HomeMy WebLinkAboutAgr 2016-02-08 (Oak Grove Construction)r-ct:_l.t +-
When recorded mail to:
Town of Tiburon
Diane Crane Iacopi, Town Clerk
1505 Tiburon Blvd
Tiburon, CA 94920
Record without fee per G.C. 27383
111111111viii11111111111111111111
111111
2016-0005186
Recorded
Official Records
County of
Marin
RICHARD M. BEMS011
Assessor -Recorder
County Clerk
12:44PH 08 -Feb -2016
REC FEE 0.00
JM
Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Town of Tiburon
NOTICE OF COMPLETION OF IMPROVEMENT
TO ALL PERSONS WHOM IT MAY CONCERN:
NOTICE IS HEREBY GIVEN for and on behalf of the Town of Tiburon, County of Marin, State of California,
that there has been a cessation of labor upon the work or improvement and that said work or improvement was
completed upon the 29th day of January 2016 and accepted the 3rd day of February 2016; that the name, address
and nature of the title of the party giving this notice is as follows: The Town of Tiburon, a municipal corporation,
in the County of Marin, State of California, within the boundaries of which said work or improvement was made
upon land owned by said Town and/or over which said Town has an easement; that said work or improvement is
described as follows:
Blackie's Pasture Picnic Area
and reference is hereby made for a further description thereof to the contract approved for said work or
improvements now on file in the office of the Town Clerk of said Town, and said contract is hereby incorporated
herein by reference thereto; and that the name of the Contractor who contracted to perform said work and make
such improvement is
Oak Grove Construction, Inc.
I declare under penalty of perjury that the foregoing is true and correct.
Executed at Tiburon, California, on c, �r\, ,C_ , 20t b .
TOWN OF TIBURON By:
A Municipal Corporation Patrick Barnes, P.E.
Director of Public Works / Town Engineer
1/2
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of
Z 0/1( before me, (-)/�� _T� ��,�` j�'` /(c
Here Insert Nome and Title of the fficer
- 14, )
Date
personally appeared
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(e) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/heritheir authorized capacity(ies), and that by his/heitheir signatures) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
WANE CRANE IACOPI
Commission # 2026625
Notary Public - California
Marin County
_AtComm. Expires Maz 31, 2017
Place Notary Seal Above
I certify under PENALTY OF PERJURY under the laws
of the State of Califomia that the foregoing paragraph
is true and correct.
WITNESS my hand an officl seal.
Signature of'Notary Public
Signature
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Docuf ment -,
Title or Type of Document: AID n 6��1t 1:'2-/701 Document Date: 3 / '
Number of Pages: /f tuldi: ri+7Signer(s) Other Than Named Above: /(/ //t
Capacity(ies) Claimed by Signer(s)
Signer's Name: /1Z�'t' g- 32 7 'S. Signer'sm
Nae:
Corporate Officer — Title(s): jirPc/a/ L /'vti oe altvos
❑ Partner — ❑ Limited CI General /C'u;t%c1'
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing: rr,d/L1 n -
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Corporate Offi er — Title(s):
❑ Partner —
❑ Individual
❑ Trustee
❑ Other:..
❑ Limited.` ❑ Gene-ral-
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❑ ttorneyiri Fact
--❑-Guardian or Co Lsservator
Signer Is Representing:
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102014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907