HomeMy WebLinkAboutORANGE COUNTY FLOOD CONTROL DISTRICT 5 - 2010C3 MVA C3� � 4#8,�,V Jb�,lY�r �if���ranl ?U /U
RYGHT'QF ENTRY
Project Name: Santa Ana River 1t Street Bridge)
Project Igo.: E01,950
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This light of Entry ("Right of Fatly" between Orange County Flood Control District, a body corporate and
politic, hereinafter referred to as 11 Lice nsor")- and City of Santa Ana, a charter city and m tin UpaI corporatlon duly
organized and existing under the Constitution and laws of the State f California, Its ffcer , agents, employees r
representatives l ereinaf er rererred to as "Llcgn e " or "City"), is entered Into to grant City the right to eater,
the real property ("'Property") described In the Easement Deed attached hereto as Exhibit A,, for the purpose of
constructing or ImprovIng a public highway known as the I t Street Bridge and accornpll hing all necessary
Incidents thereto,
It Is understood that this permission to enter and construct is not a warier in any way W' the right of
LIc nsor to compensatlon for City's future perpetual easement Interest over such Property for street and
highway purposes or of any remedy authorized by iaw to secure payment therefore. Licensor acknowledges having
been advised of its right to receive immediate compensation as a prerequisite W Licensee' entt� upon and
possession of the Property and has waived that right, agreeing to be compenseited at a later date, City shall pay
Interest to Uc nsor on the principal amount of compensation from the ninetieth (90th) day following ing the Effective
ate - (as hereinafter defined) of this Right of Entry, through the date compensation is paid, pursuant to Code of
Civil Procedure ("'UP") section 1268.310 and calculated according to CCP section 1268.350, Once co per satlon
Is received by Llcen or, the easement will be granted to City substantially In the form of Exhibit A, attached
hereto and Incorporated by reference.
This permission Is granted In consideration of the location, Improvement and construction of such highway and
incidents thereto, which it is understood Is required by Licensee, with the understanding and on the condition that
City will hereafter promptly obtain an appraisal of the Property, and no later than sixty 0 days from the Effective
Date of this Right of Entry begin negotiations with Licensor's Director of OC Public Works, s, or designee
T1 recto r" ,•to agree upon terms of compensation to bo,pald by City for the perpetual easement interest described
above. If Licensor does not accept the appraised value, and the parties fail to agree on the compensation value,
Ity wlil commence eminent d r afn proceedings,, subject to City Council approval, If within once 1 year of the
commencement of construction activity, Ucensee has not paid LI ensor compensation for the perpetual easement
In an amount that has been agreed upon and accepted by Ucensor and Licensee has not filed an eminent dor aln
actlon to acquire the perpetual easement from LIcensor, Licensee acknowledges that Licensor may pursue any and
all available remedies to obtain compensation from Licensee,, Including but not 11mited to are action In inverse
condemnation,
In granting Licensee this right to eater and use the Property, and provided that City Council has approved the filing
of eminent domain proceedings and adopted a resolution of necessity in cotpllance with the requirements of ccp
section 1245,235, LIcensor agrees to the foli ring: 1 Licensor shall not object to the filing of an eminent domain
proceeding to acquire an easement on the Propel; and In any eminent dornaln action filed - y City to acquire
such easement, Licensor shall not challenge City's right to tale such Property, and the only Issue shall be the
amount of just compensation for the Property.
Licensee agrees to Indemnify and hold harmless Licensor from any llablllty arising out of Licensee's exercise of
the rights granted by this Right of Entry, l.Icensee further agrees to repair. any damage to said Property caused by
Licensee's. exerclse of the rights granted by this Fight of Entry at Its sole cost and expense and to restore said
Pr p r ty, with the exception of the Improvements left thereon, as nearly as practicable to the state In which It
existed prior to the use of the Property by Licensee ,
The rights herein granted to Licensee, are exclusive, and Licensee agrees not to assign, transfer, lease,
pledge, or otherwise d#sp se of Its Right of Entry without the prior a pr ss d written approval of the undersigned)
This Right of Entry shall expire upon completion of said construction work or upon City obtainin a perpequal
e rent for street and highway purposes over said Property, whichever comes first, and in any event, no later
than December 31, 2012, unless extended by written agreement between Director and Licensee,
RIGHT of ENTRY
. Page 2 of 2
Any notices, documents, correspondence and communications (collectively, "Notices" ) concerning this Right
of Entry shall be addressed as set forth below, or as the Licensor or Licensee may hereafter designate by written
note to the other party, and shall be seat through the United States rail with postage prepaid. Notices may also
be provIded by personal delivery or by facsimile.
To Licensor:
Orange County Flood Control District
e C Public tors, Real Estate Services
300 N, Flower Street, Sixth Floor
Santa Anal CA 92703-S
Attention: Property Management Supervisor
Telephone: (714) 834 -4133
Facsimile: (714) 834 -2870
b1s. Right of Entry may be executed In counterparts, each of "Which when taken together shall constitute
the one original,
The "Effective " of this Right of Entry shall be the later date executed by Licensor or Licensee.
Licensor and Licensee agree to all the terms as stated above,
LICENSOR:
ORANGE COUNTY FLOOD CONTROL* DISTRICT,
a body corporate and politic
By:
Chair, Board of Supervisors
Date
Signed and certifier that a copy of this
document has been delivered to the Chair of
the Board per G.C, Sec. 25103, Res -1535
ATTEST:
Darlene 3, Bloom, Cleric of the Board of Supervisors
Orange County Flood Control District
Orange County, Californla
LICENSEE:
CITY OF SANTA ANA,
a charter city and municipal corporation duly
organized and existing under the Constitution
and laves of the of Ca n1a .
By;
av1d N, Roam, City Ma*na r
Date
PPROVE D AS TO FORM:
JOSEPH W, FL TC E#
City Attorney
B
Y
aura Sheerly
Assistant City Attorney
Date Al
Approved as to form:
Office of the County Counsel ATTESIft
Orange County, California
��dL
: l D. HUI A
p� t,
Deputy Date K THE C Nd
RECORDED AT THE REQUEST OF
AND WHEN RECORDED MAIL TO.
Clerk of the Council
City of Santa Ana
20 Chic Center Pla a, M-30
Santa Ana, CA 92701
Lail Tax Statements as shorn above I THIS SPACE FOR RECORDER'S USE ONLY
DOCUMENTARY TRANSFER TAX
AP N: Computed on the consideration or value of property conveyed
Exempt per Revenue & Taxation Code Sect ion 11922
Exempt rom Recording Fees per Govt. Code Section 27383
B:
IGNATURE of DEC LARA FT OR AGENT DETE RNIM ING TAX FIRM MAIM
L Unincorporated Area
El Incorporated - City of Santa Aria
Parcel Flo: EO 1.
Project: Santa Ana River
EASEMENT DEED
For valuable consideration, receipt of which is hereby kn l d i,
ORANGE COUNTY FLOOD CONTROL DISTRICT,
body corporate and politic,
hereinafter referred to as "DISTRICT,"
does hereby grant to
CITY OF SANTA ANA.,
chatter city and inunieipal corporation, duly organized and
existing under the Constitution and laws of the State of California,
lier'e n E er referred to as "GRANTEE," its, successor and assigns,
non-exclusive easement for street and Jiighway purposes in, on, over, Ripon and across that eeilain real
property berei nafter referred to as "Fasein e n t Area") described in " + hib it A," and til tstrat d in "Exh ibit
," which exhibits are attaeli d hereto and made a part hereof DISTRICT and GRANTEE, may Sometimes
herein f er be individually referred to as "Pat-t " orjointl r as "Parts ".
GRANTEE'S 'S r fights shall include rights to construct, repair, maintain and use surface improvements ements consisting
of roadways, s, curbs, gutters, sidewalks, and landscaping "Facilities ") and shall include reasonable access to
the Easement Area for the purpose ofe ereising the rights herein grunted.
It is understood and agreed by the Parties hereto and their successor and assigns that said easement and right
of way herein granted in this easement deed ("Easement Deed") shall be subject to the following terms,
conditions, and reservations.
Exhibit
Strectll- lighway Fa meat - OCFCD to City of Santa Ana 1 08104/10
I. CONSTRUCTION AND MAINTENANCE PMES , S
GRANTEE shall have all construction and/or maintenance plans approved in writing by DISTRICT'S
Director OC Public Works, or designee, (hereinafter referred to as "Dii•ecto " prior to commencement of ally
work in, on or about the Easement Area; and upon completion of any such work, GRANTEE shall
itirimediately notify Director in writing of such completion.
Director's approval of GRANTEPS construction and/or maintenance plans shall not be deemed approval
from the standpoint of structural safety, suitability for purpose or con orr anee with building or other codes or
other governmental ental requirements. DISTRICT is not responsible for perinitting of any construction and/or
maintenance, design, assumptions or accuracy of GRANTEE'S construction and/or maintenance plans.
Director will rely on the professional expedise of the Engineer of Record when approving GRANTEES
construction and/or maintenance plans.
GRANTEE hereby acknowledges that the Easement Area lies within in a portion of a flood control facility,
commonly referred to as the Santa Aria Rivera Channel (hereinafter "the Channel").
GRANTEE shall perform all constrt- Lrction and/or maintenance in such a inann r that will allow for
unobstructed flood control operations and maintenance of the Channel by DISTRICT.
Should it be necessary for GRANTEE to conduct any construction oil excavation activities or otherwise
disturb the surface of the Easement Area subsequent to the completion of the initial installation of
GRANTEE'S Facilities, GRANTEE agrees to notify Director in Writing sixty days in advance of such
planned activities, obtain Director's written approval of all plans, and obtain a permit for construction from
the County of Orange ("County"" with payment of nori gal processing fees prior to commencement ent f any
such activities. Said approval shall not be withheld unreasonably, nor, shall said approval be necessary in any
emergeny situation or in conducting routine maintenance activities which do not involve disturbance of the
surface area.
Except in designated environmentally sensitive areas, GRANTEE shall have the right to cart such roots as may
endanger or interfere with GRANTEE'S Facilities provided, however, er, that any excavation shall be made in
such a manner as will cause the least injury to the surface of the ground and any improvements and/or
landscaping around such excavation, and that the earth so removed shall be replaced and the surface of the
ground and any improvements ents and or landscaping around such excavation, damaged shall be promptly
restored by GRANTEE at its expense to the same condition as existed prior to excavation, to Director's
satisfaction.
GRANTEE shall, at no cost to DISTRICT, maintain in good repair and in safe condition all Facilities
constructed, used on placed upon the Easement Area by or on behalf of GRANTEE pursua"t to this Easement
Deed.
REMOVAL AND /off. ABANDONMENT PMES i 1 S
GRANTEE agrees that in the event a GRANTEE'S Facilities are no longer required, orb GRANTEE'S
use of said Facilities ceases for a continuous period of more than one 1 year without Britten notice from
GRANTEE to DISTRICT of the circumstances affecting such suspension and of GRANTEE'S intention to
resumer age of the facilities, GRANTEE shall, at Director's request and at no cost to DISTRICT, remove
and/or abandon said Facilities within ninety days after receipt of written notice from Director to remove
and/or abandon. Following such removal and/or abandonment, GRANTEE shall, at no cost to DISTRICT,
restore the Easement Area to the condition that existed prior to the granting of this Easement Deed, to
Director's satisfaction.
stree W, Ii hway Easement - OCFC D to City ofSanta Ana 2 08104/10
GRANTEE shall also execute and deliver to Director, within ninety o days of such removal and/or
abandonment, for recordation in the Official Records of Orange County, California, aQUitclaim Deed
sufficient to remove the encumbrance of this Easement Deed froni title.
3, RELOCATION (PMES4. IS)
GRANTEE agrees that in the event GRANTEE'S Facilities shall at any time interfere with the operation,
maintenance, replacement, or improvement of DISTRICI'S property as determined d by Director, GRANTEE
shall, Within ninety days of receipt of written notice from I irector, relocate at GRANTEE'S expense
GRANTEE'S Facilities to a site designated by Director, All other terms and conditions of this Easement
Deed shall remain the sane.
COMPLIANCE WITH APPLICABLE WATER QUALITY REQUIREMENTS PMES .2S
GRANTEE shall ensure that all construction in the Easenient Area is performed in accordance with any
NPI ES permit requirements or other pater quality statutes, regulations, ordinances, or permits, applicable to
the construction, including but not limited to use of appropriate best management ent practices, so as to ensure
that pollutants are not discharged into the Channel nor into DISTRICT'S flood control system.
5. HOLD HARMLESS (PMES7.2S)
GRANTEE hereby releases and waives all claims and recourse against DISTRICT, and County including the
eight of contribution for loss of r damage to property, or injury to or death of any person arising from,
growing out of or to any gay connected with or related to this Easement Deed except claims arising from the
concurrent active or sole negligence of DISTRICT and/or County, their officers, agents, employees and
contractors. GRANTEE hereby agrees to indemnify, defend % ith counsel approved in Writing by
DISTRICT), and hold harmless, DISTRICT and County, their elected and appointed officials,,, officers, agents,
employees and contractors against any and all claims, losses, demands, damages, cost, expenses or liability for
inj6ury to any persons or property, arising out of the maintenance, use of or operations or activities conducted
i115 on, or over the Easement Area, and/or GRANTEE'S exercise of the rights under this Easement Teed,
except for liability arising out of the concurrent active or sole negligence of DISTRICT, and/or County, their
elected and appointed officials, officers, agents, employees or contractors including the cost of defense of ally
lawsuit arising therefrom. If DISTRICT and/or County is /are named as co- defendants) in a lawsuit,
GRANTEE shall notify Director of such fact and shall represent DISTRICT County in such legal action
unless DISTRICT County undertake(s) to represent itself /themselves as co- defendants) in such legal action,
in Which evert, GRANTEE shall pay to DISTRICT /County its /their litigation costs, expenses, and attorneys'
fees. ffjudgment is entered against DISTRICT/County and GRANTEE by a court of competent jurisdiction
because of the concurrent active negligence of DISTRICT/County and GRANTEE, DISTRICT and
GRANTEE agree, that liability will be apportioned as determined by the court, Neither party shall request
,fury appoi-tionnient.
GRANTEE acknowledges ledges that it is familiar with the language and provisions of California Civil Code
Section 1 542 Which provides as follows:
genet-al release does not extend to claims which the credi oi- does not I moue or* suspect
to exist in his oi# her -fav i- at the time ofexecuting the i- l ease, iv i h, iftno wn by hint oi-
he , inust have inaterial1j, affected his or hei• settlement with the debtor.
GRANTEE, being aware of and understanding the terms of Section 1 542, hereby waives all benefit of its
provisions to the extent described in this section.
tree V1 - lighway Eas e m en t - OC F CD to Ci t t of S a n I a An a 3 08!04/10
6, GRANTEE'S LIABILITY FOR HAZARDOUS OR TOXIC MATERIALS (PMES8.2S)
GRANTEE shall not cause or permit any "Hazardous Material," as hereinafter defined, to be brought upon,
kept, or used in or about the Easement Area. If GRANTEE breaches the obligations stated herein, or if
contamination of the Easement Area by Hazardous Material otherwise occurs for which GRANTEE is legally
liable to DISTRICT for damage resulting therefrom, then GRANTEE shall indemnify, defend with counsel
approved in writing by DISTRICT, and hold harmless, ] ISTRICT and/or County, and their; elected or
appointed officials, officers, agents, and employees from any and all claims, judgments, damages, penalties,
fines, costs, liabilities, or losses (including, without limitation, diminution in value of the Easement Area,
sums paid in settlement of claims, attorney fees, consultant fees, and expert witness fees) which arise during
or after GRANTEE'S use of the Easement Area as result of such contamination. This indemnification
includes, without limitation, costs incurred by DISTRICT in connection with any investigation of site
conditions or any ereanu , remedial, removal, or restoration work required by any federal, state, or local
governmental entity or agency because of Hazardous Material being present in the soil or ground water under
the Easement Area. GRANTEE shall promptly take all action, at its sole cost and expense, as is necessary to
clean, remove, and restore the Easement Area to its condition prior to the introduction of such Hazardous
Material by GRANTEE, provided GRANTEE shall first have obtained Director's written approval and the
approval of any necessary governmental entities or agencies for any such remedial action.
As used herein, the term "Hazardous Material" ine ns any hazardous or toxic substance, material, or Nva to
which is or shall become regulated by any governmental entity oil agency, including, Without limitation, the
County, the state of California, or the United States government.
7, RESERVATIONS PMES .1 S
DISTRICT hereby reserves for itself and its successors and assigns, such surface, subsurface and aerial rights
in the Easement Area as will not unreasonably interfere with or prohibit the use by GRANTEE of the rights
and casement herein granted.
In the event DISTRICT exercises such rights to uti lize the Easement Area which u se res u Its in the disturbance
of the Easement At-ca. DISTRICT'S only responsibility shall be to back fill with compacted earth to the grade
of the surrounding property following completion of ISTRICT'S activity. GRANTEE shall restore
GRANTEE'S Facilities to the design and grade approved as provided for in Section 1 above.
81 C ONVEYANCE SUBJECT To EXISTING INTERE STS PM S10.lS
This Easement Deed is subject to existing contracts, leases, licenses, casements, encumbrances, and cl aims
which may affect the Easement Area, and the use of the word "grant"' herein shall not be construed as a
covenant against the existence of any thereof.
Nothing contained herein, oil in any document related hereto, shall be construed to imply the conveyance to
GRANTEE of rights in the Easement Area which exceed those owned by DISTRICT, or any representation or
warranty, either express or implied, relating to the nature or condition of the Easement Area or DISTRICT'S
interest therein.
9. TAXES AND ASSESSMENTS PMES 11.1 S
Should this Easement Deed create a possessory interest Which is subject to the payment of taxes levied on
such interest, it is understood and agreed that all taxes and assessments including but not limited to said
possessor' interest tax) Which become due and payable upon the Easement Area or upon fixtures, equipment,
or other property installed, constructed or used by GRANTEE thereon in connection with this Easement Deed,
sure tffli hwa Easement - OCFCD to City of Santa Aria 4 08104110
shall be the firll responsibility of GRANTEE, and GRANTEE h it cause said taxes and assessments to be
paid promptly when due.
10. NOTICES (PMES 12.1 S)
All notices, documents, correspondence and communications concerning this Easement feed shall be
addressed as set forth in this Section, or as the Panties may hereafter designate by written notice, and shall be
sent through the United States mail with postage prepaid. Any such mailing shall be deemed served or
delivered twenty-four 2 hours after mailing. Each Party may change the address for notices by giving the
other party at least ten 1 calendar days' prior Britten notice of the new address.
Notwithstanding the above, either Party may also provide notices, documents, correspondence, or such other
communications to the other by personal delivery or by facsimile and so given shall be deemed to have been
given upon receipt if provided by personal delivery; or if by facsimile on the day transmitted provided
transmitted by 4:30 P.M. PT on the receiving Party's regular business day, otherwise delivery shall be
deemed to have been given on the next business day.
To DISTRICT:
ICT:
Orange County Flood Control District
c/o OC Public Works/Real Estate Set -vices
P.O. Box 4048
Santa Ana, CA 92702 -4048
(300 N. Flower Street, Santa Ana 92703)
Facsimile: 714/83 -2870
11. v (PME 13. IS)
To GRANTEE:
City of Santa Ana
Attention Deputy City Engineer
Public Works Agency
P.O. Box 1988
(20 Civic Center Plaza)
Santa Ana, CA 92702
Facsimile:
The Parties hereto agree that this Easement feed has been negotiated and executed in the Mate of California
and shall be governed by and construed under the lays of California. In the event of ny legal action to
enforce or interpret this Easement Deed, the sole and exclusive venue shall be a court of competent
jurisdiction located in the County of Orange, California, and the Parties hereto agree to and do hereby submit
it
to the jurisdiction of such court, notwithstand i ng Code of Civic Proced ure Section 394, Fui lierniore, the
Parties hereto specifically agree to naive any and all rights to request that an action be transferred for trial to
another county.
WAIVER of RIGHTS PMES1 . l S
The failure of DISTRICT to insist upon strict performance of n of the terms, covenants, or conditions of this
Easement ]deed shall not be deemed a waiver of any right or remedy that DISTRICT may have, and shall not
be deemed a Waiver of the right to require strict pe rformance of all the terms, covenants, and conditions of the
Easement Teed thereafter, nor a Waiver of any remedy for the subsequent breach or default of any term,
covenant, or condition of the Easement Deed.
13. SEVERABILITY (PMES 15,1 S)
If any term, covenant, condition, or provision of this Easement Deed is held by a court of competent
jurisdiction to be invalid, void, or unenforceable, the rem a inder of the provisions hereof sha 11 remain in fu It
force and effect and shall in no gay be affected, impaired or invalidated thereby.
I reet/H igh way Fa s e meat - OC FCD to Cite of Santa A n a 5 08104/10
ATTORNEYS' FEES (PM ES 16. 1 S
In any action or proceeding brought to enforce or interpret any provision of this Easement Deed, or where any
provision hereof is validly asserted as a defense, each Patty shall bear its own attorneys' fees and costs.
15, SUCCESSORS AND ASSIGNS (PMES 18.1 S)
The terms, covenants, and conditions contained herein shall apply to and bind the heirs, successors, executors,
administrators and assigns. of the Parties hereto.
16. AUTHORITY (PMES20. I S)
The Patties to this Easement Deed represent and warrant that this Easement Teed has been duly authorized
and executed and constitutes the legally binding obligation of their respective organization or entity,
enforceable in accordance with its terms.
Approved as to Form DISTRIC'T`
Office of the County Counsel ORANGE COUNTY FLOOD CONTROL DISTRICT
Orange County, California
y: y;
Deputy Clair, Board of Supervisors
Orange County, California
Date:
Signed and certified that a copy of this document
has been delivered to the Clair of the Board per
G.C. See. 25103, Ieo 79-1535
ATTEST;
Darlene J. Bloom
Clerk of the Board of Supervisors
Orange County Flood Control District
Orange County, California
Approved as to Porn:
Joseph W. Fletcher
City Attorney
GRAN'T'EE
City of Santa Ana
a charter city and municipal corporation,
duly organized and existing under the Constitution
and lays of the Mate of California
By:
,dose Sandoval
Chief Assistant City Attorney y;
David N. Ream, City Manager
Sued ighwa r Easement - OCFCD to City of Santa Aria 6 08104110
ACKNOWLEDGMENT
STATE OF CALIFORNIA
COUN'T'Y OF ORANGE
On - - 20 before ire, , personally appeared
who proved to me on the basis of satisfactory evidence to the er n whose nie (s) is/are subscribed to the within
instrument and acknowledged to ine that he/she/they executed the same its hls/ber /their authorized ca acity ics , and that
by lies her their signature (s) are the instrument the person(s), or the entity upon behalf of which the person(s) acted,
executed the instrument.
certify under PENALTY OF PERJTJRY under the laws of the State of California that the foregoing paragraph is true
and correct.
WITNESS my hand and official seal,
Signature
(Seal)
Document: Easement Deed
Grantor/Grantee: OC Flood Control Distri t ]t' of Santa Ana
CERTIFICATE TFICAT ACCEPTANCE
This is to certify that the interest its the real property conveyed by the Easement Deed dated
2 , from Orange Comity Flood Control District, a body corporate and politic, to the City of Santa Ana, a
charter city and municipal corporation duly organized under the Constitution and laws of the Mate of
California, is hereby accepted by the undersigned officer or agent on behalf of the City Council pursuant to
authority conferred by Ordinance No. NS -2352 and Section No. 33-55 of the Santa Ana Municipal Code
adopted by the City Council on June 1, 1 998, in c inplian a with California Government Code Section 27281
and the Grantee consents to the recordation thereof by its duly authorized fflicer.
For the City of Santa An
M
Date
Docume nt: Easement Deed
Grantor /Grantee: OC Flood Control District/City of Santa Ana
David N. Rey, City Manager
CALIFORNIA ALL - PURPOSE ACKNOWLEDGEMENT
State of California
County of orange SS
City of Santa Ana
On this 18th day of Au ust 2010, before me, Maria R. Huizar , Notary Public,
personally appeared David N. Ream rho proved to rye on the basis of satisfactory
evidence to be the r dh / persons �rhose a /na e9A8/are -. subscribed to the within
instrument and acknowledged to rye tha ter s6efthey executed the sane in bt
Vher/their
authorized t ci ; capacities and that by g qt ur-6/signatures ors the
instrument t __6__ sbp':r /persons# or the entity upon behalf of which the � � /persons
acted, executed instrument. l certif y under PE NA of PE F l Y under the laws
of the State of California that the foregoing is true and correct. Witness my hand and
official seal.
NOTARY SEAL
Coffin N 1Tii�f1
Notpry rubMc • CgINotMa
� oranc. comfy
Myoomtw�Jan�'l.�41Z
CAPACITY CLAIMED BY SIGNER:
❑ Individual(s)
❑,
Corporate
Officers =
Title(s)
Partner(s)
❑
General Partner of a Limited
❑
Partnership
❑
Attorney-in-Fact
❑
Trustee (s)
El
Subscribing Witness
❑
Guardian /Conservator
❑
Other.-
Witness ray hand and official seal.
N
Signature of Notary
SIGNED IS REPRESENTING:
NTING:
THIS CERTIFICATE MUST BE ATTACHED To THE DOCUMENT DESCRIBED To THE BELOW:
TITLE OR TYPE of DOCUMENT: �� .� .... �" .....
NUMBER of PAGES: DATE of DOCUMENT:
SIGNER S OTHER THAN NAMED ABOVE: