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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 />i <br />Attest: <br />Patricia E. Healy <br />Cleric of the Council <br />CITY OMANT NA� <br />DAVID N. REAM <br />City Manager <br />Date: <br />Representative Name: Francisco Gutierrez, Executive Director FMSA <br />Representative Signature: Phone: 714-647-5414 <br />Address: 20 Civic Center Plaza (M-17) <br />State: CA <br />Zip: 92701 <br />Email Address: fgutierrez@santa-ana.org <br />CaIPERS Information — completed by management <br />Date: <br />Ca1PERS Representative: Sharen Scott <br />Phone: (916 ) 795-2558 <br />Representative Signature: -- <br />Division: ERSD <br />Address: 400 Q Street <br />Sacramento, CA 95811 <br />�?SoiSt£ it City A <br />PERSOIA0041 (08-2008) Page 3 of 3 Effective 8/27/2008 <br />