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Business Sicinature Card <br />111 111111 <br />V1.7 05 25 10 <br />CHECK <br />Signatures for New Accounts) <br />I El <br />Additional Signatures for <br />I <br />© <br />Replace ll^Siqualures on <br />Card loft <br />ONE: <br />� <br />—_ __.. _ <br />E -MAIL ADDRESS <br />Accounts <br />FGUTIERREZ @SANTA- ANA.ORG <br />Account s <br />__PRIN_TNAME_ ___ <br />_ <br />Client NamelAccrunt Holder: <br />CITY OF SANTA ANA <br />(For Sole Proprietor or Disregarded Entity, <br />dFacsimile <br />indicate the name of the owner <br />E MAIL ADDRESS <br />FCUfIERRFZrh15AN� <br />Account Title: <br />CITY OF SANTA ANA <br />Address: <br />20 CIVIC PL7 <br />City, State, Zip <br />SANTAANA, CA 02701.4010 USA <br />Account <br />®Manual CHRISTINE C. DUAR "FE <br />TREASURY MANAGER <br />Numbar(s): <br />935309500, 935309377,935309427 <br />Telephone Number: <br />(714)647.5420 <br />CU A T F @$ t fA ANA OR(j <br />_ --__._ _ PRINT NA___ <br />Tax ID Number: <br />SIGNATURE <br />_. <br />I <br />[]Manual <br />(Far Sole Proprietor or <br />!]Facsimile _ <br />Disregarded Entity, indicate TIN <br />PHONE NUMBER <br />ofowner.) <br />956000785 <br />INSTRUCTIONS: Use BLACK OR BLUE ink. Place the Manual or Facsimile signature within the box boundaries only, Do Not overlap signatures. Indicate if the <br />signature is Manual or a Facsimile In —the PRINT NAME' box. When providing 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 u,_ _ ,__ <br />TITLE <br />SIGNATURE <br />®Manna) FRANCISCO GUt'IERREI <br />EXECUTIVE DIRECTOR, PINANCS & <br />>� <br />pFacsinue <br />MANAGEMENTAGENCY <br />_ -_ <br />� <br />—_ __.. _ <br />E -MAIL ADDRESS <br />_— __.. —__I <br />PHONE NUMBER <br />1 <br />FGUTIERREZ @SANTA- ANA.ORG <br />714-647-5420 <br />__PRIN_TNAME_ ___ <br />_ <br />TITLE SIGNATURE <br />❑Manual FRANCISCO GUftERREZ <br />CXECUTIVE DIRECTOR, FINANCES <br />dFacsimile <br />MANAGEMENT AGENCY i�nrrrrr fr rnalrr e+li +�r r -` <br />-..�.. <br />E MAIL ADDRESS <br />FCUfIERRFZrh15AN� <br />PHONE NUMBER <br />PRINT NAME <br />I TITLE <br />®Manual CHRISTINE C. DUAR "FE <br />TREASURY MANAGER <br />ElFacerme <br />E-MAIL ADDRESS <br />_ <br />PHONE NUMBER <br />i 714-647-5335 <br />CU A T F @$ t fA ANA OR(j <br />_ --__._ _ PRINT NA___ <br />TITLE <br />SIGNATURE <br />_. <br />I <br />[]Manual <br />1.._ <br />!]Facsimile _ <br />___ <br />E-MAIL ADDRESS <br />PHONE NUMBER <br />� <br />The undersigned, an authorized representative of the Account Holder, Certifies that hershe has reviewed the information contained in this Signature Card, the <br />Certificate Regarding Accounts, antler any other account authorization document, and finds it accurate on this here. The Account Holder has received and agrees to <br />be bound by the terms and conditions governing the operation of amounts and services provided by JPMorgan Chase Bank, National Association, ('1he Bank'), <br />Including the Account Terms and Service Term, as they may be amended or supplemented from time to time. <br />The undersigned is authorized to certify the names, titles, and signatures of authorized signers on thisAhese account(s) pursuant to the Certificate Regarding <br />Accounts or, It applicable, another amount authorization document (e.g , a corporate resolution, partnership letter & security agreement, or a limited liability company <br />letter & security agreemerl). The undersigned certifies that (tie (Nis) 2 signatures presented oil these pages are the signatures of persons authodzed to sign and <br />otherwise act on behalf of the Account I(older with respect to life account and Seeking transactions or services. The Bank is entitled to rely on the authority of the <br />named Persorus until the Bank receives written revocation of such authority <br />Tax ID Number Certification - Under penalties of peQury, I certify that: <br />1. The number Shawn on this form is my correct taxpayer identification number (or I ac wailing for a number to be issued to rue), and <br />2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the intern) Revenue Service (IRS) <br />first I am subject to backup withholding as a result of a failure to report all interest or dividends. or (e) the IRS his notified me Vial I am longer subject to backup <br />withholding, and <br />9, 1 am a U.S. cilizen or other U.S. person (as defined 7n the IRS Form W -g instructions). <br />Ce riffles inch Instructiorls. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup vnihhokting because YOU <br />have failed to report all interest and dividends on your tax return. See the IRS Form W9Iretare ions for additional Information. <br />❑ The Account Holder is a nonresident often 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 appropriate Form W -8. <br />The IRS does not require your consent to any felon offlus document other than the carYfftcalfons required to avoid backup whi holdhtg. <br />Authorize h Title'. Ym .r v7r vA' +4'Ga•PZ?r4' <br />bele:a\ <br />Authorized Sinnature' Li^C '.�� -/' ,u.,..c 'Dine 'i X44' Setfo trvjtk- ptd,p„,,. <br />Date: /! g <br />fp <br />INTERNAL USE ONLY THE ABOVE INFORMATION AND SIGNATURE(S) WERE VERIFIED BY: <br />Print Name Indials Bept NoABr, Nt <br />Core tenon Qate __ Entdy;Type:Select EnlityType _ _ <br />PN: 350914 OOC 11): 5 Page 49 of 51 <br />