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City of Santa Ana _� COTC Office Use Only <br />'t Clerk of the Council <br />` AGREEMENT TERMINATION FORM <br />Please complete this form in its entirety when the attached agreement and all <br />amendments (if any) are no longer in effect. <br />Note: If your agreement is grant related, please ensure that all grant retention requirements <br />have been satisfied prior to signing the termination form. <br />Is the agreement(s) a permanent record? Yes 0 No �✓ CLERK OF THE COUNCIL <br />Return form to the Clerk of the Council Office (M-30). ,I JL a3'22 RN9:07 <br />Call 647-1520 if you have any questions. <br />The agreement with SCOTT FAZEKAS & ASSOCIATES, INC. (SFA) <br />No. A-2019-199-11 was completed on 41 ;117.and final payment has been made. <br />(List all amendments. Use space below if needed.) <br />Department: Planning and Building <br />1Phone/Ext.: X27177 <br />Signature: A V <br />Date: 07/12/2022 <br />i?agmements%=4oim - agreement tenninaton foim_goldmmd.don <br />