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Agmt13 Blocka Construction, Inc.
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Agmt13 Blocka Construction, Inc.
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Last modified
2/7/2013 12:45:11 PM
Creation date
2/7/2013 12:43:27 PM
Metadata
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Template:
Agreement
Contractor Name
Blocka Construction, Inc.
PROJECT NAME
Sanitary Sewer Pump Station 10 Improvemenets Project
RMP File Number
304
Date
2/7/2013
MO Ref
13-002
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIYIL CODE§1189 <br /> -.s-r.�:sc� >. � �. .� � �:EZC;cYC�,�.�:fst�'�,c�t;.e�.z>`(tc�c�;�.�c>,�fs�,�.c�t�--.�,�['��.�P.�.�.cr,crP`.�ez�c>.r�c>,�'.,6f,�o-. <br /> ` State of California <br /> County of Alameda <br /> � On 1/28/13 before me, Sue A McCarthy, Notary Public <br /> , <br /> Date liere Insert Name and Trtle oF lha Officer <br /> personally appeared Patricia Jean Blocka & Robert Alexander Blocka <br /> Name(s)of Signer(s) <br /> who proved to me on the basis af satisfactory <br /> evidence to be the person 's� whose name sd j8�are <br /> subscribed to the within instrument and acknowledged <br /> to me that �1�/they executed the same in <br /> '� ���fheir authorized capacify�es and that by <br /> ,"l�'Eheir signatur� an the instrumen# the <br /> SUE A. MCCARTHY person s , flr the ent€ty upon behalf of which the <br /> ���� Commission# 1901039 <br /> z person s acted, executed the instrumen#. <br /> a"-d ' Notary Public -California z <br /> z �• San Luis Obispo County D <br /> My Comm.Expires Aug 22,20t4 I certify under PENALTY OF PERJURY under the <br /> laws of fhe State of California that the foregoing <br /> paragraph is true and correct. <br /> WITNESS my ha and official seal. <br /> Signature: <br /> � Place Notary Saal Abova SignaNre of Notary Public <br /> oPriorvA� <br /> Though the informafion below is not required by law,ii may prove valuable fo persons relying on the document <br /> and could prevent fraudulent removal and reaffachment of fhis form fo anocher document. <br /> Description of Attached Dacument <br /> Title or Type ot Document: Faithful Performance Bond No 4887626 <br /> Document Date: 1/25/13 Number of Pages: 5 <br /> Signer(s}Other Than Named Above: <br /> Capacity(ies}Claimed by Signer(s) <br /> Sigrler's Name: Patrir.ia .IPan Rln�ka ��� Signer's Name: Robert Alexander Blocka <br /> I�I Corporate Officer—Tiile(s):Secretark/Treasurer [�9 Corporate Officer—7itle(s):President <br /> ❑ Individaal 0 individual °' <br /> . • <br /> ❑ Partner---❑L9mited O General Top of thumb here ❑partner—�UmiEed ❑General Top of thumb here <br /> O Attorney in Fact ❑Attorney in Fact <br /> ❑ Trustee ❑Trustee <br /> ` ❑ Guardian or Conservator � ❑Guardian or Conservator <br /> ❑ Diher: ❑Other: <br /> ` Signer(s Representing: Signer Is Representing; <br /> . <br /> � ^�'�u�o-�.��w�a`�, , , � , > . , , , � ^��..'�.-.��.���� <br /> �20SO National Notary Association•NationalNotary.org•1-S00-US NOTARY(1•800•876-fi827) Item a5so7 <br />
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