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Agmt13 Columbia Electric, Inc.
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Agmt13 Columbia Electric, Inc.
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Last modified
8/20/2013 4:08:23 PM
Creation date
8/19/2013 8:43:26 AM
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Template:
Agreement
Contractor Name
Columbia Electric, Inc.
PROJECT NAME
North-South Bike Route Improvement Project- Middlefield Rd., Winslow St., Broadway, Arguello Rd., D St., and Stafford Way
RMP File Number
304.5
Date
8/14/2013
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT ciw�cooe$„es <br /> :..z��-:cs�.�.� . . ,+�.��2���aa�t�:c;�..,�r.a�c��r.,�.��r.e�:i2��r,xi��.c�:�..�s�,��i�ir�.�.�i,. <br /> State of California <br /> County of San Francisco <br /> � <br /> '' On _����`�efore me, Nerissa S. Bartolome, Notary Public , <br /> et Here Insert Name and Title of the Oflicer <br /> � personally appeared Yvonne Roncagliolo ---------------------------------------------------------------- <br /> Name(s)ol Signer(s) <br /> � who proved to me on the basis of satisfactory <br /> evidence to be the person(�} whose name(� is/� <br /> subscribed to the within instrument and acknowledged <br /> to me that ��lshe/� executed the same in <br /> bti�/her/1t�eir authorized capacity{iea�, and that by <br /> NERISSA S.BARTOLOME �/her/tlot�ir signature(�) on the instrument the <br /> Commission� 1938778 Z person(�), or the entity upon behalf of which the <br /> Z -s Notary Public -California z <br /> z ��' San Francisco County ' person(�) acted, executed the instrument. <br /> � � - My Comm. Expires Jun 24,2015+ <br /> I certify under PENALTY OF PERJURY under the <br /> laws of the State of California that the foregoing <br /> paragraph is true and correct. <br /> WITNESS my hand and official seal. <br /> Signature: <br /> /��� d��:����.. <br /> Place Notary Seal Above Signa ure of Notary Public <br /> �� OPTIONAL <br /> Though the information below rs not required by law,it may prove valuatrle to persons relying on the document <br /> and could preveni fraudulent removal and reattachment of this form to another document. <br /> � Description of Attached Document <br /> � Title or Type of Document:_ _______�,._._ ______ <br /> Document Date: __. _____„ _ ____,____ ,____._____Number of Pages <br /> Signer(s)Other Than Named Above: _ .___ <br /> Capacity(ies)Claimed by Signer(s) <br /> Signer's Name: __YvonnP RoncaEliol4__ Signer's Name: _ <br /> " ❑ Corporate Officer — Title(s):_____ __..____ ❑Corporate Officer—Title(s): <br /> ❑ Individuai ❑Individual <br /> . . <br /> ❑ Partner—❑Limited �General Top of thumb here ❑Partner— ❑Limited ❑General Top of thumb here <br /> , � Attorney in Fact �Attorney in Fact <br /> ❑ Trustee ❑Trustee <br /> ` ❑ Guardian or Conservator ❑Guardian or Conservator � <br /> ; ❑ Other. ____. _____,___ ❑Other:_�._.__ <br /> �. __ <br /> � Signer Is Representing: ___ _. _ Signer Is Representing: __,,,,,,,,,,,___� <br /> ;. _ _. _ <br /> . Y,:���^�r�c.^�:�w^�cs���c.^�ss�a^!��c.�;�:�.ra�w^F=w^��=v-' r .� �._ •��u.�,:c.�.^�a,^�c.�.^u:���^�,v^�ca':e.�e.w:<x:rc�_. , <br /> �2010 National Notary As9ociation�NationalNotary.org•1-800•US NOTARY(1-800-876-6827) Item k5907 <br />
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