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RECORDING REQUESTED BY: <br /> ,City of Rancho Palos Verdes <br /> WHEN RECORDED MAIL 10. <br /> 1 <br /> Name City Clerk <br /> City of Rancho Palos Verdes <br /> Street <br /> Address 30940 Hawthorne Blvd. 06/06/2018 <br /> city Rancho Palos Verdes <br /> Slate CA <br /> Zip 90275 * 111 111,11 <br /> 20180562093* <br /> Space above this line for recorder's use <br /> WOLCOTTS FORMS INC. SINCE 1893 <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 properly hereinafter described. <br /> 2. The full name of the owner is The City of Rancho Palos Verdes . <br /> 3. The full 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 /> III other than Fee,strike in lee'and insert.for example.'purchaser under contract of purchase."or'Lessee") <br /> 5. The lull 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 January 5,2018 . The work done was <br /> ADA Access Improvements- Bus Stop Adjacent to City Hal/Civic Center Complex —_ <br /> 8. The names of the contractor,it any,for such work of improvement was Palp,Inc. dba Excel Paving Company <br /> (I1 no contractor lir work of improvement as a whote.insert'None') (Dau 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: Rancho Palos Verdes City Hall <br /> 10. The street address of said property is 30940 Hawthorne Blvd,Rancho Palos Verdes, CA 90275 <br /> (ii no street address has been oftiaally assigned.insert"none'.) <br /> City of Rancho Palos Verdes <br /> Dated G21 <br /> le./1 0/1/3 <br /> (Signature o1 Owner or corporate officer of Owner named in paragraph 2.or his agent) <br /> City of Rancho Palos Verdes <br /> VERIF ATION <br /> I,the undersigned,say:I am the City Clerk _,the Declarant of the foregoing Notice of Completion; <br /> (President ol,Manager of.Partner 01. of.etc.I <br /> I have read said Notice of Completion and know the contents thereof,1114e same is true to my own knowledge.I declare under penalty of <br /> perjury that the foregoing is true and correct. <br /> Executed on 1 1\'g ,20 18 at_ Palos Verdes , CA <br /> (Personal signa .of the ir.• 'd • WIC iS sweanrp that the contents Ol the Notice OI Completion are true) <br /> Before you use this form fill in all blanks,and make whatever chant se are appropriate and necessary II IIIIuII�MINN <br /> to your particular transaction.Consult a lawyer if you doubt the forms fitness for your purpose and use. p q Wolcotts makes no representation or warranty, express or implied,with respect to the merchantability 7 67775 0111 2 <br /> or fitness of this form for an intended use or purpose. 02005 WOLCOTTS FORMS.INC. FORM 1114 Rev 10-05 <br />