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Business Signature Card <br />In�l����{�II <br />V9J D3 2_S 10 <br />CHECK ® Signatures for New Accounts) <br />� <br />Additional Signatures for <br />O <br />Replace All Signatures on <br />Card Hof � <br />ONE: <br />PHONE NUMBER <br />Accounts <br />714- 647 -5420 <br />Account s <br />TITLE _ _. SIGNATURE *i <br />EXECUTIVE DIRECTOR, FINANCE & , �.i r 1 � 1 r� 1 7 , r � I r � �� �f � � 1 j I � 1� 1 '�'S I � I <br />MANAGEMENT AGENCY t 11 I'•} � } }'� " "} \ } S 1 7 � 111 ,'' <br />PHONE NUMBER 11" �r �� ���,�� �� ��. ,!r 1��r�i'i <br />7 t 4- 647 -5420 �'� <br />Client Name /Account Holder: <br />CITY OF SANTA ANA <br />(For Sole Proprietor or Disregarded Entity, <br />PRINT NAME <br />indicate the name of the owner. <br />SIGNATURE <br />Account Title: <br />CITY OF SANTA ANA <br />Address: <br />20 CIVIC PLZ <br />City, State, Zip <br />SANTA ANA, CA 9270'1 -40t O USA <br />Account <br />PRINT NAME <br />TITLE <br />SIGNATURE <br />Number(s): <br />935309500, 935309377,935309427 <br />Telephone Number: <br />(7'14)647 -5420 <br />PHONE NUMBER <br />Tax ID Number: <br />(For Sole Proprietor or <br />Disregarded Entity, indicate TIN <br />of owner. <br />956000785 <br />INSTRUCTIONS: Vse BLACK OR BLUE Ink. Place the Manual or Facsimile Signature within the box bountlaries only. Do Not overlap signatures. Indicate if the <br />signature is Manual or a Facsimile in the "PRINT NAME" box. When provitling a Facsimile Signature, provide a Manual Signature too. For your security, cross out all <br />unused signature boxes before signing the signature card below. <br />PRINT NAME <br />TITLE <br />SIGNATURE <br />®Manual FRANCISCO GUTTER REZ <br />Facsimile <br />EXECUTIVE DIRECTOR, FINANCE & <br />MANAGEMENT AGENCY <br />� ' <br />E -MAIL ADDRESS <br />PHONE NUMBER <br />FGUTIERREZ�SANTA- ANA.ORG <br />714- 647 -5420 <br />PRINT NAME <br />TITLE _ _. SIGNATURE *i <br />EXECUTIVE DIRECTOR, FINANCE & , �.i r 1 � 1 r� 1 7 , r � I r � �� �f � � 1 j I � 1� 1 '�'S I � I <br />MANAGEMENT AGENCY t 11 I'•} � } }'� " "} \ } S 1 7 � 111 ,'' <br />PHONE NUMBER 11" �r �� ���,�� �� ��. ,!r 1��r�i'i <br />7 t 4- 647 -5420 �'� <br />OManual FRANCISCO GUTIERREZ <br />®Facsimile <br />E -MAIL ADDRESS <br />FG UTI E R R EZ(r7iSANTA -ANA.O RG <br />PRINT NAME <br />TITLE <br />SIGNATURE <br />®Manual CHRISTINE C. DUARTE <br />O Facsimile <br />TREASURY MANAGER <br />_ <br />E -MAIL ADDRESS <br />PHONE NUMBER <br />C D UARTECtDSANTA -ANA.O RG <br />7 � 4- 647 -5335 <br />PRINT NAME <br />TITLE <br />SIGNATURE <br />(]Manual <br />!]Facsimile <br />E -MAIL ADDRESS <br />PHONE NUMBER <br />The undersigned, an authorized representative of the Account Holder, certifies that he /she has reviewed the information containetl in this Signature Card, the <br />Certificate Regarding Accounts, and /or any other account authorization document, and finds it accurate on this tlate. The Account Holtler has received antl agrees to <br />be bound by the terms antl conditions governing the operation of accounts and services provitled by JPMOrgan Chase Bank, National Association, ( "the Bank "), <br />including the Account Terms and Service Terms, as they may be amendetl or supplemented from time to time. <br />The undersigned is authorized to certify the names, titles, and signatures of authorizetl signers on this these accounts) pursuant to the Certificate Regarding <br />Accounts or, if applicable, another account authorization document (e.g., a corporate resolution, partnership letter &security agreement, or a limited liability company <br />letter 8 security agreement). The undersigned certifies that the (NO.) 2 signatures presentetl on these pages are the signatures of persons authorized to sign and <br />otherwise act on behalf of the Account Holtler with respect to the account and banking transactions or services. The Bank is entitled to rely on the authority of the <br />cri n nrc\ , ntil the Rnnla r wriHCn r Minn of mu-h a�rthr,rily <br />Tax ID Number Certification —Under penalties of perjury, I certify that: <br />1. The number shown on this form is my correct taxpayer idenliFication number (or I am waiting for a number to be issued to me), and <br />2. I am no[ subject to backup withholding because: (a) I am exempt from backup withholding, or (b) 1 have not been notified by the Internal Revenue Service (IRS) <br />that 1 am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notifietl me that I am longer subject to backup <br />withholding, and <br />3. I am a U.S. citizen or other U.S. person (as tlefinetl in the IRS Form W -9 instructions). <br />Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you <br />have failetl to report all interest antl dividends on your tax return. See the IRS Form W -9 Instructions for adtlitional information. <br />p The Account Holder Is a nonresident alien or foreign entity, and therefore the certification above does not apply. The Account Holder's foreign status <br />has been certified to the Bank on the appropr ate Form W-8. <br />The /RS does not require your consent to any !s /on this document other than the ceriN /cat Ions requ/red to avoid backup wlthho /ding. <br />Authorizetl Si nature: Title: � — 71v� r c�0 Date: \\ '20 <br />Authorized Si nature: Title: � MfFr/f9(vL< Date: 1 10 <br />INTERNAL USE ONLY THSABOVEINFORMATION AND SIGNATURE(Sj WERE VERI 1ED BY:" <br />Print Name[ Initials: Dept NO. /Br. -Nag . <br />Com IetlorrDate- ' Enti T :Select Enti T': e <br />PN: 350914 DOC IO: S Page 49 of SI <br />