Laserfiche WebLink
City of Santa Ana <br />Cleric 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amendments (if any) are no longer in effect.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. , f <br />Is the agreement(s) a permanent record? Yes No Y <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-1520 if you have any questions. <br />0 <br />The agreement with <br />COTC Office Use Only <br />CZo2-� <br />City of Santa Ana <br />Clerk of the Council <br />A-2020-085-04 <br />No. was completed on L% u2—i and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: Cbq- <br />Phone/Ext.: i� - �L4 LA O— <br />Signature: <br />Date: <br />iaagreementslformslform - agreement termination formwgoldenrod.doc <br />1t <br />