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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amendments (if any) are no longer in effect.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 />v HE C 01_as <br />COTC office Use only <br />Notre: 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 No <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 />BrightLife Designs <br />No. 2020-208 was completed on 6/2812021 <br />(List all amendments. Use space below if needed.) <br />i:lagreementslformsvorm • agreement termination #arm—gddenrod,dcc <br />Department: <br />and final payment has been made. <br />Community Development Agency <br />P hone/Ext.: 714-673-3619 <br />t <br />Signature: <br />Date: 07/16/21 <br />