20-0924_C.S. LEGACY CONSTRUCTION, INC._Preliminary NoticeNotice requested by and return to Customer: City of San Juan Capistrano
Superior Pavement Markings, Inc. Project: Northwest Open Space Community Park Project, CIP 09209
5312 Cypress Street Cert No: 70192970000013580989
Cypress CA 90630 Job# 7398 Return receipt requested
CALIFORNIA PRELIMINARY 20 -DAY NOTICE(Public Work)
CALIFORNIA Civil Code Section 3098,3111,3241,and 3252 et Seq.
THIS IS NOT A LIEN. THIS IS NOT A REFLECTION OF ANY CONTRACTOR OR SUBCONTRACTOR.
TO OWNER
OR REPUTED OWNER
City of San Juan Capistrano
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
Ph
Contract#
TO ORIGINAL CONTRACTOR
OR REPUTED CONTRACTOR
CS Legacy Construction Company
5781 Schaefer Avenue
Chino, CA 91710
Ph 909-590-2626
TO LENDER, SURETY
Great American Insurance Co
C/O Reed Surety & Ins Services
531 E. Chapman Ave E
Orange, CA 92866
3340188
1. The following is a general description of the labor, service,
equipment or materials furnished or to be furnished by the
undersigned: Traffic Striping, Marking & Signage
2. Estimated Price: $3,426.78
3. The name of the person who furnished that labor, service,
equipment or material is:
Superior Pavement Markings, Inc.
5312 Cypress Street
Cypress CA
Earl Smith
4. The name of the person who contracted for purchase of that
labor, service, equipment or material is:
CS Legacy Construction Company
5781 Schaefer Avenue
Chino, CA 91710
Ph 909-590-2626
5. The description of the job site is:
Northwest Open Space Community Park Project, CIP 09209
San Juan Capistrano, CA
VERIFICATION
I declare that I am authorized to file this PRELIMINARY 20 -DAY NOTICE (PUBLIC WORK) 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 under the laws of the State of
California that the foregoing is true and correct. Executed at Cypress on 9-24-2020 for Superior Pavement Markings, Inc..
By 714.995.9100 Date Signed: 09 - �M
Earl Smith
PROOF OF SERVICE BY MAIL AFFIDAVIT
I declare that I served copies of the above PRELIMINARY 20 -DAY NOTICE (PUBLIC WORK) by First Class Certified and/or Return Receipt
Requested or Registered Mail Service, postage prepaid, (as required by law) addressed to each of the parties at the addresses shown above on
9-24-2020. 1 declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at Cypress
on 9-24-2020 for Superior Pavement Markings, Inc..
B� �� 714.995.9100 Date Signed: Q1
Earl Smith
NOTICE TO PRIME OR GENERAL CONTRACTOR
THIS IS NOT A LIEN. THIS IS NOT A REFLECTION OF ANY CONTRACTOR OR SUBCONTRACTOR. The undersigned has
entered into a contract to perform labor of furnish materials for the above-described public project, and will look to you
and your sureties for payment if the person ordering such materials and labor fails to pay for them.