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RECORDING REQUESTED BY: <br /> The City of Rancho Palos Verdes <br /> WHEN RECORDED MAIL TO. <br /> 11/13/2017 <br /> r City Clerk 1 <br /> Name City of Rancho Palos Verdes <br /> Sheet 30940 Hawthorne Blvd. <br /> Address Rancho Palos Verdes, CA <br /> City 90275 *20171298887* <br /> Slate <br /> Zip <br /> t- J <br /> Space above this line for recorder's use <br /> 4NO_LCOTTS FORMS ANG <br /> X22 Y_ ?. <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 stated 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 fee. <br /> (II other than Fee,strike in lee-and insert.for example.'purchaser under contrail of purchase.-or'Lessee') <br /> 5. The full names and full addresses of all persons,if 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 /> 7. A work of improvement on the property hereinafter described was completed on October 5,2017 .The work done was: <br /> Annual Sidewalk Repair Program FY 16-17 <br /> 8. The names of the contractor,if any,for such work of improvement was EBS General Engineering, Inc. <br /> (II no contractor for work or 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: <br /> Annual Sidewalk Repairs at various locations in Areas 1 and 9 <br /> • <br /> 10. The street address of said property is Various Locations(see attached list) <br /> Of no street address has been officially assigned,insert'none'.) <br /> Dated <br /> 1 1\ ✓ <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 ,the Declarant of the foregoing Notice of Completion; <br /> (President of,Manager of.Partner of,Owner of.etc.) <br /> I have read said Notice of Completion and know the contents thereof;the same is true to my own knowledge. I declare under penalty of <br /> perjury that the fore ting s true and rrect. <br /> Executed on , �'W k ,20 17 at City of Ran •. P-los Verdes <br /> • <br /> 4111111111111110 <br /> (Personal signature o.tom anng that the contents 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 poluill.A <br /> toyour particular transaction. Consult a lawyer if you doubt the form s fitness for your purpose and use.Wolcotts makes no representation or warranty, express or implied, with respect to the merchantability 7 7775 01114 ' _'� <br /> or fitness of this form for an intended use or purpose. 02005 WOLCOTTS FORMS,INC. <br /> FORM 1114 Rev.10-05 <br />