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Home My WebLink AboutC-1537Job Nos. 590, 591, & 592 THIS CONTRACT, made and executed 1995 , by and between the City of referred to simply as City, and C. T. & F., INC. this 25th day of May Arcadia, California, hereinafter, referred to simply as Contractor. ORIGINAL hereinafter 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 Lights Conversion on Forest Ave. from Santa Anita Ave. to First Ave. (Job No. 590), First Ave. from Foothill B1. to the (Name of Project) 210 Freeway (Job No. 591) , First Ave. from 210 _Freeway to Wheeler St. (Job No. 592), and First Ave. from California St. to Diamond St. (Job No. 592) Eighty Eight Thousand Fifty Dollars ($88,050) (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 ORIGINAL Job Nos. 590, 591, & 592 In the event suit is brought upon this Bond by the City and judgment is recovered, said Surety shall pay all costs incurred by the City in such suit, including a reasonable attorney's fee to be fixed by the Court. IN WITNESS WHEREOF, we have hereunto set our hands and seals, this 13tb day of May , 19 95 . THE AETNA CASUALTY AND SURETY COMPANY Prin ipal Surety By V4. 46,A=-JT By : -- SEAL) Kenneth McElvan ATTORNEY IN FACT C -4 . , Job Nos. 590, 591, & 592 LABOR AND MATERIAL BOND (50a of Contract Price) (100% of Contract Price if over $100,000) ORIGINAL 86SB100939374BCA $634.00 KNOW ALL MEN BY THESE PRESENTS, THAT WE C.T.& F., INC. Imm6plawil't'vou- hereinafter referred to as "Contractor" as PRINCIPAL, and THE AETNA CASUALTY AND SURETY COMPANY a corporation duly organized and doing business under and by virtue of the laws of the State of California, and duly licensed for the purpose of making, guaranteeing, or becoming sole Surety upon bonds or undertakings as surety, are held and firmly bound unto the CITY OF ARCADIA, CALIFORNIA, hereinafter referred to as the "City" in the sum of FORTY FOUR THOUSAND AND TWENTY FIVE------------- - - - - -- Dollars ($ 44,025.00- - - - - }, 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 LIGHTS CONVERSION ON FOREST AVE. FROM SANTA ANITA AVE. TO FIRST AVE.(JOB NO.590), FIRST AVE.FROM 'ff7^^MTXYT T UT mn muTi Yin vvvvwxv (Tnn un _ xM 1 _ FIRST AVE_ . FROM 210_ FREEWAY TO WHEELER ST. (JOB (Insert Title shown on Proposal) NO.592), AND FIRST AVE. FROM CALIFORNIA ST. TO DIAMOND ST. (JOB NO.592) 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 any extensions of time granted under the provisions of said C -5 ORIGINAL Job Nos. 590, 591, & 592 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 71th day of May , 19 95 C. .-& F., C. /A CORPORATION THE AETNA CASUALTY AND SURETY COMPANY Pri cipa.l Surety gy; Ct PIL S�U� B (SEAL) Re•neth E.McElvany (SEAL ATTORNEY IN FACT C -6 CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of r_aI i fnrnia County of San Bernardino On May 11, 1995 DATE personally -appeared before malice M. Cherbak,Notary Public NAME, TITLE OF OFFICER - E.G., "JANE DOE, NOTARY PUBLIC" Kenneth E. McElvany NAME(S) OF SIGNER(S) 7 personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence to be the person" whose name(9) ism subscribed to the within instrument and ac- knowledged to me that he /executed the same in his /' a -41 a' authorized capacity(ies), and that by hiss signature* on the instrument the person(w), or the entity upon behalf of which the person(z) acted, executed the instrument. ALICE M. CHERBAK COMM. NO. 997001 m NOTARY PUBLIC - CALIFORNIA WIT hand and official seal. W Y' SAN BERNARDINO COUNTY s _ MY COMM. EXPIRES JUNE 25, 1997 SIGNATURE OF NOTARY OPTIONAL No. 5907 Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN /CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) The Aetna Casualty and Surety Co. DESCRIPTION OF ATTACHED DOCUMENT 86SB100939374BCA TITLE OR TYPE OF DOCUMENT 2 NUMBER OF PAGES 5111195 9 DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE 01993 NATIONAL NOTARY ASSOCIATION - 8236 Remmet Ave., P.O. Box 7184 - Canoga Park, CA 91309 -7184 ORIGINAL Job Nos. 590, 591, & 592 TRANSCONTINENTAL INSURANCE COMPANU Name of Insurance Company 0030954027 P 0j6 c:X8 Ny&b e r Effective-Date 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. EXCEPT FOR NON - PAYMENT OF PREMIUM WHICH TEN DAYS IS GIVEN. 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 c e r t i f i c a t e. AS RESPECT WORK DONE BY OR PERFORMED BY NAMED INSURED. It is agreed that the City of Arcadia, its officers and emnloyees. are included as Additional Insured. NAMED INSURED: C.T. & F., INC. 8/77 C�J A thoriz Insurance Age KENNETH MCELVANY CUSTOMER 4 15651 C E R T I F I C A T E O F I N S U R A N C E ISSUE DATE; 05/12/95 PRODUCER I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MCELVANY INSURANCE INC. I NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, P.O. BOX 9148 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ONTARIO, CA (909) 933 -2623 I COMPANIES AFFORDING COVERAGE ZIP CODE 91761 1 COMPANY LETTER A TRANSCONTINENTAL INSURED C. T. 6 F., INC. 7228 SCOUT AVENUE BELL GARDENS, CA ZIP CODE 90201 COMPANY LETTER B TRANSPORATION INS CO COMPANY LETTER C COMPANY LETTER D COMPANY LETTER E --------------- -- COVERAGES THIS IS TO CERTIFY THAT 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 PERTAN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY POLICY LTR TYPE OF INSURANCE POLICY NUMBER EFF. DATE EXP. DATE LIMITS (GENERAL LIABILITY Al (X) COMMERCIAL GENERAL LIABILITY I I I CO 309540.7 10/28/94 10/28/95 1 GENERAL AGGREGATE PRODUCTS- COMP /OP AGG. $ 2,000,000 s i; 000,000 ( ) CLAIMS MADE (X) OCCUR. I I PERSONAL 6 ADV. INJURY $ 1,000,000 ( ) OWNER'S & CONTRACTOR'S PROT. I i EACH OCCURRENCE s 1,000,000 ( } I I FIRE DAMAGE (ANY ONE FIRE) $ 50,000 I 1 ( } I - ---------------------- �_MED -- EXPENSE - (ANY -ONE - PER- ) - - - - -- -5,000 IAUTOMOBILE LIABILITY BI (X) ANY AUTO I I I BUA301IL807 10/28/94 10/28/95 1 COMBINED SINGLE LIMIT s 1,000,000 ( ) ALL OWNED AUTOS ( ) SCHEDULED AUTOS I 1 I I BODILY INJURY (PER PERSON) $ * * * ** c ) HIRED AUTOS I { ) NON - OWNED AUTOS I I I I BODILY INJURY (PER ACC) * * * ** ( ) GARAGE LIABILITY ( } I I I I PROPERTY DAMAGE --------- ------ --------------------------------------------------------------------------------------------------- A IEXCESS LIABILITY (X) UMBRELLA FORM I I I CUP30116810 10/28/94 10/28/95 1 EACH OCCURRENCE $ 2,000,000 ( ) OTHER THAN UMBRELLA FORM I I AGGREGATE $ 2,000,000 ------------------------------------------------------------------------------------------------------------------------ 1 1 ( ) STATUTORY LIMITS ,1 1 WORKER'S COMPENSATION I I EACH ACCIDENT I * * * ** 1 AND I I DISEASE - POLICY LIMIT * * * ** EMPLOYER'S LIABILITY i i DISEASE -EACH EMPLOYEE * * * ** IOTHER --= --------------------------------------------------------------------------------------------------------------------- DESCRIPTION OF OPERATIONS/LOCATIONS /VEHICLES /SPECIAL ITEMS *EXCEPT 17RT95N 7 EAYS NOITCE FCR NCWAUMTT CF PREMIUM. ��T WTIAI Wa&� ARAB! 000954027. AS RAT T3 WERATICNS CF THE NAMED IlNk2Ffl. CERTIFICATE HOLDER I CANCELLATION CITY OF ARCADIA I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 240 W. HUNTINGTON DR. I JXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL P.O. BOX 60021 I 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT ARCADIA, CA I BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABLITY ZIP CODE 91066 -6021 I OF ANY KIND UPON THE COMPANY, I AGENTS OR REPRESENTATIVES. ----------------------------------------------------------------- - - - - -- - - - - -- -------------- - - - - -- ----------------- AUTHORIZED REPRESENTATIVE I ;q2l= MCELVANY /� For nllL+eGceRmhmer.u:'on5lc}e NASiED INSURED: C.T. & F., INC. THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART WF,b IS AN' INSURED (Section 11) is amended to include as an insured any person or organization (called additional • • insured) whom you are required to add as an additional insured on this policy under; 1. A written ccrtraut or agreement; or 2. An oral agreement or contract where a certificate of insurance showing that person or organization as an additional insured has been issued; but: the written or oral contract or agreement must be: (a) currently in effect or becoming effective during the term of this policy; and (b) executed prior to the "bodily injury," "property damage," "personal Injury," or "Adven Ising Injury." The insurance provided to the additional insured is limited as follows: 1. That person or organization is only an additional insure -d with respect to liability arising out of a. Premises you own, rent, lease, or occupy or b. "Your work" for that additional insured by or for you. 2. The limits of insurance applicable to the additional insured are those specified in the written contract or agreement or in the Declarations for this policy whichever are less. These limits of insurance are inclusive of and not in addition to the limits of insurance shown in the Declarations. The insurance provided to the additional insured does not apply to "bodily injury", "property damage ", "personal injury" or "advertising injury" arising out of an architect's, engineer's, or surveyor's rendering of or failure to render any professional services including: 1. The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change orders, design or specifications; and 2. Supervisory, inspection, or engineering services, Any coverage provided hereunder shall be excess over any other valid and collea tibia insurance available to the additional insured whether primary, excess, contingent or on any other basis unless a contract specifically requires that this insurance be primary or you request that it apply on a primary basis. THIS ENDORSEMENT IS A PART OF YOUR POLICY AND TAKES EFFECT QN,TH5- EFFECTIVE DATE OF YOUR POLICY UNLESS ANOTHER EFFECTIVE DATE IS SHOWN i3ELOW. POLICY CHANGE NO. EFFECTIVE DA T"cc OF THIS POLICY CHANGE 10 -28 -94 COUNTERSIGNED DATE I A� U T f-,Cn1ZED 10 -28 -95 4% -1 7�a7 -3 (E-D. Cgi 2) Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. This is to Certify that C. & F., INC. 7228 SCOUT AVENUE Name and LIBERTY BELL GARDENS, CA 90201 ' address of'I�A T Insured. [ll. I Is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed pollcy(ies) is subject to all their terms, exclusions and conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. EXP.DATE ❑ CONTINUOUS I TYPE OF POLICY ❑ EXTENDED I POLICY NUMBER I LIMIT OF LIABILITY WORKERS -COMPENSATION GENERAL LIABILITY ❑ OCCURRENCE ❑ CLAIMS MADE 11 -1 -95 PIETRO DATE WC6 -161- 036821 -014 COVERAGE AFFORDED UNDER WC I EMPLOYERS LIABILITY LAW OF THE FOLLOWING STATES. Bodily Injury BV Accident $1,000,000 Each Accident CALIFORNIA Bodily Injury By Disease $1,000,000 Policy Limit Bodily Injury By Disease $1,000,000 Each Persc General Aggregate - Other than Products /Completed Operations Products/Completed Operations Aggregate Bodily Injury and Property Damage Liability Personal and Advertising Injury Other ADDITIONAL COMMENTS RE: -CITY OF ARCADIA STREET LIGHT CONVERSION, FOREST AVENUE, ETC. JOB NUMBER: 3264 Other Per Occurrence Per Person/ Organization Each Accident - Single Limit B.I. and P.D. Combined Each Person Each Accident or Occurrence Each Accident or Occurrence If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. SPECIAL NOTICE -OHIO: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED Liberty Mutual Group UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF SUPH_CANCELLATION HAS BEEN MAILED TO: I CITY OF - ARCADIA OFFICE OF THE CITY ATTORNEY ROB BERGS OM CERTIFICATE 240 WEST HUNTINGTON DRIVE HOLDER POST OFFICE BOX 60021 AUTHORIZED REPRESENTATIVE ARCADIA, CA 91066.6021 LOS ANGELES (213) 938 -2282 5/19/95 I OFFICE PHONE NUMBER This certificate is executed by LIBERTY MUTUAL GROUP as respects such insurance as is afforded by 11 -- r,,....,,..:,w DATE ISSUED AUTOMOBILE i f LIABILITY ❑ OWNED ❑ NON -OWNED ❑ HIRED i OTHER ADDITIONAL COMMENTS RE: -CITY OF ARCADIA STREET LIGHT CONVERSION, FOREST AVENUE, ETC. JOB NUMBER: 3264 Other Per Occurrence Per Person/ Organization Each Accident - Single Limit B.I. and P.D. Combined Each Person Each Accident or Occurrence Each Accident or Occurrence If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. SPECIAL NOTICE -OHIO: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED Liberty Mutual Group UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF SUPH_CANCELLATION HAS BEEN MAILED TO: I CITY OF - ARCADIA OFFICE OF THE CITY ATTORNEY ROB BERGS OM CERTIFICATE 240 WEST HUNTINGTON DRIVE HOLDER POST OFFICE BOX 60021 AUTHORIZED REPRESENTATIVE ARCADIA, CA 91066.6021 LOS ANGELES (213) 938 -2282 5/19/95 I OFFICE PHONE NUMBER This certificate is executed by LIBERTY MUTUAL GROUP as respects such insurance as is afforded by 11 -- r,,....,,..:,w DATE ISSUED ORIGINAL Job Nos. 590, 591, & 592 CERTIFICATION OF CONTRACTOR IN ACCORDANCE WITH LABOR CODE SECTION 1861 The undersigned is aware of the provisions under section 3700 of the California Labor Code which requires every employer to be insured against liability for Worker's Compensation or to undertake self- insurance in accordance with the provisions of that Code, and it will comply with such provisions before commencing the performance of the work of this Contract. C -8 RECORDING REQUESTED BY w CITY OF ARCADIA AND WHEN RECORDED MAIL TO: NAME JUNE D. ALFORD, CITY CEERK CITY OF ARCADIA STREET ADDRESS 240 WEST HUNTINGTON DRIVE CITY, STATE& P.O. BOA 60021 ZIP CODE ARCADIA, CA 91066 -6021, L M f 4 RECORDED /FILED IN OFFICIAL RECORDS RECORDER'S OFFICE LOS ANGELES COUNTY CALIFORNIA 4:01 PM FEB 12 1996 SPACE ABOVE THIS LINE FOR RECORDER'S USE NOTICE OF COMPLETION FRS 1 A 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. The full names and full addresses of the predecessors in interest of the undersigned, if the property was transferred subsequent to the commencement of the work or improvements herein referred to: NAMES ADDRESSES 7. A work of improvement on the property hereinafter described was completed on FEBRUARY 6, 1996 STREET LIGHTS CONVERSION ON FOREST AVENUE AND FIRST AVENUE WITHIN ARCADIA The work done was: — JOB NO. 590, 591 8. The name of the contractor, if any, for such work of improvement was C T & F., INC MAY 25, 1995 (IF NO CONTRACTOR FOR WORK OF IMPROVEMENT AS A WHOLE, INSERT "NONE") (DATE OF CONTRACT) 9. The property on which said work of improvement was completed is in the City of ARCADIA Countyof LOS ANGELES Stateof CA and is described as follows: FOREST AVE, SANTA ANITA AVE. TO FIRST AVE & FIRST AVE.- FOOTHILL BL. 10 210 FWY TO WHEELER S1 & CALIFORNIA ST TO DIAMOND -ST. 10. The street address of said property is VARIOUS STREETS UNDER PROJECT NOS. 590, 591, 592 AS NOTED ABOVE OF Nn STRFFT ADDRESS HAS BEEKOFEICIALLY ASSIGNED, INSERT "NONE ".) Dated: FEBRUARY 7, 1996 (SIGNATURE OF OWNER OR CORPORATE;IFICER OF WILLIAM R. KELLY, CITY VERIFICATION OR HIS I, the undersigned, say: I am the CITY CLERK OF THE CITY OF ARCADIA the declarant of the foregoing notice of completion; ( "PRESIDENT OF ", "MANAGER OF ", "PARTNER OF ", "OWNER OF ", ETC.) I 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 FEBRUARY 7 , 1996 at ARCADIA, CALIFORNIA (CITY) (STATE) ONAL SIGNATURE `Of OF THE IND UAL WHO IS SWEARING THAT THE CONTENTS OF THE NOTICE OF COMPLETION ARE TRUE JU .) IIIIIIIII IIII IIII II III NE D. ALFO CITY CLERK WOLCOTTS FORM 1114 - Rev. B -94 (price class 3A) NOTICE OF COMPLETION 7 67775 39114 5 01994 WOLCOTTS FORMS, INC. (See reverse side for additional Information)