California Preliminary 20-Day Notice (Public Work) by Megadox

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									                 PRELIMINARY 20-DAY NOTICE (PUBLIC WORK)
                                         (California Civil Code §3098)

TO PUBLIC AGENCY:

Name:            ____________________________________________________________

Address:         ____________________________________________________________

                 ____________________________________________________________

TO ORIGINAL CONTRACTOR OR REPUTED ORIGINAL CONTRACTOR:

Name:            ____________________________________________________________

Address:         ____________________________________________________________

                 ____________________________________________________________


1.      Person furnishing labor, services equipment or material [use name of entity holding license]:

Name:            ____________________________________________________________

Address:         ____________________________________________________________

                 ____________________________________________________________


2.      Description of labor, services, equipment or material supplied, or to be supplied by the claimant:

(a)     [list]

(b)     [list]

(c)     [list]

3.      Date claimant first provided said labor, services, equipment or materials:


4.      The name of the person/entity who contracted for purchase of the labor, services, equipment or
materials:


5.      Description of the jobsite sufficient for identification:


6.      An estimate of the total price of the labor, services, equipment or materials furnished or to be
furnished is _______________________ Dollars ($__________).


Date:
              -2-


Signature:

Print Name:

Title:              Phone:
                                                              -3-


                                       PROOF OF SERVICE AFFIDAVIT
(Section 3097.1 and 3098, California Civil Code)

I, __________________________________________, declare that I served the above Preliminary Notice
(check appropriate box).

(a)       [____] By personally delivering a copy to _______________________________________ (name and
          title of person served) at _______________________________ (address) on the _____ day of
          ______________, _______ at ______ AM/PM.
OR
(b)       [____]By First Class Certified or Registered Mail service, postage prepaid, return receipt
          requested, addressed to the party at the address shown below:




I declare under penalty of perjury under the laws of the State of California that the foregoing is true and
correct.

Signed at _____________________, California, on the _____ day of ______________, _______.




____________________________________
(Signature of Person Making Service)

[Use the Postal Service's Return Receipt Requested service. Keep the signed Proof of Service Affidavit (above) and the return
receipt for certified or registered mail delivery. Civil Code §3098 provides that for "any public works constructed by the
Department of Public Works or the Departme
								
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