Attachment 1ATTACHMENT 1
Recording Requested by:
TOWN OF LOS GATOS
WHEN RECORDED MAIL TO:
CLERK ADMINISTRATOR
TOWN OF LOS GATOS
110 E MAIN ST
LOS GATOS, CA 95030
______________________________________________________________________________
(SPACE ABOVE BAR FOR RECORDER’S USE)
(RECORD WITHOUT FEE UNDER GOVERNMENT CODE SECTIONS 27383 AND 6103)
TYPE OF RECORDING
CERTIFICATE OF ACCEPTANCE AND NOTICE OF COMPLETION
PPW JOB NO. 16-811-9901 ANNUAL STREET REPAIR AND RESURFACING
PROJECT (ARTERIAL STREET OVERLAY)
CERTIFICATE OF ACCEPTANCE AND NOTICE OF COMPLETION
16-811-9901 AND 16-811-9903 ANNUAL STREET REPAIR AND RESURFACING
PROJECT (ARTERIAL STREET OVERLAY)
TO WHOM IT MAY CONCERN:
I do hereby certify that Joseph J. Albanese completed the work called for in the agreement with
the Town of Los Gatos dated September 20, 2017. The work is outlined in the Town’s bid process
prepared by the Town of Los Gatos and generally consisted of furnishing all labor, materials, tools,
equipment, and services required for completion of the PPW Job No. 16-811-9901 located in the
TOWN OF LOS GATOS, County of Santa Clara, State of California and was completed, approved
and accepted December 19, 2017.
Bond No.: 106638764
Date: May 23, 2017
TOWN OF LOS GATOS
By: __________________________________
Laurel Prevetti, Town Manager
Acknowledgement Required
ATTACHMENT 1
AFFIDAVIT
To Accompany Certificate of Acceptance and Notice of Completion
16-811-9901 ANNUAL STREET REPAIR AND RESURFACING PROJECT (ARTERIAL
STREET OVERLAY)
I, LAUREL PREVETTI, the Town Manager of the Town of Los Gatos, have read the
foregoing CERTIFICATE OF ACCEPTANCE AND NOTICE OF COMPLETION and know the
contents thereof. The same is true of my own knowledge, except as to the matters which are therein
alleged on information or belief, and as to those matters I believe it to be true.
I declare under penalty of perjury that the foregoing is true and correct and that this declaration
was executed on _____________________, 2017 at Los Gatos, California.
__________________________________________
LAUREL PREVETTI, TOWN MANAGER
Town of Los Gatos
RECOMMENDED BY:
Date: ____________________________
Matt Morley
Director of Parks and Public Works
APPROVED AS TO FORM:
Date: ____________________________
Robert Schultz, Town Attorney
Notary Jurat Required
Recording Requested by:
TOWN OF LOS GATOS
WHEN RECORDED MAIL TO:
CLERK ADMINISTRATOR
TOWN OF LOS GATOS
110 E MAIN ST
LOS GATOS, CA 95030
______________________________________________________________________________
(SPACE ABOVE BAR FOR RECORDER’S USE)
(RECORD WITHOUT FEE UNDER GOVERNMENT CODE SECTIONS 27383 AND 6103)
TYPE OF RECORDING
CERTIFICATE OF ACCEPTANCE AND NOTICE OF COMPLETION
PPW JOB NO. 16-811-9903 ANNUAL STREET REPAIR AND RESURFACING
PROJECT (SLURRY SEAL)
CERTIFICATE OF ACCEPTANCE AND NOTICE OF COMPLETION
16-811-9903 ANNUAL STREET REPAIR AND RESURFACING AND PAVEMENT
REHABILITATION-CRACK SEAL PROJECT (SLURRY SEAL)
TO WHOM IT MAY CONCERN:
I do hereby certify that American Pavement Systems completed the work called for in the
agreement with the Town of Los Gatos dated September 20, 2017. The work is outlined in the
Town’s bid process prepared by the Town of Los Gatos and generally consisted of furnishing all
labor, materials, tools, equipment, and services required for completion of the PPW Job No. 16-
811-9901 located in the TOWN OF LOS GATOS, County of Santa Clara, State of California and
was completed, approved and accepted December 19, 2017.
Bond No.: 1067j02074
Date: May 5, 2017
TOWN OF LOS GATOS
By: __________________________________
Laurel Prevetti, Town Manager
Acknowledgement Required
AFFIDAVIT
To Accompany Certificate of Acceptance and Notice of Completion
16-811-9903 ANNUAL STREET REPAIR AND RESURFACING PROJECT (SLURRY
SEAL)
I, LAUREL PREVETTI, the Town Manager of the Town of Los Gatos, have read the
foregoing CERTIFICATE OF ACCEPTANCE AND NOTICE OF COMPLETION and know the
contents thereof. The same is true of my own knowledge, except as to the matters which are therein
alleged on information or belief, and as to those matters I believe it to be true.
I declare under penalty of perjury that the foregoing is true and correct and that this declaration
was executed on _____________________, 2017 at Los Gatos, California.
__________________________________________
LAUREL PREVETTI, TOWN MANAGER
Town of Los Gatos
RECOMMENDED BY:
Date: ____________________________
Matt Morley
Director of Parks and Public Works
APPROVED AS TO FORM:
Date: ____________________________
Robert Schultz, Town Attorney
Notary Jurat Required