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City of Santa Ana <br />1 Clerk of the Council I V <br />AGREEMENT TERMINATION FORM <br />Please complete this form in its entirety when the attached agreement and <br />amendments (if any) are no longer in effect. <br />Note: If your agreement is grant related, please ensure that all grant retention requirements <br />have been satisfied prior to signing the termination form. <br />Is the agreement(s) a permanent record? Yes F-1 Now <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 <br />COTC OUice Use OnN <br />UE THE COUNCIL <br />8'22 at7H:46 <br />CENTURY STRUCTURAL ENGINEERING CO., INC (CSE) <br />No. A-2019-199-06 was completed on I and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: Planning and Building <br />OagmementMlfonsVbn - agreement tertninagon folm_goidumd.dw <br />Phone/Ext.: <br />Signature: <br />x2717 <br />'A V WAVA9L <br />Date: 07/12/2022 <br />