Signer(s)
Signer's Name: Y)f;�c.� � a 11�4 WD OP Signer's Name:
'® Individual ❑ Individual
❑ Corporate Officer—Title(s): El Corporate Officer—Title(s):
❑ Partner—❑ Limited ❑ General _ ❑ Partner—❑ Limited ❑ neral
❑ Attorney in Fact • ❑Attorney in Fact •
❑ Trustee Top of thumb here ❑Trustee Top of thumb here
❑ Guardian or Conservator ❑Guardian or C servator
❑ Other: ❑Other:
Signer Is Representing: Signer Representing:
C T N o P 67nCIf1 f TA-5
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