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STI Inc. - Antelope & NewportCALIFORNIA PRELIMINARY 20-DAY NOTICEC�4 O Vlenii0TICE TO (In accordance with Civil Code Sections 3097 and 3098) �..I-.�QPERTY OWNER PRIVATE WORKS PROJECTS If bills are not paid in full for the TO: CONSTRUCTION LENDER (Or Reputed If Any) A a Owwservlces, equipment, or Name materials furnished or to be furnished, a mechanic's lien Street: leading to the loss, through court City, State, Zip: foreclosure proceedings, of all or TO: OWNER OR REPUTED OWNER part of your property being so Name: City Of Menifee, Department Of Public Works improved may be placed against the property even though you have paid your contractor in full. Street: 29714 Haun Road City, State, Zip: Menifee, Ca. 92586 You may wish to protect yourself TO: ORIGINAL CONTRACTOR (Or Reputed Contractor) against this consequence by (1) Name: S.T.I., Inc. Trucking & Materials requiring your contractor to Street: 18791 Van Buren Blvd. Suite E. furnish a signed release by the person or firm giving you this City, State, Zip: Riverside, Ca. 92508 notice before making payment to TO: OTHER (If any): your contractor, or (2) any other Name: method or device that is Street: appropriate under the circumstances. Other than City, state, Zip: General description of the labor, service, equipment, or materials furnished, or to residential homeowners of be furnished, and an estimate of the total price: dwellings containing fewer than Flatsaw with vacuum clean up five units, private project owners must notify the original contractor and any lien claimant who has provided the owner with a preliminary 20-day lien notice in $ 1060.00 accordance with Section 3097 of the Civil Code that a notice of NAME AND ADDRESS OF CLAIMANT GIVING THIS NOTICE: Name: Gregg's Concrete Cutting,lnc. completion or notice of cessation has been recorded within 10 days of its recordation. Notice shall be Street: 1192 Zircon street City, State, Zip: Corona, Ca. 92882 by registered mail, certified mail, NAME OF PERSON OR FIRM THAT CONTRACTED TO PURCHASE THE or first-class mail, evidenced by a LABOR, SERVICE, EQUIPMENT, OR MATERIALS: certificate of mailing. Failure to S.T.I. Inc. notify will extend the deadlines to record a lien. DESCRIPTION OF JOB SITE SUFFICIENT FOR IDENTIFICATION: Antelope Road & Newport Road Menifee, Ca. Per California Civil Code Section 3097.1, the sender is required to maintain a Proof of Se i ffidavit tainin specific information. �I I Signat _. ` Date Monk and DBua. LLC 3 onstruction-Business-Fornrs.com , 2000-2012 G120-DaN Preliminary Notice for Private Wurks Projects fonn.doc Uec. 2/16/121 PROOF OF NOTICE DECLARATION California Civil Code Section 8118 Per California civil code the undersigned served copies of the Preliminary Notice form for Public Works projects: ❑ By personally delivering the notice to the person or the persons to be notified ® By registered, certified mail, or express mail; or overnight delivery by an Express Service Carrier ❑ By leaving the notice and mailing a copy in the manner provided in Section 415.20 of the Code of Civil Procedure for service of summons and complaint in a civil action As evidenced by the following: ❑ Attached documentation provided by the United States Postal Service showing that payment was made to mail the notice using registered, or certified mail, or express mail ❑ Attached documentation provided by an express service carrier showing that payment was made to send the notice using an overnight delivery service ® Attached return receipt, delivery confirmation, signature confirmation, tracking record, or other proof of delivery or attempted delivery provided by the United States Postal Service, or a photocopy of the record of delivery and receipt maintained by the United States Postal Service, showing the date of delivery and to whom delivered, or in the event of non delivery, by the returned envelope itself ❑ Attached tracking record or other documentation provided by an express service carrier showing delivery or attempted delivery of the notice On: February 21, 2013 at: 2:00 p.m. (Date Notice Served) (Time Notice was Served) Names and Addresses of Parties Served Public Entity Direct Contractor City Of Menifee, Department Of Public Works S.T.I. Inc Trucking & Materials (Public Entity) (Direct Contractor Company Name) (Name of Person (Title of Person Served if appropriate) (City, State, Zip) Other (if any) (Lender Company Name if applicable) (Name of Person Served) (Title of Person Served if appropriate) (City, State, Zip) (Name of Person Served) (Title of Person Served if appropriate) (Street) (City, State, Zip) Other (if any) (Other Company Name if apprIlcabie) (Name of Person Served) (Title of Person Served if appropriate) (City, State, Zip) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and Corporate Secretary Fe of person who served notice) (Title of signer) -utting,Inc. Kristen Ryan company that signer represents) (Printed or typed name of signer) Signed at Corona/ Riverside County California, on 02/21/ , 20 13 (City and/or County) (Month and Date) (Year) © 2012 Diane Dennis - Monk and DBug, LLC - www.TheContractorsGroup.com This Proof of Notice Declaration for the Preliminary Notice for Public Works Projects (Word version Rev. 3) is based on the July 2012 Mechanic's Lien Laws