Agmt13 American Asphalt Repair and Resurfacing Co., Inc.

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CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of Butte On May 28, 2013 before me, J. Lelouarn, Notary Public (Here insert name and title of the officer) personally appeared Elizabeth Collodi 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�re/she/t�e�executed the same in#�/her/�authorized capacity(ies), and that by�s/her/�signature(s) on the instrument the person(g), or the entity upon behalf of which the person(s)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. .�... J.LELOUARN� COMM.#1973758 WITNESS my hand a official seal. � r NOTA�MBU�B{FEpp�y�p� � ��„ Comm.Expires AAAR.30,2016 ,. (Notary Seal) �t Signatu of Nota blic ��j ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must he proper(y completed and attached to that documenr. The only exception is if a Payment Bond document is to be recorded outside of California.In such instances,any alternative ackttowledgment verbiage as may be printed on such a document so long as the (Title or descrip[ion of attached document) verbiage does not require the notary to do something that is illegal for a notary in American Asphalt Repair and ResurFacing Company,Inc. California(i.e.certifying rhe aurhorized capaciry of rhe signer).Please check rhe document carefully for proper notarial wording and attach this form if required (Title or description of attached document continued) •State and County information must be the State and County where the document Number of Pages 2 Document Date 05/28/13 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 appears within his or her commission followed by a comma 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 singutar or plural forms by crossing off incorrect forms(i.e. ❑ Individual(s) �eFshe/t�ey,is/ara)or circling the correct forms.Failure to correctly 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 information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. ❑ Other *.-Indicate title or type of attached document,number of pages and date. *.-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