Fill and Sign the California Cancellation Form

NOTICE OF CANCELLATION OF 10-DAY STOP WORK NOTICE OR RESOLUTION OF DISPUTE (Business Entity as Direct Contractor) Name of owner or reputed owner:       Street Address:       City, State and Zip Code:       Name of direct contractor:       Street Address:       City, State and Zip Code:       Name of construction lender:       Street Address:       City, State and Zip Code:       Site of the Improvement: Street Address:       City, State and Zip Code:       Legal Description:       COMES NOW,       , the direct contractor for the private work of improvements to the above described property, u pon resolution of the dispute or cancellation of the 10-day notice by the undersigned direct contractor, hereby provides notice to the subcontractors with whom the undersigned has a direct contractual relationship that the dispute has been resolved or the 10-day notice cancelled. Date:       Notice of Cancellation of Ten-Day Stop Work Notice or Resolution of Dispute Page 1 of 3 CA Code § 8840 Name of Entity:       ATTESTED BY: (if required) A Corporation By: Signature Signature of authorized signatory             Type or Print Name Type or Print Name       Its:       Position or Rank Capacity of Signatory Notice of Cancellation of Ten-Day Stop Work Notice or Resolution of Dispute Page 2 of 3 CA Code § 8840 PROOF OF NOTICE DECLARATION (Civil Code § 8118) I,       , declare that I have served copies of the NOTICE OF CANCELLATION OF TEN-DAY STOP WORK NOTICE OR RESOLUTION OF DISPUTE by (check appropriate box below): a. By personally delivering copies to: Name:       Title:       At: (Street Address)       City, State and Zip Code:       On:       , 20       , at       am / pm. [Provide the above information for all other parties personally served on attached Exhibit A] b. By Certified, Express, or Registered Mail Service, postage prepaid addressed to: Name:       Title:       At: Street Address:       City, State and Zip Code:       On:       , 20       [Provide the above information for all other parties served by mail / express service on attached Exhibit A] See attached documentation provided by the US Postal Service or express mail service showing the date of delivery and the name of the person accepting delivery; tracking record or other documentation from express carrier showing attempted delivery or delivery of the notice; or, in the event of non-delivery, the returned envelope itself. I declare under penalty of perjury that the foregoing is true and correct. Signed at       , California , on       , 20 ______ . Signature       Print or Type Name A notary public or other officer completing the 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. SWORN TO AND SUBSCRIBED before me on this the       day of       , 20       . Notice of Cancellation of Ten-Day Stop Work Notice or Resolution of Dispute Page 3 of 3 CA Code § 8840 Notary Public My Commission Expires:       Notice of Cancellation of Ten-Day Stop Work Notice or Resolution of Dispute Page 4 of 3 CA Code § 8840