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City of Santa Ana � J'�� <br />Clerk of the Council 7 <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amendments (if any) are no longer in effect.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 1:1 No Z <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 WILLDAN <br />COTC Office Use Only <br />OF THE COUNCIL <br />13'22 AmO:46 <br />No. A-2019-199-14 was completed on NJ <br />VZI cI I Find final payment has been made. <br />(List all amendments. Use space below if needed.) <br />-X vc-ndor <QCeU I ccs " Department: Planning and Building <br />� <br />w ed N 0 tc� Pe nId � eOtJ Phone/Ext.: X27177 <br />Mod <br />'oCI e Signature: 'A V <br />Date: 07/ 12/2022 <br />hagmemenlslformslfomi - agreement tennina6on foim_goidurodAm <br />