CA Request for Notice of Completion or Cessation (Public Works)

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					REQUEST FOR NOTICE OF COMPLETION OR CESSATION (PUBLIC WORKS)
                                           (California Civil Code §9362)

Name of PUBLIC ENTITY                               Address:




TOGETHER WITH THIS REQUEST FOR NOTICE OF COMPLETION OR CESSATION, you have been
served with a STOP PAYMENT NOTICE, in accordance with California Civil Code Sec. 8044 and 9350 et seq. for
the building, structure, or other work of improvement located at:

Address:

Legal Description:

The work of improvement is a public work being performed under Original Contract No. ______________, which
was entered into between you and the direct contractor named below:

Name of Direct Contractor:

Address:

In accordance with California Civil Code Sec. 9362, enclosed is the sum of TEN DOLLARS ($10.00), in the form of
a check or money order, to cover the costs of notification of completion or cessation. The Notice of Completion or
Cessation should be sent to the undersigned claimant at the address below:

Address:

City, State, Zip:




Dated:                                  , 20



Name of Claimant Firm


Signature of Claimant or Authorized Agent


Title


Contractor’s License #


Telephone No.
-2-
                                                              -3-


                                     PROOF OF SERVICE DECLARATION

I, __________________________________________, declare tha
				
DOCUMENT INFO
Description: Serve the owner of a public works improvement project with this California Request for Notice of Completion or Cessation (Public Works). - Contractors must serve the public entity with this Request for Notice form under Civil Code Sec. 9362. - The Request for Notice must be served together with a Stop Payment Notice, and the sum of $10. - The form includes a Proof of Service Affidavit, to record how the Notice was served. - UPDATED FOR 2012. The California Request for Notice of Completion or Cessation (Public Works) is a downloadable and reusable lien form.
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