2016-08 Preliminary Notice - Merchants Metals LLcNACM STS jv
8840 Columb ia 100 Pkwy
Ste 100
Columbia , MD 21045-0000
City Of Laquinta
78495 Calle Tampico
LA QUINTA, CA 92253
USPS CERTIFIED MAIL 425465
1111111 II 111111
9214 8901 3515 6503 1542 62
rfa··············································································································································································--·········································································································S
l...f'. Fold or Cut Here ~
NACMSTS.COM CERT COVER V1 .0
File #: 2180 [CA) [PUBLIC) [OWNER)
Notice Requested by and Return to :
NACM STS
mlbsrequest@nacm .org
8840 Columbia 100 Pkwy
Columbia , MD 21045
Customer : Team West Contracting
ID #: 425465
Project : Laquinta Silverrock Park Avenue
Rec ID : 12AA74Bl-FB1A-4F53-BEC4-998498160546
Job #: 179995-081
Cert No. : 9214 8901 3515 6503 1542 62
CALIFORNIA PRELIMINARY NOTICE PUBLIC WORKS
(THIS NOTICE IS GIVEN PURSUANT TO CALIFORNIA CIVIL CODE §§ 8034 (B), 8102 , 8106-8118 , 8200 et seq., 8612 , 9300 et Seq.)
>> TO THE PUBLIC ENTITY OR REPUTED
City Of Laquinta
7 8495 Calle Tampico
LA QUINTA , CA 92253
USA
>> TO DIRECT OR REPUTED CONTRACTOR
Urban Habitat
PO Box 1177
LA QUINTA , CA 92247
USA
>> TO LENDER , SURETY OR BONDING CO . OR
>> REPUTED LENDER, SURETY , BONDING CO .
United Fire & Casualty Company
118 2nd Ave SE
CEDAR RAPIDS , IA 52401
USA
Additional Legal Parties : Exhibit D
1 . The following is a general description of
the labor , service , equipment or materials
furnished or to be furnished by the undersigned:
fence
2. The estimated amount of the work provided or
to be provided is $12 ,000.00
3 . The name of the person or entity who furnished
that labor, service , equipment or
materials is:
Merchants Metals LLC
211 Perimeter Center, Suite 250
ATLANTA, GA 30346
USA
Relationship to Parties : Material Supplier
4 . The name of the person or entity who contracted for
purchase of that labor , service , equipment
or material is :
Team West Contracting
2733 S Vista Avenue
BLOOMINGTON, CA 92316
USA
5 . The description of the jobsite is :
Laquinta Silverrock Park Avenue
52nd Ave Between Jefferson (See Exhibit A)
LA QUINTA , CA 92253
USA
County of RIVERSIDE
REQUEST FOR COPY OF PAYMENT BOND AND NAME OF SURETY COMPANY
TO CONTRACTING BODY: City Of Laquinta 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 .
I declare that I am authorized to file this claim on behalf of the Claimant. I have
foregoing document and know the contents thereof ; the same is true of my own knowledge .
under penalty of perjury that the foregoing is true and correct. Executed at ATLANTA ,
03/16/2020 for MERCHANTS METALS LLC .
Analyst Phone : (770) 741-1025
PROOF OF SERVICE BY MAIL AFFIDAVIT
read the
I declare
Georgia on
I declare that I served the Preliminary Notice , and any re l ated documents , by certified or
registered mail , postage prepaid , or other cert ified delivery , addressed to the above named
parties , at the addresses listed above , on 03/16/2020 . I declare under penalty of perjury that the
foregoing is true nd correct . Executed at ATLANTA , Georgia on 03/16/2020:
Prepared by :
Jocelyn Vanlandingh ucc Specialist & NACM-MLBS NTO Rep
California Owner and Lender/Surety request per CA Statute 8208
California Law provides that the General Contractor must make available to any person seeking to give a
preliminary notice the Owner and Lender information per the following section :
8208 . A direct contractor shall make available to any person seeking to give preliminary notice the
following information :
(a) The name and address of the owner.
(b) The name and address of the construction lender, if any.
Please enter any corrections to the information listed within the notice provided.
Owner or Public Entity:
Lender, Surety or Bonding Company:
Dated : ________ _ By : ----------------~
Print Name/Company: ---------------------------
Return completed form:
NACM's STS -MLBS
8840 Columbia 100 Parkway
Columbia, MD 21045
Email: mlbsrequest@nacm.org
MLBS Project#: 425465 JV
EXHIBIT A: PROPERTY DESCRIPTION
PROJECT NAME : Laquinta Silverrock Park Avenue
The following is a complete legal description to the best of our knowledge:
SE CORNER OF AVENUE 52 AND SILVERROCK WAY
NACM -SECURED TRANSACTION SERVICES
8840 COLUMBIA 100 PARKWAY COLUMBIA MD 21045
Exhibit D -List of Additional Parties
Owner : City Of Laquinta
Project : Laquinta Silverrock Park Avenue
Customer: Team West Contracting
Job Number : 179995-081
The following is a complete list , to the best of our knowledge of all additional or
secondary parties with an interest in the aforementioned project
ADDITIONAL OR REPUTED OWNER , LESSEE OR AGENT
CITY OF LA QUINTA
PO BOX 1504
LA QUINTA , CA 92247
Contract #: