18-0608_PALP INC., DBA EXCEL PAVING COMPANY_Preliminary Notice_2File #: 1085 [CA][PUBLIC)[OWNER)
Recording Requested by and Return to:
NACM's MLBS
8840 Columbia 100 Parkway
Columbia, MD 21045
I Customer: Excel Paving Co.
I ID #: 198427
I Project: Calle Aspero to Paseo de La Paz
I Rec ID: 2EBE73F1-DB1E-4BA5-8389-492203520232
I Job #: 528,987,528,987
1 Cert No.: 9214 8901 3515 6501 8883 81
CALIFORNIA PRELIMINARY
NOTICE - PUBLIC WORKS
(THUS NOTICE IS GIVEN PURSUANT TO CALIiORHIA CIVIL 0= SS 8034(8), 8102, 8106-8118, 8200 of seq., 8612, 9300 of Seq.)
>> TO THE PUBLIC ENTITY OR REPUTED
1. The following is a general description of
City of San Juan Capistrano
the labor, service, equipment or materials
32400 Paseo Adelanto
furnished or to be furnished by the undersigned:
SAN JUAN CAPISTRANO, CA 92675
See Exhibit C
USA
2. The estimated amount of the work provided or
to be provided is $61,190.00
3. The name of the person who furnished
>> TO DIRECT OR REPUTED CONTRACTOR
that labor, service, equipment or
Excel Paving Co.
materials is:
2230 Lemon Avenue
Contech Engineered Solutions LLC
LONG BEACH, CA 90806
6340 Sugarloaf Parkway, Suite 400
USA
DULUTH, GA 30097
USA
Relationship to Parties: Material Supplier
>> TO ORIGINAL OR REPUTED PUBLIC ENTITY OR
4. The name of the person who contracted for
purchase of that labor, service, equipment
Orange County Transportation Authority
or material is:
Measure M2
Excel Paving Co.
550 S Main Street
2230 Lemon Avenue
ORANGE, CA 92868
LONG BEACH, CA 90806
USA
USA
Labor/Materials Information: Exhibit C
5. The description of the jobsite is:
Calle Aspero to Paseo de La Paz
Calle Aspero to Paseo de La Paz
SAN JUAN CAPISTRANO, CA 92675
USA
County of ORANGE
REQUEST FOR COPY OF PAYMENT BOND AND NAME OF SURETY COMPANY
TO CONTRACTING BODY: City of San Juan Capistrano 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 er r hat the fo going is true and correct. Executed at Columbia, Maryland on
06/08/2018 for NTE N E D T7-
Timothy
LLC.
Prepared by:
Taylor, Credit Supervisor Phone: (404) 634-9100 Fax: (678) 417-8782
PROOF OF SERVICE BY MAIL AFFIDAVIT
I declare that I served the Preliminary Notice, and any related documents, by certified or
registered mail, p&ses
epaid, or other certified delivery, addressed to the above named
parties, at the st da e,on 06/08/2018. I declare under penalty of perjury that the
foregoing is tru x c ed Columbia, Maryland on 06/08/2018.
Prepared by:
BRITTANY CASTER, NACM-MLBS NTO Representative
Exhibit C - Complete Description of Materials or Labor Supplied
Owner: City of San Juan Capistrano
Project: Calle Aspero to Paseo de La Paz
Customer: Excel Paving Co.
Job Number: 528,987,528,987
The following is a complete list, to the best of our knowledge of all Materials or Labor,
which by agreement, were supplied or will be supplied by: Contech Engineered Solutions
LLC.
Bridges, drainage, erosion control, retaining wall, sanitary sewer, and
stormwater management products
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:
mlbsreauest@nacm.ors
MLBS Project M 198427
CA -44 NTECH`
ENGINEERED SOLUTIONS
Dear Valued Customer,
Contech Engineered Solutions has or will be providing building material or
services to your property and/or project.
Thank you for using our products and services. We hope they exceed your
expectations.
There are specific state requirements relating to sending notices and subsequent
filings which require strict compliance within specific time lines. These
requirements vary from state to state. For that reason, as part of our standard
procedures, we send this notice when we supply products and/or services to a
property or project.
This notice should not in any way be construed as a reflection upon the
contractor.
The request for payment bond and name of surety company is not a requirement
to do business with Contech Engineered Solutions. If you have already provided
a copy of the payment bond, we ask you to please disregard this request.
As a result, we have asked our agent to send you this notice on our behalf and in
accordance with applicable state law.
PLEASE NOTE -THIS IS NOT A LIEN
Should you have specific questions or concerns related to this notice please
contact your sales representative or the contact as referenced on the notice.
All Notice of Commencements or other documentation that needs to be
submitted should be emailed to credit@guikrete.com.
Once again, thank you!
Contech Engineered Solutions
Cb
NACM STS be
6840 Columbia 100 Pkwy
Ste 100
Columbia, MD 21045-0000
USPS CERTIFIED MAIL
I III 111111111111111111111 HIM
9214 89013515 6601 SM 81
City of San Juan Capistrano
32400 Paseo Adelanto
SAN JUAN CAPISTRANO, CA 92675
NACMSTS.COM
198427
ty
CERT COVER V1.0