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City of Santa Ana <br />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amendments (if any) are no longer in effect.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 El 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 />INTERWEST CONSULTING GROUP <br />COTC Office Use OnN <br />QE THE COUNCIL <br />13'22 AM8:46 <br />No. A-2019-199-10 was completed on V M tfand final payment has been made. <br />(List all amendments. Use space below if needed.) <br />X-Vcncio ' GeV M-Fs not Department: Planning and Building <br />u Sed - 110 Payme)'1t S x2717 <br />Phone/Ext.: <br />.W(dc to vendor �J 'Ie�,,.wo <br />Signature: `J V` '"^ — <br />Date: 07/12/2022 <br />0agreementsUonnsNorm - agreement termination formyaldemod.doc <br />