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Complete the below information if adding, removing or editing a GEMS user(s) <br />GEMS User 1 <br />Add as a media contact? <br />Yes © No[:] <br />Add/Change © Remove Access ❑ <br />Ruben Castaneda <br />Associate Engineer <br />Name <br />Job Title <br />rastaneda@santa-ana.org <br />7146475621 <br />Email address <br />Phone number <br />GEMS User 2 <br />Add as a media contact? <br />Yes © No ❑ <br />Add/Change © Remove Access ❑ <br />Mauricio Castaneda <br />Assistant Engineer <br />Name <br />Job Title <br />mcastaneda@santa-ana.org <br />7146475643 <br />Email address <br />Phone number <br />GEMS User 3 <br />Add as a media contact? <br />Yes © No ❑ <br />Add/Change © Remove Access ❑ <br />Michelle Micallef <br />Community Liaison <br />Name <br />Job Title <br />mmicallef@santa-ana.org <br />7146475091 <br />Email address <br />Phone number <br />GEMS User 4 <br />Add as a media contact? <br />Yes © No ❑ <br />Add/Change © Remove Access ❑ <br />Zdenek Kekula <br />Principal Civil Engineer <br />Name <br />Job Title <br />zkekula@santa-ana.org <br />7146475606 <br />Email address <br />Phone number <br />GEMS User 5 <br />Add as a media contact? <br />Yes ❑ No ❑ <br />Add/Change ❑ Remove Access ❑ <br />Name <br />Job Title <br />Email address <br />Phone number <br />Form completed by: M;^,, <br />Date: Oct 25, 2021 <br />As a signatory I hereby authorize the listed individual(s) to represent and have GEMS user access. <br />Zdenek Kekula <br />Signature <br />Name <br />Oct 25, 2021 <br />Grant Director <br />Date <br />Title <br />9/20/2021 9:06:55 AM Page 18 of 18 <br />