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RECORDING REQUESTED BY. <br /> The City of Rancho Palos Verdes <br /> WHEN RECORDED MAIL TO: 11/13/2017 <br /> r City Clerk 1 <br /> Name City of Rancho Palos Verdes <br /> Street 30940 Hawthorne Blvd. <br /> Address Rancho Palos Verdes, CA '20171298885' <br /> City 90275 <br /> Slate <br /> Zip <br /> I- J <br /> Space above this line for recorder's use <br /> 44140LGOTTS FORMS INC =rye "`' , _._ . • <br /> NOTICE OF COMPLETION <br /> Notice pursuant to Civil Code Section 3093,must be filed within 10 days after completion. (See reverse side for complete requirements.) <br /> Notice is hereby given that. <br /> 1. The undersigned is owner or corporate officer of the owner of the interest or estate slated below in the property hereinafter described. <br /> 2 The full name of the owner is City of Rancho Palos Verdes <br /> 3. The lull address of the owner is 30940 Hawthorne Blvd., Rancho Palos Verdes,CA 90275 <br /> 4. The nature of the interest or estate of the owner is:In tee. • <br /> (ii other Tear.Fee,strike'In lee'and insert.for example."purchaser under contract of purchase.'or'Lessee') <br /> 5. The full names and full addresses of all persons,it any,who hold title with the undersigned as joint tenants or as tenants in common are: <br /> NAMES ADDRESSES <br /> 6. The full names and full addresses of the predecessors in interest of the undersigned, if the property was transferred subsequent to the <br /> commencement of the work or improvements herein referred to: <br /> NAMES ADDRESSES <br /> • <br /> 7. A work of improvement on the property hereinafter described was completed on April 19,2017 .The work done was: <br /> Hawthorne Blvd.Traffic Signal Synchronization Project-Federal Project No. HSIPL-5413(014) <br /> 8. The names of the contractor,if any,for such work of improvement was Pro Tech Engineering Corp. <br /> (If no contractor for work of improvement as a whole.insert'None") (Date of Contract) <br /> 9. The property on which said work of improvement was completed is in the City of Rancho Palos Verdes <br /> County of Los Angeles , State of CA ,and is described as follows: along Hawthorne Blvd. <br /> 10. The street address of said properly is Hawthorne Blvd.from 31186 Hawthorne 27803 Hawthorne Blvd. <br /> (II no street address has been offioally assigned.insert'none'.) <br /> °\\\--) <br /> Dated <br /> (Signature of Owner or corporate officer of Owner named In paragraph 2,or his agent) <br /> VERIFICATION <br /> I,the undersigned,say:I am the City Clerk ,Iho Declarant of the foregoing Notice of Completion; <br /> (President of.Manager of.Partne{of er of.etc.) <br /> I have read said Notice of Completion and know the contents th&ce,the same is true to my own knowledge. I declare under penalty of <br /> perjury that the foregoing is true and corr ct. <br /> Executed on Y ,20 17 at Cit of, t*_cho Palos Verdes <br /> (Personal sig - o is swea.:ng that the Coolants of the Notice of Completion are true) <br /> Before you use this form, fill in all blanks, and make whatever changes are appropriate and necessary illIII�IIIIII) <br /> to your particular transaction. Consult a lawyer if you doubt the forms fitness for your purpose and use. AAI u <br /> Wolcotts makes no representation or warranty, express or implied, with respect to the merchantability T 67775 01114II' <br /> or fitness of this form for an intended use or purpose 02005 WOLCOTTS FORMS,INC. �—1 <br /> FORM 1114 Rev.10-05 <br />