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Agmt05 Power Engineering Contra
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Agmt05 Power Engineering Contra
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Entry Properties
Last modified
2/22/2006 11:00:00 AM
Creation date
9/6/2005 10:12:37 AM
Metadata
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Template:
Agreement
Contractor Name
Power Engineering Contractors Inc
PROJECT NAME
lagoon intake facility II replacement
RMP File Number
304
Date
8/1/2005
MO Ref
05-132 06-28
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<br />CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> <br />State of California <br /> <br />County of <br /> <br />San Francisco <br /> <br />} ss <br /> <br />On <br /> <br />July 26, 2005 <br />Date <br /> <br />, before me, Rosemarie Guanill, Notary Public <br />Name and Title of Officer (e,g., "Jane Doe, Notary Public") <br /> <br />personally appeared <br /> <br />Nerissa S. Bartolome <br /> <br />Name(s) of Signer(s) <br /> <br />IX! personally known to me <br />D proved to me on the basis of satisfactory <br />evidence <br /> <br />" 'J, <br />~ , "~.. ."',' <br /> <br />~ "{.:~ My Coml11 i::.xplres Apr~ . é, ¿~jJb , <br /> <br />"""""I\JI ..... ~ ~ ...... 1(0. ~ .. ~ ~ .. -~ <br /> <br /> <br />to be the person(s-} whose name(s-) is/are- <br />subscribed to the within instrument and <br />acknowledged to me that I'te/she/they executed <br />the same in Ris/her/tfteif authorized <br />capacity(ies), and that by htsfher~f" <br />signature(-s) on the instrument the person(s-), or <br />the entity upon behalf of which the person(-s) <br />acted, executed the instrument. <br /> <br />, ~ <br />~ <br /> <br />)""""""""'~-'.t."'. "'-~'.~~;~:;~ iU~-' <br /> <br />, ~ <br />I <br /> <br />~ ' <br /> <br />Place Notary Seal Above <br /> <br /> <br />OPTIONAL <br /> <br />Though the information below is not required by law, 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 /> <br />Description of Attached Document <br />Title or Type of Document: Payment Bond - Bond No. 6346949 <br />Power Engineering Contractors, Inc. <br />Document Date: July 26, 2005 Number of Pages: <br /> <br />Signer(s) Other Than Named Above: <br /> <br />I, <br />I, <br /> <br />Capacity(ies) Claimed by Signer <br />Signer's Name: <br />D Individual <br />D Corporate Officer - Title(s): <br />D Partner - D Limited D General <br />~ Attorney in Fact <br />D Trustee <br />D Guardian or Conservator <br />D Other: <br /> <br />RIGHT THUMBPRINT <br />OF SIGNER <br /> <br />Top of thumb here <br /> <br />'I <br />'I <br /> <br />Signer Is Representing: Safe co Insurance Company of America <br /> <br />@ 1997 National Notary Association' 9350 De Soto Ave., P,O, Box 2402 . Chatsworth, CA 91313-2402 <br /> <br />Prod. No, 5907 <br /> <br />Reorder: Call Toll-Free 1-800-876-6827 <br />
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