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AZ <br />City of Santa Ana <br />Clerk of the Council <br />l <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amendments (if any) are no longer in effect.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 -1520 if you have any questions. <br />The agreement with Select Trenchless Pipelines Inc <br />G41 <br />COTC Office Use Only <br />( pi T( r Wyk <br />330 � L:m <br />a <br />No. N- 2010-017.01 was completed on 12/31/2015 and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />tt-2-M -DO CUM <br />Revised 10 -31 -12 <br />Department: PWA- Water <br />Phone /Ext.: <br />Signature: <br />r <br />Date: 1/20/2016 <br />