AMERICAN ASPHAULT REPAIR & RESURFACING, CO.

File #: 5377 [CA] [PUBLIC] [OWNER] I Customer: American Asphalt R & R Co., Inc. Recording Aequested by and Return to: I ID #: 536515 VSS tmultech I Project: Annual Slurry Seal Project #24504 I Rec ID: F6ED0232-5F71-46A0-9964-369922400275 8840 Columbia 100 Parkway I Job #: 17184 - P24007 Columbia, MD 21045 I Cert No.: 9414814903220964140984 CALIFORNIA PRELIMINARY NOTICE - PUBLIC WORKS (THIS NOTICE IS GIVEN PURSUANT TO CALIFORNIA CML COLE SS 8034(B), 8102, 8106-8118, 8200 et seq., 8612, RAVED >> TO THE PUBLIC ENTITY OR REPUTED 1. The following is a general description of City Of Pleasanton the labor, service, equipment or materials P.O. Box 520 furnished or to be furnished by the undersigned: o c'r 14 2024 PLEASANTON, CA 94566 See Exhibit C l 1 USA 2. The estimated amount of the work provided or to be provided is $62,900.00 CLERK OF FACE 3. The name of the person or entity who furno VTY C >> TO DIRECT OR REPUTED CONTRACTOR that labor, service, equipment or American Asphalt R & R Co., Inc. materials is: 24200 Clawiter Rd VSS Emultech HAYWARD, CA 94545 3785 Channel Drive USA WEST SACRAMENTO, CA 95691 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 Reinsurance Company or material is: 100 Everest Way, Warren Corp Ctr American Asphalt R & R Co., Inc. WARREN, NJ 07059 - 24200 Clawiter Rd USA HAYWARD, CA 94545 USA Acct/Bond# ES00017614 5. The description of the jobsite is: Annual Slurry Seal Project #24504 VARIOUS STREETS Labor/Materials Information: Exhibit C PLEASANTON, CA 94566 USA County of ALAMEDA REQUEST FOR COPY OF PAYMENT BOND AND NAME OF SURETY COMPANY TO CONTRACTING BODY: City Of Pleasanton 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. 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 09/27/2024 for VSS EMULTECH. Prepared by: W4-a� � 2 Rebecca O'Neill, AP/AR Spec' 1' hone: (916) 373-2447 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 09/27/2024. I declare under penalty of perjury that the foregoing is true and correct. Executed at Columbia, Maryland on 09/27/2024. Prepared by: C�<� Gt�G Isaiah Guy, NACM STS Special' t