Art3_SanBernardino_FY19_Transit_Accessibility_Notice of Completion - Missing Signature
RECORDED REQUESTED BY
AND
WHEN RECORDED MAIL TO:
NAME: City of San Bernardino
Development Services Department
STREET
ADDRESS: 290 N. “D” Street
CITY &
STATE: San Bernardino, CA 92401 SPACE ABOVE THIS LINE FOR RECORDER’S USE
NOTICE OF COMPLETION File No:
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 owner is City of San Bernardino
3. The full address of the owner is 290 North “D” Street
San Bernardino, CA 92401
4. The nature of the interest or estate of the owner is; In fee;
PURCHASER UNDER CONTRACT
(If other than fee, strike “In fee” and insert, for example, “purchaser under contract of purchase” , or “lessee”)
5. The full name and full addresses of all persons, if any, who hold title with the undersigned as joint tenants or as in common are: NAMES ADDRESSES
6. A work of improvement on the property hereinafter described was completed on 03/23/2021 . The work was: CITYWIDE BUS STOP
IMPROVEMENTS PER PLAN NO. 13375
7. The name of the contractor, if any, for such work of improvement was Tryco General Engineering P.O. Box 391, Rimforest, CA 92378
05/20/2020
(If no contractor for work of improvements as a whole, insert “none”.) (Date of contract)
8. The property on which said work of improvement was completed is in the city of San Bernardino , County of San Bernardino , State of
California and is described as follows:
Special
Provision # 13375
APN# *****NONE*****
9. The street address of said property is “NONE”
(If no street address has been officially assigned, insert “none”)
Dated: March 25, 2021
Verification for Individual Owner
ALEX QISHTA, Deputy Director/City Engineer Public Works Department
CITY OF SAN BERNARDINO
Signature of owner or corporate officer of owner named in paragraph 2 or his agent
VERIFICATION
I, the undersigned, say: I am the Deputy Director/City Engineer the declarant of the foregoing notice of completion; 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 March 25 , 2021 , at San Bernardino , California.
(Date of signature) (City where signed)
ALEX QISHTA, Deputy Director/City Engineer Public Works Department
CITY OF SAN BERNARDINO
(Personal signature of the individual who is swearing that the contents of notice of completion are true)