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Bidder: Gentry Brothers, Inc. CITY OF ROSEMEAD GARVEY AVENUE RESURFACING PROJECT FROM DEL MAR AVENUE TO EASTERLY CITY LIMIT PROJECT No. 21026 CONTRACT BID FORMS GENTRY BROTHERS,INC BIDDER: CONTRACT BID FORMS TABLE OF CONTENTS SECTION 1 BID SCHEDULE 1 SECTION 2 BID DATA FORMS 5 2.A BID BOND 6 2.B LIST OF PROPOSED SUBCONTRACTORS 7 SECTION 3 NON-COLLUSION AFFIDAVIT 10 BIDDER: GENTRY BROTHERS.INC SECTION 1 -BID SCHEDULE CBF- 1 BIDDER: s ''R' SVC[I'ERS. INC BID SCHEDULE SCHEDULE OF PRICES FOR GARVEY AVENUE RESURFACING PROJECT FROM DEL MAR AVENUE TO EASTERLY CITY LIMIT PROJECT No. 21026 BASE BID SCHEDULE UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 1 Clearing &Grubbing per plans LS 1 and specifications. See technical 'j,; c<.,. /lc,c c., provisions TP-2, TP-3&TP-4. 2 Disposal of Waste Materials. LS 1 C6e. - Wig, 3 Cold mill 1.5-inches thick existing SF 553,200 , pavement. ' � Pei Ya 4 Construct 1.5 inches thick TON 5,186 �% pavement overlay ARHM-GG-C °-,- (PG 64-16)as indicated on the j >5 k�-L• c plans. 5 Remove 6-inches of existing SF 5,000 c..;,', G/pavement and replace it with 4.5- `�L inches of AC B-PG 64-10 Base 'F Course over compacted native. 6 Remove Existing, Dispose and SF 3,885 �, < Construct 4-inches thick PCC 0 it L3(6 c. Sidewalk per SPPWC Std, Plan 113-1. 7 Remove Existing, Dispose and LF 100 Construct 8-inches Curb and 24- C — Crc , inches Gutter per SPPWC Std. Plan 120-2. B Remove Existing, Dispose and EA 1 Construct PCC Curb Ramps per 7 c-o ,•. — Z cc SPPWC Std. Plan 111-4. CBF - 2 "JY 6?O[HES. INi, BIDDER. UNIT OF EST. UNIT ITEM NO. ITEM DESCRIPTION MEASURE QTY. PRICE COST 9 Adjust Sewer Manhole to Grade EA 85 per SPPWC Std. Plan 205-1 and ( 9/ _. 206-1. 10 Adjust Water Valve/Gas Valve to EA 100 e% r Grade. 11 Install Survey Well Monument per EA 24 City of Rosemead Std. Plan 508- 001. See Section 2-9 Surveying of j ` the General Provision-7 per et° " '_!r, details (Cover, Sleeve& Dome lye will be provided by the City at no cost). 12 Install Traffic Striping, Traffic LS 1 Signal Loops and Pavement Ltyo cc , Markers per the Striping Plans and Specifications Complete. TOTAL BASE BID/PRICE(SCHEDULE BID PRICE): $ r U ,_ .' G Lb/ .Cit �L��,.�,_; ,'� k` - " C. .. -1...i Dollar amount in written form Note: The City of Rosemead reserves the right to reduce or increase the quantities of any items in the schedule of bid items above, within the limits define in Section 3-22.1 of the Standard Specifications,to stay within the budgeted amount of this project. If the Bid Documents specify alternate bid items,the following Alternate Bid amounts shall be added to or deducted from the Total Bid Price entered above.The owner can choose to include one or more of the alternates in the Total Bid Price of the Project.If any of the Alternate Bids are utilized by the Owner, the resulting amount shall be considered the Total Bid Price for the Project. The undersigned agrees that these Contract Bid Forms constitute a firm offer to the Owner which cannot be withdrawn for the number of Working Days indicated in the Notice Invifing Bids from and after the bid opening date,or until a Contract for the Work is fully executed by the Owner and a third party,whichever is eadier. The undersigned also agrees that if there is a discrepancy between the written amount of the Bid Price and the numerical amount of the Bid Price, the written amount shall govern. CBF- 3 GENTRY BROTHERS,INC BIDDER: Attached hereto is a certified check, a cashier's check or a bid bond in the amount of Lc J I),llars ($ /c w ) said amount being not less than ten percent (10%)of the Total Bid Price. The undersigned agrees that said amount shall be retained by the Owner if, upon award, we fail or refuse to execute the Contract and furnish the required bonds, certificates and endorsements of insurance and other certifications within the time provided. If awarded a Contract,the undersigned agrees to execute the formal Contract,which will be prepared by the Owner for execution, within five (5) Calendar Days following the Letter of Award for the Contract, and will deliver to the Owner within that same period the necessary original Certificates of Insurance, Endorsements of Insurance, Performance Bond, Payment Bond and all other documentation and certification required by the Contract. The undersigned offers and agrees that if this bid is accepted, it will assign to the purchasing body all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Section 15) or under the Cartwright Act (Chapter 2 of Part 2 of Division 7 of the Business and Professional Code), arising from purchases of goods, materials or services by the Bidder for sale to the purchasing body pursuant to the bid. Such assignment shall be made and become effective at the time the purchasing body tenders final payment to he Contractor. Bidder understands and agrees that,when requested by Owner, he shall provide:(1)evidence satisfactory to the Owner of Bidders Califomia contractor's license(s)in good standing;(2)evidence that the person signing this Bid is authorized to bind Bidder to this Bid and to a contract resulting therefrom; and (3) any other information and documentation, financial or otherwise, needed by Owner to award a Contract to the lowest responsible and responsive bidder. Bidder understands and agrees that liquidated damages shall apply to this Contract in the amounts of five hundred dollars ($500.00) if protect is not completed in THIRTY (30)calendar days. The Contract Time will begin to run ten (10) Working Days from the date of the Notice of Proceed and subject to the terms and conditions described in the Contract Form and the Contract Documents. Bidder acknowledges that data submitted with its Contract Bid Forms which it requires to be incorporated into a Contract arising out of this Submittal has been so identified by Bidder. Bidder further acknowledges that the Owner may, at its discretion, incorporate any of the remaining data submitted herewith into a contract arising out of this Bid. The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents. Addenda Nos. The Bidder understands and agrees that the Total Bid Price is inclusive of all labor,materials,and equipment or supplies necessary to complete the Work as described in the Bid Documents. If this bid is accepted,the undersigned Bidder agrees to enter into and execute the Contract with the necessary bonds and accept the Total Bid Price as compensation in full for all Work under the contract. CBF-4 BIDDER: GentryBrothers Oak 3B4 Live Oak Ave :rwindale CA 9 By: 1706 Signal Business Street Address Type or P nt Name City, State and Zip Code Sic t T1 5 (1z(= X57-4 .3j Title Telephone Number Bidders/Contractor's State of Incorporation: r� Pt Partners or Joint Venturers: Bidders License Number(s): 7 E- K 2- fCc- Department Industrial Relations Registered No. /cccac ZZ. yu NOTES: 1) By its signature on this Bid, the Bidder certifies under penalty of perjury the accuracy of the representations made on the Contract Bid Forms. 2) If Bidder is a corporation,enter State of Incorporation in addition to Business Address 3) If Bidder is a partnership or joint venture, give full names of all partners or joint venturers. As further discussed in the Instructions to Bidders, Bidder will be required to provide evidence that the person signing on behalf of the corporation, partnership or joint venture has the authority to do so. CBF- 5 BIDDER: GENTRY BROTHERS.INC SECTION 2 BID DATA FORMS CBF -6 BIDDER: GENTRY BROTHERS,INC 2.B LIST OF PROPOSED SUBCONTRACTORS In compliance with the "Subletting and Subcontracting Fair Practices Act," Sections 4100 through 4114 of the California Public Contract Code,and any amendments thereto,each Bidder shall provide the information requested below for each subcontractor who will perform work,labor or renderservice to Bidder in or about the construction of the Work in an amount in excess of one-half of one percent (greater than 0.5%)of the Bidder's Total Bid Price,or, in the case of bids or offers for the construction of streets or highways,including bridges,in excess of one-half of 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, and shall further set forth the portion of the Work which will be done by each subcontractor. Bidder shall list only one subcontractor for any one portion of the Work. Pursuant to Public Contract Code Section 4104,the Owner has determined that it will allow Bidders twenty-four(24) additional hours after the deadline for submission of bids to submit the information requested by the Owner about each subcontractor, other than the name and location of each subcontractor. If the Bidder fails to specify a subcontractor for any portion of the Work to be performed under the Contract, it shall be deemed to have agreed to perform such portion itself,and shall not be permitted to subcontract that portion of the Work except under the conditions hereinafter set forth below. Subletting or subcontracting of any portion of the Work in excess of one half of one percent(greater than 0.5%) of the Total Bid Price or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of 1 percent of the Contractor's total bid or ten thousand dollars ($10,000), whichever is greater, for which no subcontractor was designated in the original bid shall only be permitted in cases of public emergency or necessity, and then only after Owner approval. CBF-8 BIDDER: GENTRVBROTHERS INC 2.B LIST OF PROPOSED SUBCONTRACTORS(continued) ("Duplicate Next 2 Pages if needed for listing additional subcontractors.*q Name and Location Description of Work of Subcontractor to be Subcontracted Name:COpirtI_ .t t)ki r. . P^chil-kir—fc- Address: SSIZ c-yerks: > c CLi0et-k - r ra License No.: (77 06 Department of Industrial Relation Registration No. /0 c o 0 t /'/7k Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: .. License No.: Department of Industrial Relation Registration No. Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. Name and Location Description of Work of Subcontractor to be Subcontracted Name: Address: License No.: Department of Industrial Relation Registration No. CBF-9 BIDDER: GENTRY BROTHERS,INC` 2.0 REFERENCES The following are the names,addresses and telephone numbers for three public agencies for which BIDDER has performed similar work within the past two (2)years: 1. T i AC. tkcc, p Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work Date Completed 2. Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work Date Completed 3. Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work Date Completed 4. Name and Address of Owner Name and telephone number of person familiar with project Contract amount Type of Work Date Completed CBF - 10 „ � \ MU1?) 0) M ° : � � \ \ \ \ \ \ \ \ \ \ : - ; « « ! : nl _ aaa2 ! ' \ ( ) } 7 § § { } Vi03 a13 8 a 21 \ mi \ 81 0 \ ` 0 \ \ \ \ 10 f \ 01, Z 3 N ( ) ® � CI 3 . 01 Co m / 13 Da co co (iv \ m / \ > \ ( / _ : 3 _ , : 3 a \ . � . 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( /( ) ! } ( !\} cr) co rc)o) too \ , - N, 0a 0„ COOD A 0 - 0 , , : . \ \ \ 0) . . ` \ _ \ { g 3 co 0 \ - \ } t \ ) \ [ \ co 5 ` / } ` s ! « ; ` ` 2 ` ( a 0Tii : ; } \ \ \ \ / \ �\ Y0yrg o \ \ // - 7 \ \ i0 : = 0 \ - \ ° 5 , 1 \ } z \ \ .28 } \ \ 0 \ \ \ 19 / .ia54n7 { 0 ! ; 03 000 „ 0 00 0 0 _ ; , ! 0 ; ; \$ 69to . 6. 696969 . to . , , , to . 696969 , CA6961 \ \ \ \ 000000000000000000 ) Cr : : 0, : _ ( : : : : : : : ia0r7_-'8:-5., 0 : : 0 °0 . _ _ . § 0101 C" \ \ \ \ \ \ \ \ aflaa 0 / 0 . ® / / \ } / \ 3 CO / \ { i = 3 ° , : BIDDER: GFNTRYBROTHERS, INC SECTION 3 NON-COLLUSION AFFIDAVIT CBF - 11 GENTRY BROTHERS,INC BIDDER: NON-COLLUSION AFFIDAVIT In accordance with Public Contract Code Section 7106, the undersigned, being first duly sworn, deposes and says that he or she holds the position listed below with the bidder,the party making the foregoing bid, that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded,conspired,connived, or agreed with any bidder or anyone else to put in a sham bid,or that anyone shall refrain from bidding;that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto,or paid,and will not pay,any fee to any corporation, partnership, company association,organization,bid depository,or to any member or agent thereof to effectuate a collusive or sham bid. S snatu /%yNE 6 - vz1 Typed or Printed Name S`zC I v4 S Title GENTRY BROTHERS,INC Bidder Subscribed and sworn before me IhisZ7 day of 4u c- , 20 ( 7 (Seal) Notary Public in and for the State of California My Commission Expires: CBF- 12 California Acknowledgment Form A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the tmthfulness,accuracy,or validity of that document. State of California SS. County of Los Angeles On August 29, 2017 before me, N. Smith (here insert name and title of the officer) personally appeared Wayne J. Gentry who proved to me on the basis of satisfactory evidence to be the person(Sf whose name(M7 is/are subscribed to the within instrument and acknowledged to me that he/SOMXSHj executed the same in his/) Ot t au- thorized capacityQrdk(and that by hisQSXMXbfr signature$Xon the instrument the persong/Q, or the entity upon behalf of which the person(S'j acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Seal SS my h.. d .nd official seal. N. SMITH �'": CouY p P185A1 Signature of Notary In -r •. turwvniwc.cwranu IA TIw lla . "1:1tt Yr�dMI.FII.NR.1,10t1'� Optional Information To help prevent baud.it is recommended that you provide information about the attached document beton ***This is not required under California State notary public tam-.* Document Title: Non-Collusion Affidavit--- if of Pages: It Notes City of Rosemead - Garvey Avenue Resurfacing Project 02014 Golden State Notary.Inc www Notary.net (RS8)263-1977 BIDDER: Gentry Brothers,Inc. Bidder shall submit its Bid data in accordance with the format shown on each of the following Bid Data Forms. Bidders shall prepare and use as many sheets as are necessary to adequately provide the information required. Bidder shall ensure that every page of its Bid Data Forms are property identified with the Bidders name and page number. 2.A BID BOND KNOW ALL MEN BY THESE PRESENTS: THAT Gentry Brothers,Inc. as Principal and Federal Insurance Company as Surety, are held firmly bound unto the CITY OF ROSEMEAD (hereinafter caged the OWNER) in the sum of Ten percent of the total amount of the bid DOLLARS 10% ),being not less than ten percent(10%)of the Total Bid Price; for the payment of which sum will and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, finely by these presents. WHEREAS,said Principal has submitted a bid to the OWNER to perform all Work required for the GARVEY AVENUE RESURFACING PROJECT — FROM DEL MAR AVENUE TO EASTERLY CITY LIMIT as set forth in the Notice Inviting Bids and accompanying Bid Documents,dated August 30 2017 NOW,THEREFORE,if said Principal is awarded a Contractforthe Work by the OWNER and, within the lime and in the manner required by the above-referenced Bid Documents,enters into the written form of Contract bound with said Bid Documents,furnishes die required bonds (one to guarantee faithful performance and the other to guarantee payment for labor and materials) furnishes the required insurance certificates and endorsements,and furnishes any other certifications as may be required by the Contract,then this obligation shall be null and void;otherwise it shall remain in full force and effect. In the event suit is brought upon this bond by the OWNER and judgment is recovered,said Surety shall pay all costs incurred by the OWNER in such suit, including reasonable attorneys'fees to be fixed by the court. SIGNED AND SEALED, this 28th day of August 20 17 Gentry Brothers,Inc. (SEAL) Federal Insurance Company (SEAL) Principal Surety �A By: By: �,7(, Signet r Sgna(p/¢ Matthew J Coats Attorney-in-Fact CBF-7 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189 a5':`v">.. ' 6�_.=S' : A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness, accuracy,or validity of that document. State of California County of Orange On AUG 28 2011 before me, Summer L.Reyes,Notary Public Date Here Insert Name and Title of the Officer personally appeared Matthew J.Coats Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity('es),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. SUMMER L.REYES ([ Notary Public•CaliforniaL WITNESS my hand and official seal. ta- 111 Crum County = � H% Commha 0 8861 MM Comm.Eires Jul9.2020 Signature c t'I' hP / SignatureOf Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document Description of Attached Document Title or Type of Document: _ - _ Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: L Corporate Officer — Title(s): --i Corporate Officer — Title(s): Li Partner — C. Limited L General Partner — Limited General L 1 Individual .1 Attorney in Fact 7 Individual CI Attorney in Fact _J Trustee J Guardian or Conservator Trustee Li Guardian or Conservator L, Other: ❑ Other: Signer Is Representing: Signer Is Representing: . VFX-4•R _•_. , r.O.FLAn-4 _. - <'d.'CP 3.2014 Nat oval Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 C Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY Pacific Indemnity Company Warren,NJ 07059 OWY Know All by These Presents. That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Linda D.Coats,Matthew J.Coati and Summer Reyes of Laguna Hills,California------ - each as their We and lawful Attorney-in-Favi to execute under sen deslaaton in their name and to affix thee corporate seals to and deliver for and on their behar as surety thereon Or Cthawse, bonds and undertakings and other writings obigabry n the nature thereof(other than bal bonds)given or reputed in Me cane of business,and any insvurnents amending orahead the tame,end curare to the modification or alteration of any Instrument mined la in sad bonds nr otllganr.s. In Witness Whereof,said FECERAL INSURANCE COP ANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have oath executed and rn Secretary \tTheeesshe pre�seennn�ts�and affixed trolr corporate seals on thhie�I days June,2015. RwhM. sAssis1an�1�J\/!/ s/..[J ,OB.Norris, - ',art STATE OF NEW JERSEY County of Somerset e. On this 1°t day of June, 2015 before me.a MWy Public of Hew Jersey.personally came Dawn M.Chdros,to me known to be Assisted Secretary or FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,end PACIFIC INDEMNITY COMPANY,the cdryarae which exeNlad the foregoing Power of Attorney,and the said Dern M. Chloros, bang by me dray sworn, did depose and say that the Is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY and knows the rt Ville seals faeot.Val be seals abed to the foregoing Poem of Attorney are such corporate seals and vete thereto Wired by authority of the By-Lewis of said Companies',end that she signed said Pawn of Attorney as Assistant Secretary of sad Companies by like authority, and that she is acquainted vat David B.Norms.Jr_and knows him to be Vice President of said Companies:and that the signature of David B.Nona,Jr..subscribed b sad Paver of Attorneys in the genuine hadnbing of David B.Norris,Jr.,and waS thereto Subscribed by authoriyof said By-Laws rd in deponents presence, Notarial See AS t M tTAn KATHERINE J.ADEWIR e� II NOTARY PUBLIC OFNEWJERSEY ,�// , /u No.2318885 / Notary Pubic 'l,,PUBL AV Commission Expo-m July 10,2019 gir CERTIFICATION EAVact from the By-Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY: RI powae of attorney for and on behalf of the Company may and shat be executed ii the name and on behalf of the Company,atter by The Chairman or the Present or e V President or an Assistant Vice President,Jointly with the Starry or an Assistant Secretary, under their respective deeignaWM.The signature of such officers may be engraved,printed or lithographed The maniere of each cane follwang oficers:chairman.President any Vice President,any Assistant Vice President, any Secretary,any Assistant secretary and the seal of the Company may be eMbted by facsimile to any Weer d anomer or to any certificate relating thereto appointing Assistant Secretaries or Attorneys-in-Fact for purposes only ofexecuting are attesting bonds and urdenadngs and other wnlings obligatory in the natrethemN.any any such power of attorney or Certificate hearing such facsimile signature a fxaImoe seal shall be valid and binding upon the Company and any such power so executed ed certified by such kt&mik signature and sesame seal shall be veld and binding upon the Company with respect to any bond or endearing to weds It is attached.' I,Dain M.Chow,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY(me'Companie] do hereby cencay that (i) the foregoing exact W the By-laws of the Companies le bus and correct. (i) the Companies are duly licensed end oriented to transact surety business in all 50 re the United Stales of America and the Dmitri of Columbia and are authomed by the U.S.Treasury Department runner,Federal and Vigilant are licensed in dee U.S.%Man Wands,and Federal is license in Guam,Puerto Rice.and each of the Provinces of Canala except Prance Edward Island:and (Iii) the levering Poway of Attorney is true,coned and in full force end effect Gem oder my hand and seal of said Companies at Warren,NJ this 28th day at August,2017. 4.1 tip: �T1J C,C , M. Dawn Civvies,Assistant Secretary IN THE EYEM YOU WISH TO NOTIFY UB OF AC.AIM.W WFYTHE AU TEMCITr OF THIS BOM ORNDPF'us OF ANY OTHER meTTER,PLEASE CONTACT US AT ADDRESS IISTEo ABOVE OR BY TeMrone 906]a -SOS Fax(Wel a03-3650 snail. euetygtleateem Form 15-10 @154 U GEN CONSENT(rev 1?-14) • California Acknowledgment Form A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California }, SS. County of Los Angeles _ On August 29, 2017 before me, N. Smith (here insert name and title of the officer) personally appeared Wayne J. Gentry who proved to me on the basis of satisfactory evidence to be the person($fwhose name(Afi is/are subscribed to the within instrument and acknowledged to me that he/0000199 executed the same in his/MelDet au- thorized capacitS and that by hisdakktgetr signatureg)Con the instrument the person©), or the entity upon behalf of which the person(e acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Seal WI ' SS m hand and o tial seal. N. SMITH L Signature of Notary wi e —;y Crawl 2185741 n ,A ¢ SOIMY WIBno.CUFOAMA N cmp toe AWeLee couxtr 3 w.w` Mr Can,DP.MA.7,2D21 I Optional Information To help prevent fraud.it is recommended Mat you provide Information about the attached document below. 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