Superior Pavement Markings, Inc. - ADA Accessibility Ramps Projectgotice requested by and return to t ' fv Clerk
superior Pavement Markings, Inc.
:1.o. Box 278 Ali 0 5 2016
3eaumont CA 92223 Job# 4650
pe,/Amrl
Customer: City of Menifee
Project: ADA Accessibility Ramps Project
CertNo: 70161370000005890968
Return receipt requested
CALI ORNIA 15RELIIilIINARY 20-®AY NOTICE(Public Work)
CALIFORNIA Civil Cede Section 3098,3111,3241,and 3252 et Seq.
THIS IS NOT A LIEN. THIS IS NOT A REFLECTION OF ANY CONTRACTOR OR SUBCONTRACTOR.
City o1 Menifee
r0 OWNER City Cierk 1. The following is a general description of the labor, service,
OR REPUTED OWNER equipment or materials furnished or to be furnished by the
City of Menifee AUG 0 s 201r,', undersigned:
29714 Haun Rd
Menifee, CA 92586
Ph
Contract#
TO ORIGINAL CONTRACTOR
OR REPUTED CONTRACTOR
Ruiz Concrete and Paving, Inc.
1344 Temple Ave
Long Beach, CA 90804
Ph 562-439-3070
TO LENDER, SURETY
Quigley Insurance Cc
85 Argonaut #212
Aliso ViejoCa 92656
07650052
Received 2. Estimated Price: $4,060.00
3. The name of the person who furnished that labor, service,
equipment or material is:
Superior Pavement Markings, Inc.
P.O. Box 278
Beaumont CA
Earl Smith
4. The name of the person who contracted for purchase of that
labor, service, equipment or material is:
Ruiz Concrete and Paving, Inc.
1344 Temple Ave
Long Beach, CA 90804
Ph 562-439-3070
5. The description of the job site is:
ADA Accessibility Ramps Project
Sun City Blvd & Evans Rd
Menifee, CA
VERIFICATION
I declare that I am authorized to file this PRELIMINARY 20-DAY NOTICE (PUBLIC WORK) 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 under the laws of the State of
California that the foregoing is true and correct. Executed at Beaumont on for Superior Pavement Markings, Inc..
By� — 951.845.2799 Date Signed: t1 I L
Earl Smith
PROOF OF SERVICE BY MAIL AFFIDAVIT
I declare that 1 served copies of the above PRELIMINARY 20-DAY NOTICE (PUBLIC WORK) by First Class Certified and/or Return Receipt
Requested or Registered Mail Service, postage prepaid, (as required by law) addressed to each of the parties at the addresses shown above on .
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at Beaumont on for
Superior Pavement Markings, Inc..
c'
By: 1 �— 951.845.2799 Date Signed: fl ,
Earl Smith
NOTICE TO PRIME OR GENERAL CONTRACTOR
THIS IS NOT A LIEN. THIS IS NOT A REFLECTION OF ANY CONTRACTOR OR SUBCONTRACTOR. The undersigned has
entered into a contract to perform labor of furnish materials for the above -described public project, and will look to you
and your sureties for payment if the person ordering such materials and labor fails to pay for them.