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��.. City of Santa Ana <br />Clerk of the Council <br />COTC Office Use Only <br />AGREEMENT TERMINATION FORM <br />Please complete this form in its entirety when the attached agreement and all <br />amendments (if any) are no longer in effect. <br />Note: If your agreement is grant related, please ensure that all grant retention requirements i <br />have been satisfied prior to signing the termination form. <br />Is the agreement(s) a permanent record? Yes No F <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-1520 if you have any questions. <br />The agreement with Kean Wrl `e <br />N-2019-064 <br />No. was completed on QWn/2020 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: QFtCSA <br />Phone/Ext.: �� 9 <br />Signature: <br />Date: ili3OI28 202ill, <br />Revised: 10-18-16 <br />