20-DAY PRELIMINARY NOTICE
(For California)
(For use on Private Work and Public Works--In
accordance with Section 3097, 3098 & 3111, California Civil Code)
(To be used by material-men suppliers,
subcontractors, architects, engineers and other non-contractors)
PERSON FURNISHING LABOR, SERVICES EQUIPMENT OR
MATERIAL:
Name:
_________________________________________________________
Address: _______________________________________________________
TO OWNER, REPUTED OWNER, OR PUBLIC AGENCY:
Name - Owner or Public Agency:
________________________________________
Address:
____________________________________________________________
Construction Loan Number _____________________________________________
TO CONSTRUCTION LENDER OR REPUTED CONSTRUCTION
LENDER:
Name:
____________________________________________________________
Address:
________________________________________________________
NOTE: This is NOT a lien on your property but a
notice required by law to alert you to the possibility of liens being filed in
the future if all parties who furnish labor and materials to your job are not
paid in full.
Dated: ________________________
Signature: ______________________
Title: __________________________
Telephone: _____________________
DESCRIPTION OF LABOR, SERVICES, EQUIPMENT OR
MATERIAL SUPPLIED, OR TO BE SUPPLIED: ________________________________________
THE ABOVE FURNISHED TO:
Name:
__________________________________________________________
Address:
_________________________________________________________
Address of job site:
_________________________________________________
An estimate of the total price of the labor,
services, equipment or materials furnished or to be furnished is
_______________________ Dollars ($__________).
Trust Funds to which Supplemental Fringe Benefits
are Payable.
Name:
__________________________________________________________
Address:
_________________________________________________________
Name:
__________________________________________________________
Address:
_________________________________________________________
NOTICE TO PROPERTY OWNER
If bills are not paid in full for the labor,
services, equipment, or materials furnished or to be furnished, a mechanic's
lien leading to the loss, through court foreclosure proceedings, of all or part
of your property being so improved may be placed against the property even though
you have paid your contractor in full.
You may wish to protect yourself against this consequence by (1)
requiring your contractor to furnish a signed release by the person or firm
giving you this notice before making payment to your contractor or (2) any
other method or device which is appropriate under the circumstances.
PROOF OF SERVICE AFFIDAVIT
(Section 3097.1 and 3098, California Civil Code)
I, ________________________________, declare that I
served copies of the above Preliminary Notice (check appropriate box).
(a)
[ ] By personal delivery, copies to
_______________________________________ (name and title of person served) at
_______________________________ (address) on _________________________ (month
& day), __________ (year) at ______________ (time).
(b) [ ] By First
Class Certified or Registered Mail service, postage prepaid, addressed to
each of
the parties at the address shown above on ____________________ (month
&
day), __________ (year).
I declare under penalty of perjury that the
foregoing is true and correct.
Signed at _____________________, California, on
_____________________ (month & day), __________ (year).
(ATTACH RECEIPTS OF CERTIFIED OR REGISTERED MAIL
WHEN RETURNED)
____________________________________
(Signature of Person Making Service)
