18-0829_PALP INC., DBA EXCEL PAVING COMPANY_Preliminary NoticeFile #: 5096 [CAI[PUBLICI[COPY:EST]
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Customer: Excel Paving Company
Recording Requested by and Return to:
I P.O. #:
Hill Crane Service, Inc
Project: 32221 Del Obispo Street Project
Rec ID: 18A71C74-CEBO-4F51-A3EB-084916374191
3333 Cherry Ave
Job #:
Long Beach, CA 90807
Cert No.:
CALIFORNIA PRELIMINARY NOTICE - PUBLIC WORKS
(=Z0 1=ZCZ Z8 OIVZN MODAW 70 CLLZFGXNZA CIVIL C=Jr 15 8034(8), 6102, 8106-6110, 8700 at seq., 0612, 9300 at 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
Crane Rental
USA
2. The estimated amount of the work provided or
to be provided is $6,000.00
3. The name of the person or entity who furnished
TO DIRECT OR REPUTED CONTRACTOR
that labor, service, equipment or
Excel Paving Company
materials is:
2230 Lemon Ave
Hill Crane Service, Inc
LONG BEACH, CA 90806
3333 Cherry Ave
USA
Long Beach, CA 90807
USA
Relationship to Parties: Equipment Supplier
>> TO LENDER, SURETY OR BONDING CO. OR
4. The name of the person or entity who contracted for
>> REPUTED LENDER, SURETY, BONDING CO.
purchase of that labor, service, equipment
or material is:
Excel Paving Company
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2230 Lemon Ave
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LONG BEACH, CA 90806
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USA
S. The description of the jobsite is:
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32221 Del Obispo Street Project
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32221 Del Obispo St
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SAN JUAN CAPISTRANO, CA 92675
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County of ORANGE
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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 perjury that the foregoing is true and correct. Executed at Long Beach, California
on 08/29/2018 for H SERVICE, INC.
Prepared by:
Kelly Ittner, Accounting Phone: (562) 595-6031 Fax: (562) 595-1771
PROOF OF SERVICE BY NAIL 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 above, on 08 declare under penalty of perjury that the
foregoing is t e anrect. ong Beach, California on 08/29/2018.
Prepared by:
Kelly Ittner, Accounting
USPS CERTIFIED MAIL
Hill Crane Service Inc
3333 Cherry Ave
Long Beach CA 90807
9214 8901 7795 9300 0000 0372 73
CITY OF SAN JUAN CAPISTRANO
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO CA 92675
Postage: 5102800