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I.E. General Engineering Inc 05-13-2019File #: 11020 [CA][PUBLIC][OWNER] Customer: I.E. General Engineering Inc Recording Requested by and Return to: [ Cust. #: RDO Equipment Co. j Project: Adams Avenue Street Improvements [ Rec ID: 1922068E-CD5F-49CD-8F2C-431692672306 700 S. 7TH STREET j Job #: FARGO, ND 58103 1 Cert No.: 9171999991703875793120 CALIFORNIA PRELIMINARY NOTICE — PUBLIC WORKS (THIS NOTICE IS GIVEN PURSUANT TO CALIFORNIA CIVIL CODE §§ 8024(B), 8102, 8106-8118, 8200 et sag., 8612, 9300 et Seg.) >> TO THE PUBLIC ENTITY OR REPUTED City of Menifee 29714 Haun Rd SUN CITY, CA 92586 Contract Number CIP #18-08 >> TO DIRECT OR REPUTED CONTRACTOR I.E. General Engineering Inc 1440 BEAUMONT AVE STE A2-130 BEAUMONT, CA 92223 >> TO LENDER, SURETY OR BONDING CO. OR >> REPUTED LENDER, SURETY, BONDING CO. United Casualty and Surety Insurance Co 333 Newbury St., 2nd Floor BOSTON, MA 02115 USA Acct/Bond# UCSx2x103tity of Menifee 1. The following is a general description of the labor, service, equipment or materials furnished or to be furnished by the undersigned: Rental Equipment 2. The estimated amount of the work provided or to be provided is $15,000.00 3. The name of the person who furnished that labor, service, equipment or materials is: RDO Equipment Co. 700 S. 7TH STREET FARGO, ND 58103 USA Relationship to Parties: Equipment Supplier 4. The name of the person who contracted for purchase of that labor, service, equipment or material is: I.E. General Engineering Inc 1440 BEAUMONT AVE STE A2-130 BEAUMONT, CA 92223 City Clerk 5. The description of the jobsite is: Adams Avenue Street Improvements MAY13 2019 Adams Avenue Between Antelope Rd & 3rd St ROMOLAND, CA 92585 Received 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 FARGO, North Dakota on 05/07/2019 for RDO EQUIPMENT CO.. Prepared by:.-6111�� L Logan Berg, Preliminary Specialist Phone: (701) 551-8574 Fax: (701) 551-8575 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 05/07/2019. I declare under penalty of perjury that the foregoing is true and correct. Executed at FARGO, North Dakota on 05/07/2019. Prepared by:�1.�� Logan Berg, Preliminary Specialist