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HomeMy WebLinkAboutAgr 2011-12-08 (Roto-Rooter)' Recording Requested By: Town of Tiburon, Marin County, CA When recorded mail to: Town of Tiburon Diane Crane Iacopi, Town Clerk 1505 Tiburon Blvd Tiburon, CA 94920 Illllllllllllliillillll~lllllllll a011-00&4177 Recorded Official Records County of Darin RICHARD N. BENSON Assessor-Recorder County Clerk 12:25PM 12 Dec-x 11 REC FEE 0.00 a Pace 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE RECORD Mn,,0UT FEE PER 4.C. 27383 Town of Tiburon NOTICE OF COMPLETION 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 18th day of November 2011 and accepted the 7th day of December 2011; 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: 2011 Storm Drain Cleaning Project 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 Roto Rooter Inc. I declare under penalty of perjury that the foregoing is true and correct. Executed at Tiburon, California, on T*_ ~20 11 TOWN OF TIBURON By: - - - A Municipal Corporation Nicholas T. Nguyen, P.E. Director of Public Works / Town Engineer 1/2 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California ,l County of ~ f' `v L1 On c • { 'Z U before me, z~ Date i J- personally appeared AV,- C 4- DIANE CRANE IACOPI Place Notary Seal Above Commission # 1840513 Notary Public - Calibrnla Marin County Comm. Ex ira Mar 15 2013 ereJnsert Name and Title of the O Name(s) of i L1 igner(s) i Z i er who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), 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. WITNESS my hand offi e Signature Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Docum e"I Title or Type of Document: i7 V OF Document Date: / r2 - r - Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signers Name: ❑ Individual G u~ L Corporate Officer - Title(s): ❑ Partner - ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee here rofthumb ❑ Guardian or Conservator ❑ Other: Signer Representin : .71 c~ Af Signer's Name: ❑ Individual ❑ Corporate Officer - Title(s): ❑ Partner - ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing Top of thumb here ©2007 National Notary Association 9350 De Soto Ave., PO. Box 2402 - Chatsworth, CA 91 31 3-2402 - www.NationalNotary.org Item #5907 Reorder: Call Toll-Free 1-800-876-6827