AMERICAN ASPHAULT REPAIR & RESURFACING, CO.

File #: 5898 [CA] [PUBLIC] [COPY:EST] I Customer: American Asphalt R & R Co., Inc. Notice Requested by and Return to: I ID #: 536181 George Reed, Inc. I Project: P24007 Annual Slurry Seal Rec ID: 4364843E-33EC-4F1A-9EA9-344612438117 8840 Columbia 100 Parkway Job #: 1077 Columbia, MD 21045 I Cert No. : 9414 8149 0322 0964 1378 92 CALIFORNIA PRELIMINARY NOTICE - PUBLIC WORKS (THIS NOTICE IS GIVEN PURSUANT TO CALIFORNIA CIVIL CODE S5 8034(B), 8102, 8106-8118, 8200 et seq., 8612, 9300 et Seq.) >> TO THE PUBLIC ENTITY OR REPUTED 1. The following is a general description of City of Pleasanton the labor, service, equipment or materials Attn: Engineering Division furnished or to be furnished by the undersigned: P.O. Box 520 Materials PLEASANTON, CA 94566 2. The estimated amount of the work provided or USA to be provided is $41,400.00 3. The name of the person or entity who furnished >> TO DIRECT OR REPUTED CONTRACTOR that labor, service, equipment or American Asphalt R & R Co., Inc. materials is: 24200 Clawiter Rd. George Reed, Inc. HAYWARD, CA 94545 P.O. Box 4760 USA MODESTO, CA 95352 USA Relationship to Parties: Material 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 Everest National insurance Company or material is: 3 100 Everest Nay American Asphalt R & R Co., Inc. WARREN, NJ 07059 24200 Clawiter Rd. USA HAYWARD, CA 94545 USA 5. The description of the jobsite is: P24007 Annual Slurry Seal Project CIP No 24 04 Pleasanton 1 A� Various Streets �� PLEASANTON, CA 94 66 USA I County of ALAMEDA REQUEST FOR COPY OF PAYMENT BOND AND NAME OF SURETY COMPANY TO CONTRACTING BODY: City of Pleasanton Attn: Engineering Division 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 h certified co of the Payment Bond, if any, to the Claimant, at the furnish a Ym body PY contracting y address listed above, and the current address of the contracting public entity. NOTICE TO PROPERTY OWNER OR 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 Columbia, Maryland on 09/25/2024 for GEORGE REED, INC. . Prepared by: Susan Reed, Prelim & e eSpecial' Phone: (209) 571-4136 PROOF OF SERVICE BY MAIL 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 listed above, on 09/25/2024. I declare under penalty of perjury that the foregoing is true and correct. Executed at Columbia, Maryland on 09/25/2024. Prepared by: Destiny Grimes, NACM MLresentative