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City Of Santa Ana COTC Office Use Only <br />t Clerk of the Council <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amendments (if any) are no longer in effect.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 <br />have been satisfied prior to signing the termination form. <br />Is the agreement(s) a permanent record? Yes ❑ NoL�,�F;EMjCTL <br />S 1L 18'22 HN8:46 <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 CSG CONSULTANTS, INC (CSG) <br />No. A-2019-199-07 was completed on 2.2— and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: Planning and Building <br />Phone/Ext.: X2717 <br />Signature: A \11 <br />Date: 07/12/2022 <br />i:}agreementsVonnslform- agreement temdnabon fann_goldenmdAm <br />