RIC Construction - Fire Station BradleyFile #: 1230 [CA][PUBLIC][OWNER]
Recording Requested by and Return
NACM's
MLBS
8840 Columbia 100 Pkwy
Columbia, MD 21045
Customer: CHRISTIANSON RFG
to: ID #: 152473
Project: FIRE STATION 6700
Rec ID: D8961F26-F2B7-4440-9B7B-020365054712
Job #: 19103,FIRE6700
1 Cert No.: 9214 890135156500 580125
CALIFORNIA
PRELIMINARY NOTICE - PUBLIC WORKS
(THIS NOTICE IS GIVEN PURSUANT TO CALIFORNIA CIVIL CODE §§ 8034(BJ, 8102, 8106-8118, 8200 et seq., 8612, 9300 et Seq.J
>> TO THE PUBLIC ENTITY OR REPUTED
1. The following is a general description of
CITY OF MENIFEE
the labor, service, equipment or materials
29714 HAUN RD
furnished or to be furnished by the undersigned:
MENEFEE, CA 92586
Building Material
USA
2. The estimated amount of the work provided or
to be provided is $40,000.00
3. The name of the person who furnished
TO DIRECT OR REPUTED CONTRACTOR
that labor, service, equipment or
RIC CONSTRUCTION CO INC
materials is:
10675 E AVE #1
Allied Building Products Corp.
HESPERIA, CA 92345
15 East Union Avenue
USA
EAST RUTHERFORD, NJ 07073
USA
Relationship to Parties: Material Supplier
>> TO LENDER, SURETY OR BONDING CO. OR
4. The name of the person who contracted for
>> REPUTED LENDER, SURETY, BONDING CO.
purchase of that labor, service, equipment
HUB/INLAND SURETY
or material is:
Hub International / Inland Surety
CHRISTIANSON RFG
3390 UNIVERSITY AVE STE 300
1566 7TH ST
RIVERSIDE, CA 92501
RIVERSIDE, CA 92507
USA
USA
Acct/Bond# CAC 710896
5. The description of the jobsite is:
FIRE STATION 6700
28349 BRADLEY RD
SUN CITY, CA 92586
USA
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 perjury that the foregoing is true and correct. Executed at Columbia, Maryland on
12/28/2016 for ALLIED BUILDING PRODUCTS CORP..
Prepared by: /� V rim
Michelle Sparks CCE, Regional Credit Manager Phone: (877) 267-1136 Fax: (201) 636-9009
PROOF OF SERVICE BY MAIL AFFIDAVIT
I declare that I served the Preliminary Notice, and any related documents, by certified or
registered mail, postage prepaid, or other certified delivery, addressed to the above named
parties, at the addresses listed above, on 12/28/2016. I declare under penalty of perjury that the
foregoing is true and correct. Executed at Columbia, Maryland on 12/28/2016.
Prepared by:
Bonnie Houck, NACM MLBS Representative
California Owner and Lender request per CA Statute 8208
California Law provides that the General Contractor must make available to any person seeking to give a
preliminary notice the Owner and Lender information per the following section:
8208. A direct contractor shall make available to any person seeking to give preliminary notice the
following information:
(a) The name and address of the owner.
(b) The name and address of the construction lender, if any.
Please enter any corrections to the information listed within the notice provided
Owner or Public Entity:
Lender, Surety or Bonding Company:
Return completed form:
NACM's STS — MLBS
8840 Columbia 100 Parkway
Columbia, MD 21045
Email:
mlbsrequest@nacm.org
MLBS Project #: 152473