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Agmt99 Pacheco Utility Builders
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Agmt99 Pacheco Utility Builders
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Last modified
7/5/2005 3:04:22 PM
Creation date
5/19/2005 12:58:07 PM
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Template:
Agreement
Contractor Name
Pacheco Utility Builders
PROJECT NAME
main library electrical modifications
RMP File Number
304
Date
11/30/1999
Reso Ref
13798
MO Ref
00-185
Box
5900
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> <br />State of California <br /> <br />County of Santa Cruz <br /> <br />On <br /> <br />November <br /> <br />16, <br /> <br />19 ~~ore me,_____------- JO~--~-~_~~_~~E --------------~-- <br />NAME, TITLE OF OFFICER - E.G. JANE DOE, NOTARY PUBLIC <br /> <br />DATE <br /> <br />personally appeared <br /> <br />Ann S. <br />NAME(S) OF SIGNER(S) <br /> <br />Ferrante <br /> <br />Proved to me on the basis of satisfactory evidence to be the <br />person(s) whose name(s) is/are subscribed to the within <br />instrument and acknowledged to me that he/she/they executed <br />the same in his/her/their authorized capacity(ies), and that by <br />his/herltheir signature(s) on the instrument the person(s), of <br />the entity upon behalf of which the person(s) acted, executed <br />the instrument. <br /> <br />[X] Personally known to me - OR - <br /> <br />r.. JOE A FERRANTE 1 <br />¡ -.. Comm. 1103073 ~ <br />!i NOTARY PUBUC-CAUFORNIA f <br />SANTA CRUZ COUNTY <br />l- tIN cOMMBSION ex:RES SEPf ~ 2000 J <br /> <br />WITNESS my hand and official seal. <br /> <br />Q¥2~~ <br /> <br />SI NATURE OF NOTARY <br /> <br /> <br />OPTIONAL <br /> <br />Though the data below is not required by law, it may prove valuable to persons relying on the document and could <br />prevent fraudulent reattachment of this form. <br /> <br />CAPACITY CLAIMED BY SIGNER <br /> <br />DESCRIPTION OF ATTACHED DOCUMENT <br /> <br />[ ] INDIVIDUAL <br />[ ] CORPORATE <br /> <br />PERFORMANCE AND/OR PAYMENT BOND(S) <br /> <br />----------------- - - -- ----~ <br /> <br />----------------------------------- <br /> <br />TITLE(S) <br /> <br />TITLE OR TYPE OF DOCUMENT <br /> <br />[] PARTNER(S) <br /> <br />[ ] LIMITED <br />[ ] GENERAL <br /> <br />[X] ATTORNEY-IN-FACT <br />[ ] TRUSTEE(S) <br /> <br />NUMBER OF PAGES <br /> <br />[ ] GUARDIAN/CONSERV A TOR <br />[ ] OTHER: <br /> <br />------------ <br /> <br />DATE OF DOCUMENT <br /> <br />SIGNER IS REPRESENTING: <br />NAME OF PERSON(S) OR ENTITY(IES) <br /> <br />Contractors Bonding and Insurance Company <br /> <br />Pacheco Utility Line Builders, <br /> <br />Inc. <br /> <br />------------------------------------------------- <br /> <br />SIGNER(S) OTHER THAN NAMED ABOVE <br /> <br />"-'-"""'" '-'-r <br />
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