20-1030_ROSE PAVING LLC_Preliminary Notice & Request for InformationNCS[CA(N0738860WJ810 USPS CERTIFIED MAIL
729 Miner Road
Clevelandd OH 44124 �111111111111 IN IIIIIII ��III.IIIIIIIIIIIIII III
9207 1901 5273 7200 0013 6553 86
CITY OF SAN JUAN CAPISTRANO
32400 Paseo Adelanto
San Juan Capistrano CA 92675
ATTENTION
Why are you receiving this notice? Please visit http://www.ncscredit.com/notice for more
information. If you have any additional questions, please email Becky Krofcheck-
-bkr6fdliCck@nc6c-redif.com
Distribution List
CITY OF SAN JUAN CAPISTRANO ROSE PAVING LLC \JOB#20-005531
32400 Paseo Adelanto 7300 W 100th PI
San Juan Capistrano CA 92675 Bridgeview IL 60455
STA►TSWIDE
6AFLTV 3YMTCM6
Attn: Accounts Payable Department
Re: Preliminary Notice
Dear Sir/ Madam,
Enclosed you will find a notice that is being sent to you on behalf of Statewide Traffic Safety and Signs
Inc dba: Statewide Safety Systems in regards to the construction project described therein.
It is important to note that this notice is not a lien. This is a routine procedure to comply with certain
State requirements and should not reflect in any way on the integrity or credit standing of any
contractor associated with this project.
Our experience shows us that the projects that go well, are the projects that are managed well. We
know that by helping better manage a project, we help insure payment for the materials and/or services
we have supplied. If any information is incorrect, or if you are not associated with this project,
please do not hesitate to let us know and we will readily correct any error made. If payment
arrangements have already been made we thank you for your cooperation.
We appreciate the opportunity of furnishing our services for this project and we hope it is progressing to
your satisfaction.
Sincerely,
Statewide Traffic Safety and Signs Inc.
PRELIMINARY NOTICE CALIFORNIA
USE PROOF OF SERVICE AFFIDAVIT OF CALIFORNIA 20 -DAY PRELIMINARY NOTICE
(PRIVATE AND PUBLIC WORK)
IN ACCORDANCE WITH SECTIONS 8102,8200-8202 and 9300-9303, CALIFORNIA CIVIL CODE
CONSTRUCTION LENDER
(Or Reputed Construction Lender, If Any)
Construction loan no.
(if known)
OWNER or PUBLIC AGENCY
(Or Reputed Owner) AND DISBURSING OFFICE
(On Private Work) (On Public Work)
CITY OF SAN JUAN CAPISTRANO
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
DIRECT CONTRACTOR
(Or Reputed Direct Contractor)
ROSE PAVING LLC / JOB#20-005531
7300 W 100TH PL
BRIDGEVIEW, IL 60455
SUBCONTRACTOR
(Or Reputed Subcontractor)
SUB -SUBCONTRACTOR
(Or Reputed Sub -Subcontractor)
BOND COMPANY
An estimate of the total price of the labor, services,
equipment or materials furnished or to be furnished is:
$15,000.00
Statement or estimate of the ClaimanCs demand for sums
currently due after deducting all just credits and offsets:
$0.00
YOU ARE HEREBY NOTIFIED THAT...
STATEWIDE TRAFFIC SAFETY AND SIGNS, INC. DBA
STATEWIDE SAFETY SYSTEMS
P.O. BOX 5299
IRVINE, CA 92616
A/R Department at 949-553-8272
(name and address of person or firm - sender)
has furnished or will furnish MATERIALS AND LABOR of the
following general description:
SAFETY MATERIALS, RENTAL AND/OR LABOR
for the building, structure or other work of improvement located
at:
CAMINO CAPISTRANO DEL OBISPO CRACK SEAL /
JOB#20-005531
CAMINO CAPISTRANO AND DEL OBISPO ST
SAN JUAN CAPISTRANO, CA 92675
The name of the person or firm who contracted for the
purchase of such labor, services, equipment or materials:
ROSE PAVING LLC / JOB#20-005531
NOTICE TO PROPERTY OWNER
EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN
FULL, if the person or fine 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 signed
release by the person or firm that has given you this notice before
making payment to your contractor, or (2) any other method that
is appropriate under the circumstances.
This notice is required by law to be served by the undersigned
as a statement of your legal rights. This notice is not intended to
reflect upon the financial condition of the contractor or the
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 rnot
required to send the notice if you are a residential homeowner of
a dwelling containing four or fewer units.
Claimant's Notice of unpaid compensation & employer payments
owing to laborers & entities (described in Civil Code §8202(b)): The
names and addresses of the laborer(s) and the Trust Fund to whom
compensation and employer payments is/are due and payable are:
(Names)
(Addresses)
Mailed this date: OCTOBER 27, 2020
ma c/ �r Agent
(Signature)
Our Reference: (N073886) 11702 / 2T9311
REQUEST FOR INFORMATION
Pursuant to California Civil Code §8208 and §8210
CITY OF SAN JUAN CAPISTRANO
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
ROSE PAVING LLC / JOB#20-005531
7300 W 100TH PL
BRIDGEVIEW, IL 60455
Re: CAMINO CAPISTRANO DEL OBISPO CRACK SEAL! JOB#20-005531
CAMINO CAPISTRANO AND DEL OBISPO ST
SAN JUAN CAPISTRANO, CA
STATEWIDE TRAFFIC SAFETY AND SIGNS, INC. DBA STATEWIDE SAFETY SYSTEMS, P.O. BOX 5299, IRVINE, CA 92616 is
furnishing materials and/or labor in connection with the above project. It is our understanding that you are the owner, part owner, or
lessee and/or the direct contractor on that project.
In accordance with §8208 and §8210 of the California Civil Code, please provide the following information ,if not already correctly
identified within the attached notice:
Owner name:
Owner address:
Owner City State Zip
For privately owned projects:
Lender name:
Lender address:
Lender City State Zip
----If-a-Construction-Loan_hasnot been obtained for this projectat_the time of the receipt of this request, please consider this an
ongoing request and provide the name and address of the construction lender once the loan has been obtained
Please return this information to the undersigned, including a copy of this Request for Information to permit us to reference the proper
file. Please also provide a copy of any payment bonds, not already provided to STATEWIDE TRAFFIC SAFETY AND SIGNS, INC.
DBA STATEWIDE SAFETY SYSTEMS, for this project,
Dated: OCTOBER 27, 2020
Agent for STATEWIDE TRAFFIC SAFETY AND SIGNS, INC. DBA STATEWIDE SAFETY SYSTEMS
c/o NCS
P. 0. Box 24101
Cleveland, OH 44124
Fax: 440-461-6202
Email: bkrofcheck anncscredit.com
Our Ref# N073886 11702 / 2T9311