Agmt14 American Asphalt Repair and Resurfacing Co.

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1 ' CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of Sacramento On October 27, 2014 before me, Melissa D. Diaz, Notary Public (Here insert name and title of the officer) personally appeared Patricia M. Simas 9 who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/a�e subscribed to the within instrument and acknowledged to me that�e/she/t�e�executed the same in#�s/her/�authorized capacity(�es), and that by�/her/�signature(s) on the instrument the person(s), or the entity upon behalf of which the person(g) 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. � M�ELISSA D. DIAZ <�` t� WITNESS my hand and official seal. '^ � �: COM��I. # I947239 a � � ' � MOtA.RY'UBLIC�CA.LIFORNIA� < SACRAMENTO C0. �^ - --- �'��••''�� E X P. A U G 7, 2 015 � (Notary Seal) Signature ofNotary Public ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment complered rn California must contarn verbiage exactly as DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must he properly completed and attached to that document. The only exceptron is if a Payment Bond documen!is to be recorded outside ofCa/ifornia.In such instances,any alternative acknowJedgment verbiage as may be printed on such a document so long as the (Title or description of attached document) verbiage does not reguire the notary to do something that is illegal for a notary in American Asphalt Repair and Resurfacing Company,InC. Californra(i.e.certifying the authorized capaciry of the signer).Please check the document carefully for proper notarial wording and attach this form if required (Title or description of attached document continued) 10/27/14 •State and County information must be the State and County where the document Number of Pages Document Date signer(s)personally appeared before the notary public for acknowledgment. •Date of notarization must be the date that the signer(s)personally appeared which The Guarantee Company of North America USA must also be the same date the acknowledgment is completed. (Additional information) •The notary public must print his or her name as it appeazs within his or her commission followed by a wmma and then your title(notary public). •Print the name(s)of document signer(s)who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER •Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. ❑ IndlVldUal (S) hefshe/i�e},is/ara)or circling the correct forms.Failure to correcdy indicate this information may lead to rejection of document recording. ❑ Corporate Officer •The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines.If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) •Signature of the notary public must match the signature on file with the office of the county clerk. � Attorney-in-Fact *.-Additional infonnation is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. *.-[ndicate title or type of attached document,number of pages and date. ❑ Other *.-Indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). •Securely attach this document to the signed document 2008 Version CAPA 02.10.07 800-873-9865 www.NotaryClasses.com