COPP Contracting Inc. - Patio Home Street ResurfacingFile #: 635 [CA][PUBLIC][COPY:NOEST] Customer: Roy Allan Slurry Seal Inc
Recording Requested by and Return to: P.O. #:
Chandler Aggregates Inc Project: Patio Homes Neighborhood Street Resur
I Rec ID: 04D6BCF7-32E0-4D75-B751-128630741469
P O Box 78450 Job #: 3264
Corona, CA 92877-0148 1 Cert No.:
CALIFORNIA PRELIMINARY NOTICE - PUBLIC WORKS
(THIS NOTICE IS GIVEN PURSUANT TO CALIFORNIA CIVIL CODE §§ 8034(B), 8102, 8106-8118, 8200 et seq., 8612, 9300 et Seq.)
>> TO THE PUBLIC ENTITY OR REPUTED
City Of Menifee
29683 New Hub Drive Ste C
Menifee, CA 92586
>> TO DIRECT OR REPUTED CONTRACTOR
Copp Contracting Inc
6751 Stanton Ave
Buena Park, CA 90621
Contract Number 1500
>> TO LENDER, SURETY OR BONDING CO. OR
>> REPUTED LENDER, SURETY, BONDING CO
None
The following is a general description of
the labor, service, equipment or materials
furnished or to be furnished by the undersigned:
Aggregate Materials
2. The estimated amount of the work provided or
to be provided is $##########
3. The name of the person who furnished
that labor, service, equipment or
materials is:
Chandler Aggregates Inc
P O Box 78450
Corona, CA 92877-0148
Relationship to Parties:
4. The name of the person who contracted for
purchase of that labor, service, equipment
or material is:
Roy Allan Slurry Seal Inc
11922 Bloomfield Ave
SANTA FE SPRINGS, CA 90670
5. The description of the jobsite is:
Patio Homes Neighborhood Street Resurfacing
Pavement Management Project No 16-03
Rouse rd at the end Menifee
Contract # 1500
Menifee, CA
County of Riverside
REQUEST FOR COPY OF PAYMENT BOND AND NAME OF SURETY COMPANY
TO CONTRACTING BODY: City Of Menifee or State Comptroller
The undersigned Claimant hereby declares that he has supplied or will supply labor or materials as
described above, that payment has not yet been made therefore; and that he hereby requests that the
contracting body furnish a certified copy of the Payment Bond, if any, to the Claimant, at the
address listed above, and the current address of the contracting public entity.
I declare that I am authorized to file this claim on behalf of the Claimant. I have read the
foregoing document and know the contents thereof; the same is true of my own knowledge. I declare
under penalty of perj ry that the foregoing is true and correct. Executed at Corona, California on
11/30/2016 for CH D R AGGREGA ES C.
Prepared by:
Sandi Lawson, Cr d t Manager Phone: (9 -3900 Fax: (951) 277-3339
PROOF OF SERVICE BY MAIL AFFIDAVIT
I declare that I served the Preliminary Notice, and any related documents, by certified or
registered mail, posta e prepaid, or other certified delivery, addressed to the above named
parties, at the addre es listed abo , on 11/30/2016. I declare under penalty of perjury that the
foregoing is true n correct. E ed at Corona, California on 11/30/2016.
Prepared by:
Sandi Lawson, Cr dit a ager