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75B - PH TO ADOPT SCIP
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10/20/2020
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75B - PH TO ADOPT SCIP
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Last modified
10/14/2020 3:15:53 PM
Creation date
10/14/2020 3:02:03 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
75B
Date
10/20/2020
Destruction Year
2025
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Exhibit B to The Acquisition Agreement <br />FORM OF SCIP REQUISITION <br />To: BLX Group LLC <br />SCIP Program Administrator <br />777 S. Figueroa St., Suite 3200 <br />Los Angeles, California 90017 <br />Attention: Vo Nguyen <br />Fax: 213-612-2499 <br />Re: Statewide Community Infrastructure Program <br />The undersigned, a duly authorized officer of the CITY OF SANTA ANA hereby requests a <br />withdrawal from the [DEVELOPER] ACQUISITION ACCOUNT, as follows: <br />Request Date: <br />Name of Developer: <br />Withdrawal Amount: <br />[Insert Date of Request] <br />[Developer] <br />[Insert Acquisition Price] <br />Acquisition Improvements: [Insert Description of Acquisition Improvement(s) from Ex. A] <br />Payment Instructions: [Insert Wire Instructions or Payment Address for Developer] <br />The undersigned hereby certifies as follows: <br />1. The Withdrawal is being made in accordance with a permitted use of such monies <br />pursuant to the Acquisition Agreement, and the Withdrawal is not being made for the purpose of <br />reinvestment. <br />2. None of the items for which payment is requested have been reimbursed previously from <br />other sources of funds. <br />3. If the Withdrawal Amount is greater than the funds held in the [Developer] Acquisition <br />Account, the SCIP Program Administrator is authorized to amend the amount requested to be <br />equal to the amount of such funds. <br />4. To the extent the Withdrawal is being made prior to the date bonds have been issued on <br />behalf of SCIP, this withdrawal form serves as the declaration of official intent of the CITY OF <br />SANTA ANA, pursuant to Treasury Regulations 1.150-2, to reimburse with respect expenditures <br />made from the Developer Acquisition Account listed above in the amount listed above. <br />CITY OF SANTA ANA <br />IC <br />Title: <br />75B-32 <br />
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