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City of Santa Ana <br />Clerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. <br />Return form to the Clerk of the Council Office (M -30). <br />Call 647 -6520 if you have any questions. <br />The agreement with Simplex /Grinell LLP <br />G 2b12 <br />COTC Office Use Only <br />3 7 <br />ITT 0F r <br />J I TA <br />No. N -2008 -160 was completed on 10 -31 -2012 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />A- 2009 -195, A- 2011 -271 Department: Police Department <br />Phone /Ext.: (714) 245 -8004 <br />Signature: <br />Date: !2 <br />Revised 08 -2 3-10 <br />