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Council Member. Phil Bacerta ®Yes ❑No []Yes []No Council Member. Juan Villages ®Yes []No ❑Yes ONO Council Member. Nelida Mendoza Was ❑No ❑Yes ONO Council Member: ❑Yes []No ❑Yes ❑No Council Member. ❑Yes ❑No ❑Yes ❑No Council Member. ❑Yes ❑No []Yes []No 8. Alien Ownership Questions ('dthe answer is Yes, provide an attachment explaining the circumstances) 1 Is the Customer/Lessee aforei n govemmentorthe representativeofany foreigngovernment.? I ❑Yes ®No 9. Basic Qualification Information 1) Has the Customer or any party to this application had any FCC station authorization, license, or construction permit revoked or had any application for an initial, modification or renewal of FCC station authorization, license or construction ❑Yes ®No permit denied by the Commission? 2) Has the Customer or any party to this filing, or any party directly or Indirectly controlling the Customer or any party to ❑Yes ®No this filing ever been convicted of a fislony by any state or federal court? 3) Has any court finally adjudged the Customer or any party directly or indirectly controlling the Customer guilty of unlawfully monopolizing or attempting to unlawfully monopolize radio Communication, directly or indirectly, through control []Yes ®No of manufacture or sale of radio apparatus, exclusive traffic anangement, or any other means or unfair methods of competition? 10, CustomedLessee Certification Statements 1 The Customer/Lessee agrees that the Lease is not a sale or transfer of the license itself. ®Yes 2) The CustomerAmsee acknowledges that it is required to comply with the Commission's Rules and Regulations and other applicable law at all times, and g the Customer/Lessee fails to so comply, the Lease may be revoked, cancelled, or ®Yes terminated by either the Licensee or the Commission. 3) The CustomerlLessee certifies that neither it nor any other party to the Application/Notification Is subject to a denial of Federal benefits pursuant to Section 5301 of the Anfi-Drug Abuse Act of 1988, 21 U.S.0 § 862, because of a conviction for ®Yea possession or distribution of a controlled substance (See Section 1.2002(b) of the rules, 47 CFR § 1.2002(b), for the definition of "party to the application" as used in this ceNfication. 4) The Customer/Lessee hereby accepts Commission oversight and enforcement Consistent with the license and lease authorization. The Lessee acknowledges that it must cooperate fully with any investigation or inquiry conducted either by the Commission or the Licensee, allow the Commission or the Licensee to conduct on -she inspections of transmission ®Yes facilities, and suspend operations at the direction of the Commission or the Licensee and to the extent that such suspension of operation would be consistent with applicable Commission polloles. 5) The Custom r/Lessee acknowledges that in the event an authorization held by a Licensee that has associated with it a spectrum leasing arrangement that is the subject of this filing is revoked, cancelled, terminated, or otherwise ceases to be in effect, the Customer/Lessee will have no continuing authority to use the leased spectrum and will be required to ®Yes terminate its operations no later than the date on which the Licensee ceases to have any authority to operate under the license, unless otherwise authorized by the Commission. 6) The Customer/Lessee agrees the Lease shall not be assigned to any entity that is not eligible or qualified to enter into a ®Yea spectrum leasing arrangement under the Comm'sslon's Rules and Regulators. 7)The Customer/Lessee waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because of the previous use of the same, whether by spectrum lease or ®Yes otherwise. 8) The Customer/Lessee cedit that it is not In default on any payment for Commission licenses and that it is not ®Yes delinquent on any non -tax debt owed to any federal agency. The Customer/Lessee certifies that all of its statements made in this Application/Notification and in the schedules, exhibits, attachments, or documents incorporated by reference are material, are part of this Application/Notification, and are true, complete, correct, and made in good faith. The CUstDmer/Lessee shall notify Sensus in writing in the event any infomaton supplied on this form changes. CRY OF SANTA ANA CA BY: a 5 G� Title: (r PW pT- Name: a161l a Date: %.L FAILURE TO SIGN THIS APPLICATION MAY RESULT IN DISMISSAL OF THE APPLICATION AND FORFEITURE OF ANY FEES PAID. WILLFUL FALSE STATEMENTS MADE ON THIS FORM OR ANY ATTACHMENTS ARE PUNISHABLE BY FINE ANDIOR IMPRISONMENT (US. Cod%Thle 18, Seatim 1W1) ANDIOR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERNtT(U.S. Code, Tide 47, Se Wan 312(a)(1))ANDIOR FORFEITURE (U.S. Code Tide 47, Seeder 503). Confidential I Page 3 of 14