Griffith Co. - Alliant Insurance Services, Inc.File #: 754 (CA][PRIVATE](COPY:EST]
Recording Requested by and Return to:
Matich Corporation
P.O. Box 10
Highland, CA 92346-1010
I Customer: Griffith Company
I P.O. #:
I Project: Job No. 10507.10 Project No. CIP #01-
I Rec ID: 600lC437-7847-4lB4-93DC-251170552890
1 Job #: 40527
1 Cert No.: 7p1_117, 0 AM736410185
CALIFORNIA PRELIMINARY NOTICE - PRIVATE WORKS
(THIS IS NOT A LIEN. THIS NOTICE IS GIVEN PURSUANT TO CALIFORNIA CIVIL CODE SS 8034(b), 8202, 8106-8218, 8200 et seq.,
8612)
>> TO THE OWNER OR REPUTED OWNER
1. The following is a general description of
City of Menifee
the labor, service, equipment or materials
29714 Ham Rd.
furnished or to be furnished by the undersigned:
^
Menifee, CA 92586
Asphalt Materials 6 Delivery
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2. The estimated amount of the work provided or
to be provided is $30,000.00
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3. The name of the person who furnished
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>>TO DIRECT OR REPUTED CONTRACTOR
that labor, service, equipment or CD
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Griffith Company
materials is:
12200 Bloomfield Ave.
Matich Corporation
Santa Fe Springs, CA 90670
P.O. Box 10 CD
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Highland, CA 92346-1010 e
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CD
Relationship to Parties: Supplier CD
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>> 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
Alliant Insurance Services, Inc.
or material is:
1301 DOW Street #200
Griffith Company
Newport Beach, CA 92660
3050 E. Birch St.
Brea, CA 92821
Acct/Bond# 24051719
5. The description of the jobsite is:
Job No. 10507.10 Project No. CIP #01-13
Newport Road Widening
(Antelope to Menifee)
Manifee, CA
NOTICE TO PROPERTY OWNER
*EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN FULL, IF THE PERSON OR FIRM THAT HAS GIVEN YOU THIS NOTICE
IS NOT PAID IN FULL FOR LABOR, SERVICE, EQUIPMENT, OR MATERIAL PROVIDED OR TO BE PROVIDED, To YOUR
CONSTRUCTION PROJECT, A LIEN MAY BE PLACED ON YOUR PROPERTY. FORECLOSURE OF THE LIEN MAY LEAD TO LOSS
OF ALL OR PART OF YOUR PROPERTY. YOU MAY WISH TO PROTECT YOURSELF AGAINST THIS BY (1) REQUIRING YOUR
CONTRACTOR TO PROVIDE A SIGNED RELEASE BY THE PERSON OR FIRM THAT HAS GIVEN YOU THIS NOTICE BEFORE
MAHING PAYMENT TO YOUR CONTRACTOR, OR (2) ANY OTHER METHOD APPROPRIATE UNDER THE CIRCUMSTANCES.
*THIS NOTICE IS REQUIRED BY LAW TO BE SERVED BY TEE UNDERSIGNED AS A STATEMENT OF YOUR LEGAL RIGHTS,
THIS NOTICE IS NOT INTENDED TO REFLECT UPON THE FINANCIAL CONDITION OF THE CONTRACTOR OR PERSON EMPLOYED
BY YOU ON THE CONSTRUCTION PROJECT.
*IF YOU RECORD A NOTICE OF CESSATION OR COMPLETION OF YOUR CONSTRUCTION PROJECT, YOU MUST WITHIN 10 DAYS
AFTER RECORDING, SEND A COPY OF THE NOTICE OF COMPLETION TO YOUR CONTRACTOR AND THE PERSON OR FIRM THAT
HAS GIVEN YOU THIS NOTICE. THE NOTICE MUST BE SENT BY REGISTERED OR CERTIFIED MAIL. FAILURE TO SEND
THE NOTICE WILL EXTEND THE DEADLINE TO RECORD A CLAIM OF LIEN. YOU ARE NOT REQUIRED TO SEND THE NOTICE
IF YOU ARE A RESIDENTIAL HOMEOWNER OF A DWELLING CONTAINING FOUR OR FEWER UNITS.
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 peIrjury that the foregoing is true and correct. Executed at Highland, California
on 12/23/201 or MI TICS CORPO T
Prepared y:
Teri Wile Credi agar
Phone: (909) 382-7 0 Fax: (909) 382-0191
F 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 12/23/2013. I declare under penalty of perjury that the
foregoing is tr and q rrect. Exec ted at Highland, California on 12/23/2013.
Prepared by:
Peggy Brunswick, M
it Assistant