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Agmt05 Power Engineering... (2)
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Agmt05 Power Engineering... (2)
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Last modified
1/9/2006 10:51:17 AM
Creation date
1/9/2006 10:47:43 AM
Metadata
Fields
Template:
Agreement
Contractor Name
Power Engineering Contractors
PROJECT NAME
Fifth Ave pump station - emergency work
RMP File Number
802
Date
9/23/2005
MO Ref
05-202
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<br />CALIFORNIA ALL.PURPO&!S ACKNOWLEDGMENT <br /> <br />State of <br />County of <br /> <br />California <br /> <br />San Francisco <br /> <br />On <br /> <br />September 16, 2005 <br />DATE <br /> <br />before me, Nerissa S. Bartolome, Notary Public <br />NAME, TITLE OF OFFICER. EG" "JANE DOE, NOTARY PUBLIC" <br /> <br />personally appeared <br /> <br />Nancy L. Hamilton <br /> <br />NAME(S) OF SIGNER(S) <br /> <br />[XJ personally known to me - OR - 0 proved to me on the basis of satisfactory evidence <br />to be the personfst whose name~ ishtre- <br />subscribed to the within instrument and ac- <br />knowledged to me that +te/sheftlTey executed <br />the same in ~/her/HTe+f authorized <br />capacity(ies), and that by ~/her/t-I:HHf <br />signature~ on the instrument the person~ <br />or the entity upon behalf of which the <br />personfst acted, executed the instrument. <br /> <br />~,,-~.t!!t; ~ -.,-""0...1 <br />t, ~.~:~ NERISSA s, BARTOlOME <br />"'Y"";¡"',',' r,~rnrni5S10[\ # 1426484 b <br />/.. ~'" ",; I . <br />j /,<,,;';';J,', "~'?:I N")!(;,iY \,"'i,bIiC .' Californa ,5>. <br />"~I ,"','" '¡ .\I'I:!I",'dOC"o,unlV [ <br />! -4.,' ,,' ,P',f" Jun24,?Or)7f <br />'I' <br />'-",<!!""'«!.""!!"'u_,,.. ~ - <br />""-.--.......'- <br /> <br />WITNESS my hand and official seal. <br /> <br />r)7 c A 1~ /), ~~)? is ¡] AJ-¡fJ dn æ <br /> <br />.' SIGNATURE OF NOTARY <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 prevent <br />fraudulent reattachment of this form, <br /> <br />CAPACITY CLAIMED BY SIGNER <br /> <br />0 INDIVIDUAL <br />0 CORPORATE OFFICER <br /> <br />DESCRIPTION OF ATTACHED DOCUMENT <br /> <br />TITLE(SI <br /> <br />Bond No. 6346962 <br />TITLE OR TYPE OF DOCUMENT <br /> <br />0 PARTNER(S) <br /> <br />0 LIMiTED <br />0 GENERAL <br /> <br />Two (2) <br /> <br />~ ATTORNEY-iN-FACT <br />0 TRUSTEE(S) <br />0 GUARDIAN/CONSERVATOR <br />0 OTHER: <br /> <br />NUMBER OF PAGES <br /> <br />September 16,2005 <br />DATE OF DOCUMENT <br /> <br />SIGNER IS REPRESENTING: <br />NAME OF PERSON(S) OR ENTITY(IES) <br /> <br />Safeco Insurance Company of America <br /> <br />SIGNER(S) OTHER THAN NAMED ABOVE <br />
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