HomeMy WebLinkAboutC-1522Job Nos. 533 and 583
CONTRACT
ORIGINAL
THIS CONTRACT, made and executed this °?� day of ,
19_f by and between the City of Arcadia, California, herei after
referred to simply as City, and
hereinafter referred to simply as Contractor.
WITNESSETH: That the parties hereto do mutually agree and covenant
as follows:
1. For and in consideration of the payments and covenants
hereinafter specified to be made and performed by City,
Contractor shall perform and complete the following:
Street Light Conversion - Job No. 533 & 583
(Name of Project)
Eighty Two Thousand Nine Hundred and Fifty Nine Dollars
($82,959.00
(Bid Items Accepted by City and Included Herein)
and to perform and complete the same in a good and workmanlike
manner all the work pertaining thereto shown on the Plans and
Specifications therefor; to furnish at his own cost and
expense all tools, equipment, labor, services, and materials
necessary therefor (except such materials, if any, as in the
said specifications are stipulated to be furnished by the
City) , and to do everything required by this contract, special
provisions, technical specifications, construction plans,
drawings and details, and all addenda issued by City to the
foregoing prior to the opening of bids.
2. For furnishing all said materials and labor, services, tools,
and equipment, and doing all work specified herein, also
arising out of the nature of the work aforesaid, or from the
action of the elements, or from any unforeseen difficulties
which may arise or be encountered in the prosecution of the
work until its acceptance by the City, and for all risks of
every description connected with the work, for all expenses
incurred by or in consequence of the suspension or
discontinuance of work, except such as in said specifications
are expressly stipulated to be borne by the City and for well
and faithfully completing the work in the manner specified in
said Plans and Specifications, the City will pay and the
Contractor shall receive in full compensation therefor the
lump sum price or if the bid is on the unit price basis, the
C -1
Job Nos. 533 and 583
CONTRACT - (cont'd)
ORIGINAL
total price for the several items furnished pursuant to the
specifications, as set forth in Contractor's bid heretofore
filed by him and accepted by City, at the times and manner
specified in the Contract Documents.
3. Contractor agrees to perform the work according to the terms
of this Contract for price(s) named in the bid, and City
agrees to pay the same at the time, in the manner, and upon
the conditions stipulated in the said contract documents.
4. Subject to the provisions of this Contract, all terms,
covenants, conditions, and provisions hereof shall inure to
and shall bind each of the parties hereto and each of their
respective heirs, executors, administrators, successors, and
assigns.
5. The Notice Inviting Bids, Information Required of Bidders,
Contractor's Bid, Special Provisions, Technical
Specifications, Construction Plans, Drawings and Details, and
all addenda issued by City to the foregoing prior to the
opening of bids, are hereby incorporated in and made part of
this contract by reference and are collectively referred to
therein and herein as "Contract Documents."
6. Contractor shall be responsible for compliance with the
Apprenticeable Occupations Regulations of Labor Code, Section
1777.5, including compliance by all subcontractors.
IN WITNESS WHEREOF, the parties hereto have caused this contract to
be executed the day and year first above written.
CI
By
(SEAL)
ATTEST:
a.s
Ci lerk
APP OVED AS T FORM:
PMT / �Xg-)
City Attornefy
C -2
CONTRACTOR
By
f.�c "sio�T"
Title
Job Nos. 533 and 583 ORIGINAL
BOND NO: 1311446
PREMIUM: $597.00
FAITHFUL PERFORMANCE BOND
1008 of Contract Price
KNOW ALL MEN BY THESE PRESENTS, THAT WE
C. T. & F.. INC.
hereinafter referred to as "Contractor" as PRINCIPAL, and
INSURANCE COMPANY OF THE WEST
A corporation duly organized and doing business under and by virtue
of the laws of the State of California and duly licensed for the
purpose of making, guaranteeing, or becoming sole surety upon bonds
or undertakings as Surety, are held and firmly bound unto the CITY
OF ARCADIA, CALIFORNIA, hereinafter referred to as the "City" in
the sum of EIGHTY TWO THOUSAND NINE HUNDRED FIFTY NINE AND NO /100 ----------
Dollars ( $ 82,959.00 ------- ) lawful money of the United States of
America for the payment of which sum, well and truly to be made, we
bind ourselves, our heirs, executors, administrators, assigns and
successors, jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that whereas said
Contractor has been awarded and is about to enter into a Contract
with the City to perform all work required pursuant to the contract
documents for the project entitled:
STREET LIGHT CONVERSION - JOB NO 533 AND 583
(Insert Title Shown on Proposal)
which Contract is by this reference incorporated herein, and is
required by the City to give this Bond in connection with the
execution of said Contract;
NOW, THEREFORE, if said Contractor and his Subcontractors
shall well and truly do and perform all the covenants and
obligations of said Contract on his part to be done and performed
at the times and in the manner specified herein including
compliance with all Contract specifications and quality
requirements, then this obligation shall be null and void,
otherwise it shall be and remain in full force and effect;
PROVIDED, that any alterations in the work to be done, or in
the material to be furnished, which may be made pursuant to the
terms of said Contract, shall not in any way release said
Contractor or the Surety thereunder, nor shall any extensions of
time granted under the provisions of said Contract release either
said Contractor or said Surety, and notice of such alterations of
extensions of the Contract is hereby waived by said Surety.
C -3
Job Nos. 533 and 583
In the event suit
judgment is recovered,
the City in such suit,
fixed by the Court.
ORIGINAL
is brought upon this Bond by the City and
said Surety shall pay all costs incurred by
including a reasonable attorney's fee to be
IN WITNESS WHEREOF, we have hereunto set our hands and seals
this 14TH day of FEBRUARY , 1994
C. T. & F.. INC.
Principal
By:
SEAL)'
Certificate of Acknowledgement
STATE OF CALIFORNIA
County of Los Angeles
On 2/14/94
personally appeared
INSURANCE COMPANY OF THE WEST
n Surety
By:
H K. CUNNINGHAM L)
ATTORNEY —IN —FACT
before me, MARGARETA T HIERL NOTARY PUBL•TC ,
JUDITH K. CUNNINGHAM
personally known to me (or 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 u „ n behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Immmuununmuluummlmnnwuwmmuuroununllmnunlnnnnennw !ummnrununnuummm�3
OFFICIAL St AL
h MARGARE7A T, MISR4.
Signature (Seal) NOTARY PUCLIC • CALIFORNIA
g PRINCIPAL OF -CE IN
LOS AC1GE! 43 ':CUNTY
" rtyCommis�icnE.plrasi:ec.9,.l94
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C -4
Job Nos. 533 and 583
ORIGINAL
LABOR AND MATERIAL BOND BOND NO: 1311446
(50% of Contract Price) PREMIUM INCLUDED
(100% of Contract Price if over $100,000)
KNOW ALL MEN BY THESE PRESENTS, THAT WE
C. T. & F.. INC.
hereinafter referred to as "Contractor" as PRINCIPAL, and
INSURA14CE COMPANY OF THE WEST
a corporation duly organized and doing business under and by virtue
of the laws of the State of California, and duly licensed for the
purpose of making, guaranteeing, or becoming sole Surety upon bonds
or undertakings as surety, are held and firmly bound unto the CITY
OF ARCADIA, CALIFORNIA, hereinafter referred to as the "City" in
the sum of EIGHTY TWO THOUSAND NINE HUNDRED FIFTY NINE AND NO /100----- - - - - --
Dollars ($ 82,959.00- - - - - -- ) , lawful money of the United States of
America for the payment of which sum, well and truly to be made, we
bind ourselves, our heirs, executors, administrators, assigns and
successors, jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that whereas said
Contractor has been awarded and is about to enter into a Contract
with the City to perform all work required pursuant to the contract
documents for the project entitled:
STREET LIGHT CONVERSION - JOB NO. 533 AND 583
(Insert Title Shown on Proposal)
which Contract is by this reference incorporated herein, and is
required by the City to give this Bond in connection with the
execution of said Contract;
NOW, THEREFORE, if said Contractor or subcontractor in said
Contract fails to pay for any materials, equipment, tools,
provisions, provender or other supplies, or teams, or services, or
for rental of same, used in, upon, for or about the performance of
the work contracted to be done, or for any work or labor thereon of
any kind, or for amounts due under applicable law with respect to
any work or labor thereon, said Surety will pay for the same in an
amount not exceeding the sum specified above, and also, in case
suit is brought upon this Bond, a reasonable attorney's fee, to be
fixed by the Court. This Bond shall inure to the benefit of any
and all persons, companies, or corporations entitled to file claims
under applicable law;
PROVIDED, that any alterations in the work to be done, or the
materials, equipment, tools, provisions, provender or other
supplies, or teams, or services to be furnished, which may be made
pursuant to the terms of said Contract, shall not in any way
release either said Contractor or said Surety thereunder, nor shall
C -5
Job Nos. 533 and 583
ORIGINAL
Contract release either said Contractor or said Surety, and notice
of such alterations or extensions of the Contract is hereby waived
by said Surety.
IN WITNESS WHEREOF, we have hereunto set our hands and seals
this 14TH day of FEBRUARY 19 94
C. T. & F., INC.
Principal
By `
S L)
Certificate of Acknowledgement
STATE OF CALIFORNIA 1
County of Los Angeles J
On 2/14/94
personally appeared
INSURANCE COMPANY OF THE WEST
Su - y
4�:, L' B
JUDITH K. CUNNINGHAM S L)
ATTnVVVV— TN— FACT
before me, MARGARETA T. HIERL. NOTARY PURLTC
JUDITH K. CUNNINGHAM
personally known to me (or 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 thZ alf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
uamunnnluumuluulnlululmnuuunnnnnunnmlmuununnuumnnnunnmmunmtnmm�wnnnu�
/� OFFICIAL StAL
Signature i Seal) _
' , NOTARY PU3UC - CA LIFURNIA
PRINCIPAL OFF!` -C IN
360,7L -6.91 a > LOS ANGr.!ES COON r%
My Commission upiresCrc.9,1994
IWUIIWIWWInnilWilYII11: uW11WIWY11WII1WYUIWWtJJW� .WI7WiY.l4iYW.JIr.
C -6
INSURANCE COMPANY OF THE WEST
HOME OFFICE: SAN DIEGO, CALIFORNIA
Certified Copy of
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS- That INSURANCE COMPANY OF THE WEST, a Corporation duly
authorized and existing under the laws of the State of California and having its principal
office in the City of San Diego, California, does hereby nominate, constitute and appoint:
JUDITH K. CUNNINGHAM
its true and lawful Attorney(s) -in -Fact, with full power and authority hereby conferred in
its name, place and stead, to execute, seal, acknowledge and deliver any and all bonds,
undertakings, recognizances or other written obligations in the nature thereof.
This Power of Attorney is granted and is signed and sealed by facsimile under and by the
authority of the following Resolution adopted by the Board of Directors of INSURANCE
COMPANY OF THE WEST at a meeting duly called and held on the Sixth day of February, 1973,
which said Resolution has not been amended or rescinded and of which the following is a
true, full, and complete copy:
"RESOLVED: That the President or Secretary may from time to time appoint Attorneys -in-
Fact to represent and act for and on behalf of the Company, and either the President or
Secretary, the Board of Directors or Executive Committee may at any time remove such
Attorneys -in -Fact and revoke the Power of Attorney given him or her; and be it further
RESOLVED: That the Attorney -in -Fact may be given full power to execute for and in the
name of and on behalf of the Company any and all bonds and undertakings as the business of
the Company may require, and any such bonds or undertakings executed by any such Attorney -
in -Fact shall be as binding upon the Company as if signed by the President and sealed and
attested by the Secretary."
IN WITNESS WHEREOF, INSURANCE COMPANY OF THE WEST has caused its official seal to be here-
unto affixed and these presents to be signed by its duly authorized officers this
27th day of September, 1989.
�L4NOPANr�
H
STATE OF CALIFORNIA �,1lFORN��
COUNTY OF SAN DIEGO
INSURANCE COMPANY OF THE WEST
res
On this 27th day of September, 1989 before the subscriber, a Notary Public of the State
of California, in and for the County of San Diego, duly commissioned and qualified, came
BERNARD M. FELDMAN, President of INSURANCE COMPANY OF THE WEST, to me personally known to
be the individual and officer described in and who executed the preceding instrument, and
he acknowledged the execution of the same, and being by me duly sworn, deposeth and saith,
that he is the said officer of the Corporation aforesaid, and that the seal affixed to the
preceding instrument is the Corporate Seal of the said Corporation, and that the said
Corporate Seal and his signature as such officer were duly affixed and subscribed to the
said instrument by the authority and direction of the said Corporation.
IN WITNESS WHEREOF,
I have hereunto set my
of San Diago,,,the;:•da�r=s�nd: yeah, =st.r`aove
Qi:F;CIAL SLAL
A
JAMS E THcO'�ORE
� i •� •� I
� ;•,)i. - ^'! r ^L':�.IC G'.L1�OFt11A
� V1 * -',. 7 Tj;�
PiYFC 4L 0+FICE H-1 S
AN Dr$GO CUU N T w4
'!•r rn ". lss+wl EX) June 4 1990
� }i•i: =c �_`j.''.•'. r���'�`s`S(��'t�'t"� �'S7'Y1fi°i�f�'i°t?
STATE OF CALIFORNIA
COUNTY OF SAN DIEGO
SS:
hand and affixed my Official Seal, at the City
written.
I, the undersigned, JAMES W. AUSTIN, III, Secretary of INSURANCE COMPANY OF THE WEST, do
hereby certify that the original POWER OF ATTORNEY, of which the foregoing is a full, true
and correct copy, is in full force and effect, and has not been revoked.
IN WITNESS WHEREOF, I have hereunto subscribed my name as Secretary, and affixed the
Corporate Seal of the Corporation, this 14TH day of FEBRUARY 19 94
�`�MPANr�
ICW CAL 37( REV . 5/87)
L -
ecretary
A0,01Me CERTIFICATE
- ... ,
OF INSURANCE CSR LC ISSUE DATE
CTF300C
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
Dodge Warren & Peters - Orange
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
765 The City Drive, Suite #300
POLICIES BELOW.
Orange CA 92668-
COMPANIES AFFORDING COVERAGE
714 - 748 -0464
............ ........ ........... __ ...... ............
c'm" A Golden Nagle Insurance Co.
:................................ ...........................................
............. ............................
................................. .... ........ .......................................... ...
COMPAN Y B pCIC
INSUIRED
LETTER
; ....................................................................................................................................... ...............................
COMPANY C
LETTER
i.._. ..........._....___. _ .................. ...................
................................................ ....................... ..._..........
COMPANY D
C.T. & F., Inc.
LETTER
7230 Scout Avenue
Bell Gardens CA 90201
COMPANY E
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A! L THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO POLICY EFFECTWE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM /DD/YY) UNITS
GENERAL LIABILITY
:GENERAL AGGREGATE i
: $2,000,000
A X COMMERCIAL GENERAL LIABILITY :CCP237328
:.................. ..............................: ................I.....I ................
10/28/93 10/28/94 :PRODUCT &COMP /OPAOG. ' $1,000 f.000
CLAIMS MADE X OCCUR.
PERSONAL & ADV. INJURY t $1 QQQ QQQ
:
&CONTRACTOR'S PROT.
................................................. ............................... ....................
EACH OCCURRENCE _ $1 QQQ QQQ
............
FIRE DAMAGE (Any one tire) f $ 30,000
..................................
................................ .. _.....
MED. EXPENSE (Any one person! t S 0O0
AUTOMOBILE LIABILITY
COMBINED SINGLE 1, 000, 000
ANY AUTO
A X CCP237328
.........:
10/28/93 10/28/94 .......:........ ...............................
ALL OWNED AUTOS
: BODILY INJURY
_......:
SCHEDULED AUTOS
(Per person) _
,.......:
HIRED AUTOS
............ . ....................................... .... .......... .......................
BODILY INJURY
NON -OWNED AUTOS
: : Per accident) t
_......: GARAGE LIABILITY
:............................ ............. ...... .:.._................................. ..
PROPERTY DAMAGE s?
EXCESS LIABILITY
; EACH OCCURRENCE $412,000,000
A UMBRELLA FORM EXC237329
..................... _ .... ...............................
10/28/93 10/28/94 AGGREGATE $ $2,000,000
X OTHER THAN UMBRELLA FORM
_.......
No WORKER'S COMPENSATION WC93 000493 11/01/93 11/01/94 B STATUTORYLIM...
AND
EACH ACCIDENT i 1 , 00 Q QQQ
EMPLOYERS' LIABILITY
DISEASE— POLICY LIMIT i 1 QOQ QQQ
DISEASE— EACH EMPLOYEE 11;1,000#000
OTHER
71iAutomobile CCP237328
10/28/93 10/28/94 Ded. $500 Coll
Physical damage
Ded. $500 Comp
DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /SPECIAL ITEMS
10 day notice of cancellation for
non- payment of premium
The City of Arcadia, its officers
insureds
and emplo ees are added as additional
per attached endorsement.
Ref: Job# 533 and 583 - Street Lights
Conversion on Valncia Wa and Hillcrest
e
Blvd. and on Huntington Drive
from Sec v Avenue
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
City of Arcadia
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Attn: Michael Miller
- LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
City Attorney
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
P. O. Box 60021
Arcadia CA 91066 -6021
HOP TATIVE
S (7/901 ACORD 25
ORAOpRDi7RPORATION 1990
Job Nos. 533 and 583
Golden Eagle Insurance Company
Name of Insurance Company
CCP237328
Policy Number
October 28, 1993
Effective Date
ORIGINAL
The following endorsements are hereby incorporated by reference
onto the attached Certificate of Insurance as though fully set
forth thereon:
1. The naming of an additional insured as herein provided
shall not affect any recovery to which such additional
insured would be entitled under this policy if not named
as such additional insured, and
2. The additional insured named herein shall not be held
liable for any premium or expense of any nature on this
policy or any extensions thereof, and
3. The additional insured named herein shall not by reason
of being so named be considered a member of any mutual
insurance company for any purpose whatsoever, and
4. The provisions of the policy will not be changed,
suspended, cancelled or otherwise terminated as to the
interest of the additional insured named herein without
first giving such additional insured twenty (20) days
written notice.
5. Any other insurance held by the additional insured shall
not be required to contribute anything toward any loss or
expense covered by the insurance which is referred to by
this certificate.
It is agreed that the City of Arcadia its officers and employees,
are included as Additional Insured.
8/77
C -7
thorized Insurance Agent
1. FREE
NOTICE OF COMPLETION
Notice pursuant to Civil Code Section 3093, must be filed within 10 days after completion. (See reverse side for Complete requirements.)
Notice is hereby given that:
1. The undersigned is owner or corporate officer of the owner of the interest or estate stated below in the property hereinafter described:
2. The full name of the owner is CITY OF ARCADIA
3. The full address of the owner is 240 WEST HUNTINGTON DRIVE, ARCADIA, CALIFORNIA 91007
4. The nature of the interest or estate of the owner is; In fee.
(If other than fee, strike "In fee' and insert, for example, "purchaser under contract of purchase," or "lessee")
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:
NAMES ADDRESSES
6. A work of improvement on the property hereinafter described was completed on NOVEMBER 15, 1994The work done was:
ST LIGHT CONVERSION VALENCIA WY HILLDREST BL JOB 533 & HUNTINGTON DR. JOB 583
7. The name of the contractor, if any, for such work of improvement was
(If no contractor for work of improvement as a whole, insert "none'.) (Date of Contract)
8. The property on which said work of improvement was completed is in the city of ARCADIA
County of LOS ANGELES , State of California, and is described as follows:
THE STREETS OF VALENCIA WAY, HILLCREST BL. AND HUNTINGTON DRIVE FROM SECOND
AVE TO FIFTH AVE IN THE CITY OF ARCADIA
9. The street address of said property is VARIOUS ADDRESSES AS NOTED ABOVE UNDER PROJECTS 533 & 583
(If no street address has been officially assigned, insert "none ".)
Dated: NOVEMBER 16, 1994
Verification for Individual Owner
Signature of owner or corporate officer of owner
WILLIAM R. K�gd�it_paragrp 2 or hiY8Mt R
VERIFICATION
I, the undersigned, say: I am the CLERK OF THE CITY OF ARCADIA the declarant of the foregoing
( "President of', "Manager of', "A partner of ", "Owner of', etc.)
notice of completion; 1 have read said notice of completion and know the contents thereof; the same is true of my own knowledge.
I declare under penalty of perjury that the foregoing is true and correct.
Executed on
NOVEMBER 16
(Date of signature.)
1994 at ARCADIA California.
(City lwhere sisijggneedd.)
X ,l —, Ill, �"� F
(PI signature of the indivi al who is swearing that the contents of
the notice of completion are tr ,
JUNE D. ALFORD, CITY CLERK
NOTICE OF COMPLETION — WOLCCTTS FORM 1114 —Rev. 6 -74 (price class 3) 8 pt. type or larger
RECORDING REQUESTED BY
94 2105 ®26
CITY OF ARCADIA
AND WHEN RECORDED MAIL TO
i
1
I
CITY OF ARCADIA
RECORDED /FILED IN OFFICIAL RECORDS
r Name
JUNE D. ALFORD, CITY CLERK
RECORDER'S OFFICE
street
240 WEST HUNTINGTON DRIVE
LOS ANGELES COUNTY
Address
P.O. BOC 60021
CALIFORNIA
City
State
ARCADIA, CA 91066 -6021
MIN
1 AST 4 PM. NOV 221994
L
J
1. FREE
NOTICE OF COMPLETION
Notice pursuant to Civil Code Section 3093, must be filed within 10 days after completion. (See reverse side for Complete requirements.)
Notice is hereby given that:
1. The undersigned is owner or corporate officer of the owner of the interest or estate stated below in the property hereinafter described:
2. The full name of the owner is CITY OF ARCADIA
3. The full address of the owner is 240 WEST HUNTINGTON DRIVE, ARCADIA, CALIFORNIA 91007
4. The nature of the interest or estate of the owner is; In fee.
(If other than fee, strike "In fee' and insert, for example, "purchaser under contract of purchase," or "lessee")
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:
NAMES ADDRESSES
6. A work of improvement on the property hereinafter described was completed on NOVEMBER 15, 1994The work done was:
ST LIGHT CONVERSION VALENCIA WY HILLDREST BL JOB 533 & HUNTINGTON DR. JOB 583
7. The name of the contractor, if any, for such work of improvement was
(If no contractor for work of improvement as a whole, insert "none'.) (Date of Contract)
8. The property on which said work of improvement was completed is in the city of ARCADIA
County of LOS ANGELES , State of California, and is described as follows:
THE STREETS OF VALENCIA WAY, HILLCREST BL. AND HUNTINGTON DRIVE FROM SECOND
AVE TO FIFTH AVE IN THE CITY OF ARCADIA
9. The street address of said property is VARIOUS ADDRESSES AS NOTED ABOVE UNDER PROJECTS 533 & 583
(If no street address has been officially assigned, insert "none ".)
Dated: NOVEMBER 16, 1994
Verification for Individual Owner
Signature of owner or corporate officer of owner
WILLIAM R. K�gd�it_paragrp 2 or hiY8Mt R
VERIFICATION
I, the undersigned, say: I am the CLERK OF THE CITY OF ARCADIA the declarant of the foregoing
( "President of', "Manager of', "A partner of ", "Owner of', etc.)
notice of completion; 1 have read said notice of completion and know the contents thereof; the same is true of my own knowledge.
I declare under penalty of perjury that the foregoing is true and correct.
Executed on
NOVEMBER 16
(Date of signature.)
1994 at ARCADIA California.
(City lwhere sisijggneedd.)
X ,l —, Ill, �"� F
(PI signature of the indivi al who is swearing that the contents of
the notice of completion are tr ,
JUNE D. ALFORD, CITY CLERK
NOTICE OF COMPLETION — WOLCCTTS FORM 1114 —Rev. 6 -74 (price class 3) 8 pt. type or larger