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_~ <br />1. ELECTRONIC INFORMATION EXCHANGE AGREEMENT <br />Information <br />Security Office <br />The undersigned represent and warrant that they have the authority to enter into this Agreement on <br />behalf of the person(s), entity(s) or corporation(s) listed above their name. <br />Agency Information <br />Attest: <br />- ~~,~ <br />Patricia E. Healy <br />Clerk of the Council <br />CITY O>~' ANT NA <br />DAVID N. REAM <br />City Manager <br />Date: <br />Representative Name: Francisco Gutierrez, Executive Director FMSA <br />~ (~4.i <br />Representative Signature: Phone: 714-647-5414 <br />Address: 20 Civic Center Plaza (M-17) <br /> State: CA Zip: 92701 <br />Email Address: futierrez@santa-ana.org <br />Ca1PERS Information - completed by management Date: /~- /3 - o ~' <br />Ca1PERS Representative: Sharen Scott Phone: (916) 795-2558 <br />Representative Signature: ,/f-! <br />Division: ERSD <br />Address: 400 Q Street <br />Sacramento, CA 95811 <br />~L ~fiG',~~t~~ v~~ <br />PERSO1A0041 (08-2008) <br />Page 3 of 3 <br />Effective 8/27/2008 <br />