HomeMy WebLinkAboutWESTERN DENTAL SERVICES, INC., DBA WESTERN DENTAL-2013A- 2013 -116
t d' Project: Grand Avenue Widening Proiect
APN: 398 - 454 -12 & 13
Tenant - Seller: Western Dental Services
Inc. dba Western Dental
v AGREEMENT FOR ACQUISITION OF TENANT- SELLER'S
�✓ IMPROVEMENTS PERTAINING TO THE REALTY
THIS AGREEMENT ( "Agreement ") is entered into as of this 3 y" day of
2013, by and between THE CITY OF SANTA ANA, a charter city and
0` municipal corporation duly organized under the Constitution and laws of the State of California
( "Buyer "), and WESTER_ N DENTAL SERVICES, INC. DBA WESTERN DENTAL
( "Tenant - Seller") for the acquisition by Buyer of certain improvements pertaining to real
property described herein.
IT IS HEREBY AGREED BETWEEN THE PARTIES AS FOLLOWS:
1. AGREEMENT. Tenant - Seller agrees to sell and convey to Buyer, and Buyer
agrees to purchase and acquire from Tenant - Seller, upon the terms and for the consideration set
forth in this Agreement, all right, title and interest, in and to certain improvements, including
fixtures and equipment (collectively "Improvements ") located in, on, or affixed in any manner
to the premises known and numbered as 1221 E. First Street #A. Santa Ana, California
( "Premises ") which Premises are part of that real property described in Exhibit 1 attached
hereto, located in the City of Santa Ana, Orange County, California ( "Property"). The
Improvements to be conveyed by Tenant - Seller are a part of the Premises, and specifically
include, without limitation, the items described in the list of Improvements Pertaining to the
Realty attached hereto as Exhibit 2.
2. PURCHASE PRICE. The total purchase price, payable in cash through this
Agreement, shall be the sum of: NINETY THOUSAND ONE HUNDRED FIVE AND
NO /100 DOLLARS ($90,105.00) ( "Purchase Price ").
3. CONVEYANCE OF INTEREST IN IMPROVEMENTS. Tenant - Seller agrees to
execute a Quitclaim Deed in the same form as that attached hereto as Exhibit 3 in favor of Buyer
( "Quitclaim Deed "), relinquishing, releasing, and forever quitclaiming to Buyer all right title
and interest in and to the Improvements, free and clear of all recorded and unrecorded
encumbrances, liens, assessments, leases, and taxes.
4. RECORDING. Recordation of any documents delivered through this Agreement
is authorized if necessary or proper, upon acceptance by Buyer as described herein.
5. CERTIFICATION OF OWNERSHIP. Tenant - Seller hereby warrants that
Tenant - Seller is the owner of the Improvements and that no document has been signed by or on
behalf of Tenant- Seller for the purpose of creating any lien, encumbrance, or security interest in
any of the Improvements, and that the Tenant - Seller does not have actual (as compared to
constructive) knowledge of any claim of lien, encumbrance, or other security interest therein
EXCEPT personal property taxes.
6. BULK SALE. In order to establish proof of clear title to the Improvements,
Buyer may publish a Notice to Creditors pursuant to the Bulk Sales Law of the State of
California and obtain a title report and/or a report from the Secretary of State's Office as to
filings of security interests covering the Improvements.
7. A general creditor's claim shall not be deemed to be a claim against any specific
item of Improvements and Tenant - Seller hereby agrees to accept all responsibility therefore.
Unless otherwise provided, it shall be presumed that Tenant- Seller is entitled to payment under
this transaction for the Improvements. It shall be presumed that the Property owner is the owner
of all improvements, fixtures and equipment associated with the Premises other than the
Improvements.
8. CLOSING. Recording of the Quitclaim Deed by Buyer will constitute "Closing"
of this transaction. At Closing, Buyer will pay the Purchase Price to Tenant - Seller.
9. FULL AND COMPLETE SETTLEMENT RELATED TO COMPENSATION
FOR THE IMPROVEMENTS. Tenant - Seller hereby acknowledges that the compensation paid
to Tenant - Seller through this Agreement constitutes the full and complete settlement of all
claims against Buyer relating to the value of the Improvements (but excluding relocation benefits
to which Tenant - Seller may be entitled, if any, and loss of business goodwill to which Tenant -
Seller may be entitled, if any).
10. CONTINGENCY. Transaction is subject to and contingent upon receipt by
Buyer of the duly executed Quitclaim Deed from Tenant - Seller with respect to the
Improvements. This transaction is further subject to and contingent upon approval and
acceptance by Buyer.
11. AGREEMENT TO EXECUTE. Tenant - Seller and Buyer agree to execute and
file any additional agreements, consents or other documents reasonably necessary to effect the
purchase of the Improvements.
12. AUTHORIZATION TO EXECUTE. Tenant - Seller and Buyer represent and
warrant that the persons executing this Agreement are duly authorized to do so and to act on
behalf of Tenant - Seller and Buyer respectively.
13. COMPROMISE IN SETTLEMENT. This Agreement is a compromise in
settlement of pending or potential litigation between Tenant - Seller and Buyer and shall never be
treated as an admission by Buyer or Seller for any purpose of liability or as to value of any
property or claim.
14. WARRANTIES, REPRESENTATIONS AND COVENANTS OF TENANT -
SELLER. Tenant - Seller hereby warrants, represents, and /or covenants to Buyer that:
A. To the best of Tenant- Seller's knowledge, there are no actions, suits,
material claims, legal proceedings, or any other proceedings affecting the Improvements at law
or in equity, before any court or governmental agency.
B. Until the Closing, Tenant - Seller shall not knowingly do anything which
would impair Tenant - Seller's title to the Improvements.
C. To the best of Tenant - Seller's knowledge, neither the execution of this
Agreement nor the performance of the obligations herein will conflict with, or violate any of the
provisions of any bond, note, evidence of indebtedness, contract, lease, or other agreement or
instrument to which the Improvements may be subject.
D. Until the Closing, Tenant - Seller shall, upon learning of any fact or
condition which would cause any of the warranties and representations in this Paragraph 14 not
to be true as of Closing, immediately give written notice of such fact or condition to Buyer.
15. ATTORNEYS' FEES. If legal action is required in order to construe or enforce
any provision of this Agreement, the party prevailing in such action shall be entitled, in addition
to such other relief as may be granted, to a reasonable sum as its attorneys' fees and costs.
16. COUNTERPARTS. This Agreement may be executed in counterparts and when
so executed by both parties, each counterpart will constitute an original document.
17. BINDING EFFECT. The terms, conditions, covenants and agreements set forth
herein shall apply to and bind the heirs, executors, administrators, assigns and successors of the
parties hereto.
18. ENTIRE AGREEMENT. This Agreement contains the entire agreement between
both parties regarding the subject matter hereof; neither party relies upon any warranty or
representation not contained in this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and
year set forth hereinabove.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK.
SIGNATURE PAGE FOLLOWS.
3
Mailing Address of Tenant - Seller
530 S. Main Street
Orange, California 92868
Attn: Legal Department
Mailing Address of Buyer
20 Civic Center Plaza, M -30
Santa Ana, Califomia 92701
Tenant - Seller
Western Dental Services, Inc.
1; By: )11—
Its:
Date: -1 j a-OI a
Buyer
THE CITY OF S TA ANA, a charter city and
municipal corpo ation duly organized under the
Constitution an `/la f the State of California
Kevin O'Rourke
City Manager
IV 0 5 2013
Attest:
By:k a vVZ�� xi
Maria D. Huizar
City Clerk
Sp 0 5 2013
Date:
Approved as to Form:
Sonia R. Carvalho
City Attomey
B.
Sandoval
of Assistant City Attorney
Date: 9 22.- 13
EXHIBIT 1
LEGAL DESCRIPTION OF PROPERTY
A -1
EXHIBIT "4"
LEGAL DESCRIPTION
Real property In the Cfty of Santa Ana, County of Orange, State of California, described as
follows:
PARCEL A,
LOTS 1, 3, 4, 10, 11 AND 12 IN BLOCK "E° OF SANTA ANA INVESTMENT COMPANY TRACT NOS
1, HUMPHREY'S ADDITION TO SANTA ANA, IN THE CITY OF SANTA ANA, COUNTY OF ORANGE,
STATE OF CALIFORNIA, AS PER MAP THEREOF RECORDED IN BOOK 11, AT PAGE 39, OF
MISCELLANEOUS RECORDS OF LOS ANGELES COUNTY, CALIFORNIA.
EXCEPTING THEREFROM THE SOUTHERLY ONE FOOT OF LOTS 10,11 AND 12, IN BLOCK E OF
SANTA ANA INVESTMENT COMPANY, TRACT NO. 1, HUMPHREY'S ADDITION TO SANTA ANA, AS
SHOWN ON A MAP THEREOF RECORDED IN BOOK 11, PAGE 39, MISCELLANEOUS RECORDS OF
LOS ANGELES COUNTY, CALIFORNIA, AS GRANTED TO THE CITY OF SANTA ANA BY DEED
RECORDED APRIL 3,1964, IN BOOK 6990, PAGE 100 AS INSTRUMENT NO. 3013, OF OFFICIAL
RECORDS.
ALSO EXCEPTING THEREFROM A SPANDREL SHAPED PARCEL OF LAND BOUNDED SOUTHERLY
BY THE NORTH LINE OF PARCEL 1, BOUNDED EASTERLY BY THE EAST LINE OF SAID LOT 12,
BOUNDED NORTHWESTERLY BY THE ARC OF A CURVE CONCAVE NORTHWESTERLY, HAVING A
RADIUS OF 25 FEET AND TANGENT TO SAID SOUTHERLY AND EASTERLY BOUNDARIES, AS
GRANTED TO THE CITY OF SANTA ANA BY DEED RECORDED APRIL 3,1964, IN BOOK 6990,
PAGE 100 AS INSTRUMENT NO. 3013, OF OFFICIAL RECORDS.
PARCEL B:
LOT 2 IN BLOCK B OF SANTA ANA INVESTMENT COMPANY, TRACT NO. 1, `HUMPHRLI"S
ADDITION TO SANTA ANA, COUNTY OF ORANGE, STATE OF CALIFORMA, AS SHOWN ON A MAP
RECORDED IN BOOK 11, PAGE 39 MISCELLANEOUS RECORDS OF LOS ANGELES COUNTY,
CALIFORNIA.
APN: 398- 454 -12 and 398 - 454 -13
EXHIBIT 2
IMPROVEMENTS PERTAINING TO THE REALTY
lulm
PUBLIC WORKS WESTERN DENTAL
CITY OF SANTA ANA FAIR MARKET VALUE
GRAND AVENUE STREET WIDENING PROJECT DATE OF VALUE: APRIL 18, 2012
ITEM DESCRIPTION: FAIR SALVAGE
NO. QTY IMPROVEMENTS PERTAINING TO THE REALITY COND PIC # MARKET VALUE
VALUE
THROUGHOUT
LOT, C/O INSTALLATION OF: A/G 22,820
(1) PAN / CEPH MACHINE & COMPUTERS
(2) ESTIMATOR'S COMPUTERS
(2) DOCTOR'S COMPUTERS
(1) EWB SYSTEM, JOB STATUS SYSTEM
(2) BELMONT X -RAY MACHINES
(1) TV SCEPTRE, HDTV, HDMI, 1080P, 120 HZ
(1) VACUUM SYSTEM, COMPRESS AIR SYSTEM,
WATER DISTRIBUTION SYSTEM, 2 BREAKERS,
ASSOC, ELECTRIC
(6) ADMINISTRATIVE COMPUTERS, PRINTERS,
SERVER, ETC.
(2) WALL MOUNTED SERVERS
(1) SERVER RACK, WALL MOUNTED, MARK IV
(1 DATA COLLECTION UNIT, KRONOS, CARD
SWIPE, TERMINAL
(7) DENTAL CHAIRS AND DELIVERY SYSTEMS
1 ALARM SYSTEM, BAY ALARM, (1) 16 KEYPAD, (3) A 2,500
WIRELESS SENSORS
DENTAL SUITE
INTERIOR CONSTRUCTION, FRAMED PARTITIONS A 28,000
DIVIDE THE DENTAL SUITE INTO TWO MAJOR
AREAS. THE SOUTH SECTION INCLUDE THE
PATIENT WAITING LOBBY CONTAINING _286_SQ.
FT.; THE RECEPTION COUNTER AND BUSINESS
OFFICE 336 SQ. FT., TWO RESTROOMS -98-SQ.
FT. EACH AND 2 CLOSETS FOR AIR, VACUUM AND
OXYGEN EQUIPMENT, DENTAL CLINIC SECTION
CONTAINING _1352_SQ. FT. IS DIVIDED INTO (7)
DENTAL STATIONS SEMI -OPEN STALLS, PRIVATE
DENTAL ROOM # 5, CONVERTED OFFICE, A
LABORATORY, X -RAY ROOM WITH ALCOVE, AND
A STAFF BREAK ROOM, INCLUDING:
(1,900) SQ. FT. FRAMED INTERIOR PARTITION
WALLS, GYPSUM BOARD PANELS, TAPE,
SPACKLING, PAINT, 2 SIDES
(355) SO. FT. LEAD SHEETING FOR X -RAY
PROTECTED AREAS
(1,077) SQ. FT. SINGLE SIDE FACING, ON
INTERIORS OF PARTY WALL AND EXTERIOR
WALLS, GYPSUM BOARD, TAPED, SPACKLING,
SANDING AND PAINTING
ITEM DESCRIPTION: FAIR SALVAGE
NO. QTY IMPROVEMENTS PERTAINING TO THE REALITY COND PIC # MARKET VALUE
VALUE
(655) SQ. FT. GLAZED EXTERIOR WALLS, PLATE
GLASS COMMERCIAL GRADE, 2 GLASS EXTERIOR
DOORS AT LOBBY AND STAFF ROOM, PLATE
GLASS AT LOBBY AND BUSINESS OFFICE,
MINIMUM DETAIL AND FINISH
(2) GLASS DOOR AND SIDE PANEL AT LOBBY, 36"
WIDE DOOR FRAME, 21" ALUMINUM FRAME FOR
FIXED PANEL, INCLUDING HARDWARE AND
ELECTRICAL UNLOCKING CONTROLS, GLASS
DOOR AT PRIVATE OFFICE
(2) ACCORDIAN, FOLDING VINYL DOORS, DENTAL
ROOM # 5 AND STAFF
(3) WOOD HOLLOW CORE DOORS, RESTROQMS
ANDLABORATORY
(2) WOOD SOLID CORE, AIR AND VACUUM
EQUIPMENT ROOM, OXYGEN ROOM WITH 2- AIR
CIRCULATION VENT PANELS
1 FLOOR COVER, VINYL COMPOSITION TILES, WALL A 5,600
TO WALL, BASE BOARD, GROSS AREA 2,552 SO.
FT. TRIM AND CUTTING AT BASE WALLS,
INSTALLED
1 WINDOW APPOINTMENTS, PLASTIC, VENETIAN G 2,975
BLINDS, HORIZONTAL, MANUAL HARDWARE,
LOBBY, LAB, OFFICE AND STAFF AREAS, C /O:
(3) SECTIONS, LABORATORY, 34" W X 56" H EACH
(3) SECTIONS, STAFF BREAK ROOM, 6' W X 24"
OVER DOOR, 3' W X 4' H, NORTH OF DOOR, 3' X
6'8" SOUTH OF DOOR
(6) SECTIONS, RECEPTION OFFICE, 36" X 9'H
(2) SECTIONS, 32" W X 74" H, IN DENTAL
TREATMENT ROOM # 5 AND PRIVATE OFFICE
RECEPTION DESK AND OFFICE
RECEPTION COUNTER, 106" X 12" SERVICE TOP, A 3,700
42" HIGH, WOOD WITH PLASTIC VENEER, FRONT
PANEL 97" X 40" HIGH, OPEN KNEE WELL, SINGLE
DIVIDE PANEL
(1) SIDE SERVICE COUNTER, 117 X 12" TOP, 42"
HIGH, FRONT PANEL 151" X 401/2" HIGH, 2
PEDESTAL WITH DOUBLE DOOR AND DRAWER
21" WIDE, 4 SHALLOW DRAWERS 19 1/2" WIDE,
30" HIGH WORK TOP, 12" BACK PANEL FOR
SERVICE TOP
1 WALL AND COUNTER UNIT, (TYPICAL WOOD A 1,625
PLASTIC VENEER) 63!'X 25" TOP, 31" OPEN KNEE
WELL, SINGLE SHALLOW DRAWER, PEDESTAL
28" WIDE, 1 DRAWER 14" WIDE, 1 LOCK, DOUBLE
DOOR STORAGE CABINET
ITEM DESCRIPTION: FAIR SALVAGE
NO. QTY IMPROVEMENTS PERTAINING TO THE REALITY COND PIC # MARKET VALUE
VALUE
(1) WALL CABINET, 62" X 38" H X 14" D, DOUBLE
DOOR AND SINGLE DOOR, 3 LOCKS
BATHROOMS
1 BABY CHANGING STATION, KOLA KARE, DROP A 175
CRIB TRAY, MODEL KB200, WALL MOUNTED,
HORIZONTAL
LOT, RESTROOM ACCESSOREIS, C /O: A 500
(2) SETS HANDICAPPED ASSISTOR BARS,
STAINLESS STEEL, WALL MOUNTED, 48" & 38"
(2) SCOTT PAPER TOWEL DISPENSER, 12" X 13"
PULL SHEET
(2) SANITARY TOILET SEAT COVER, NATIONAL
SANITARY SUPPLY
(2) AIR FRESHENERS, ElKOSHA, BATTERY
OPERATED FAN
(2) RUBBER MAID AIR FRESHENERS
(2) WASTE PAPER CONTAINERS, GREY PLASTIC,
19" X 34" H, LID, DROP CHUTE
(4) PAPER ROLLS, SINGLE
(2) MIRROR, 30" X 24"
(1) FLOWERS, YELLOW, PLASTIC PLANTER
(1) SOAP DISPENSER, "DISCOVERY", BATTERY
OPERATED, TOUCHLESS
DENTAL TREATMENT AREAS
10 9 CABINETS, WOOD CONSTRUCTION, PLASTIC A 3,100
VENEER, WOOD GRAIN FINISH, WASTE
COMPARTMENT SINGLE ACCESS DOOR, 18" X 30"
H, 18" W DRAWER, SUPPLY STORAGE SINGLE
DOOR, 18" W X 25" H, 2 INTERIOR SHELVES,
INCLUDING:
(4) 3'3" X 16" TOP, WITH 6" DIA, DROP CHUTE, 36"
HIGH CABINET
(4) IRREGULAR TOP 55" FRONT, 41" BACK, 16"
DEEP TOP, 6" DIA. DROP CHUTE, 36" HIGH
CABINET
(1) IRREGULAR TOP, 56" & 41" X 16" DEEP, NO
DROP OPENING, TYPICAL 2 DOOR, 1 DRAWER, X-
RAY CONTROL ROOM
11 1 NURSE'S STATION CABINETS, "U" SHAPE A 7,760
BETWEEN ROOM # 5 AND OFFICE, 7'3" X 26"
COUNTER, 2 SIDES, 43" WIDE COUNTER WITH
SINK, DOUBLE DOOR, STAINLESS STEEL SINK, 22"
X 21" SINGLE COMPARTMENT WITH HARDWARE,
36" HIGH COUNTER, (2) DOUBLE DOOR, (4) 20"
DRAWER, (8) 18" DRAWER
ITEM DESCRIPTION: FAIR SALVAGE
NO. QTY IMPROVEMENTS PERTAINING TO THE REALITY COND PIC # MARKET VALUE
VALUE
(1) WALL CABINETS, 36" HIGH, 4 DOUBLE DOOR,
35" WIDE, 2 SINGLE DOOR, 21" WIDE, OPEN FACE
SHELF SECTION, 24" X 18',2 ADJUSTABLE
SHELVES, UPPER DOUBLE DOOR CABINET, 24" X
18" HIGH
12 1 ISLAND COUNTER WORK STATION, 97" X 32" TOP, A 4,000
WITH 22" X 22" STAINLESS STEEL SINGLE
COMPARTMENT SINK, GOOSE NECK HARDWARE,
LOCAL PIPING, BASE CABINET, 2 SIDES WITH ONE
SINGLE DOOR 16" WIDE AND DOUBLE DOOR 30"
WIDE, 36" HIGH, 2 END DOORS, 29" WIDE
(1) ELECTRICAL CHUTE, 10112" X 8" X 17112"
HIGH, 2 DOUBLE PLUG RECEPTORS
(1) UPPER CABINET, 60" L X 26" W X 51" H TO
CEILING, 31" HIGH STORAGE CABINETS, 4
DOUBLE DOORS, 23" WIDE, 2 OPEN FACE SHELF
SECTIONS, 15" W X 15" H, UPPER DOUBLE DOOR
15" X 15",20" HIGH BOX COMPARTMENT
LABORATORY
13 1 COUNTER, WOOD, WHITE VENEER FINISH, A 4,110
INCLUDING:
(1) DESK UNIT, 66" X 25" TOP, 5" SPLASH PANEL
WITH 4112" SHELF, 2 PEDESTAL, 1 DOUBLE
DOOR, 5 DRAWERS, 30" HIGH
(1) CABINET, 38" X 26" TOP, 36" HIGH
(1) RANGE TOP, TAPPAN, 4 BURNER, NATURAL
GAS WITH RANGAIRE OVERHOOD VENT
(1) CABINET, OVER VENT, WITH G.T. VENT DUCT,
36" W X 31" H, 17" H BOX COMPARTMENT ABOVE
(1) APPAREL RACK, BUILT -IN 35" W X 26" D X 77"
H, OPEN FRONT
(8) SHELF, WOOD PLANK, WHITE PAINT, 8" X 1"
BOARD, 4- 60 ", 3- 72'.1- 36"
(1) SINK COUNTER, WOOD WITH WHITE PLASTIC
VENEER, 7'S" X 26" TOP, STAINLESS STEEL SINK,
SINGLE COMPARTMENT, 22" X 20 ", GOOSE NECK
HARDWARE, LOCAL PIPING, DRAIN TRAP,
ACCESSORIES, INSTALLED
STAFF BREAK ROOM
14 1 SINK COUNTER, WOODIPLASTIC VENEER A 3,240
(TYPICAL) T6" TOP, 26" DEEP, STAINLESS STEEL
DOUBLE COMPARTMENT SINK, 33" X 22" X 8"
DEEP, BASE WITH 2- DOUBLE DOOR, 2- DRAWER
15" W, 21" OPENING FOR G.E. REFRIGERATOR
(1) GARBAGE DISPOSAL, 1/2 HP, ELECTRIC,
MODEL5
(1) WATER FILTER, 3M, CARTRIDGE
ITEM DESCRIPTION: PAIR SALVAGE
NO. QTY IMPROVEMENTS PERTAINING TO THE REALITY COND PIC # MARKET VALUE
VALUE
(1) WALL CABINETS, T6" X 36" H, 3- DOUBLE
DOORS
(1) MATCHING TABLE TOP, WALL MOUNTED
ACROSS ROOM, 1'6" X 26" D, 4" SPLASH PANEL,
MOUNTED ON SOUTH WALL
TOTAL IMPROVEMENTS PERTAINING TO THE REALTY 90,105
5
RECORDING REQUESTED BY:
THE CITY OF SANTA ANA
AND WHEN RECORDED MAIL TO:
Clerk of the Council
City of Santa Ana
20 Civic Center Plaza, M -30
Santa Ana, California 92701
/\ -2ut3 -I IGb
Exempt from Recording Fee
County Assessor's Parcel Number:
398 - 454 -12'& 13
Exempt from Documentary Transfer Tax
=920OKM
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
WESTERN DENTAL SERVICES, INC.
do(es) hereby REMISE, RELEASE AND FOREVER QUITCLAIM to the
THE CITY OF SANTA ANA, a charter city and municipal corporation duly organized under the
Constitution and laws of the State of California, the real property in the City of Santa Ana,
County of Orange, State of California, described as
all right title and interest in and to the following described real property in exhibit "A" including any and
all leasehold interest, title and interest in and to the improvements pertaining to the realty which are
attached or affixed in any manner to the following described real property specifically including, but not
limited to the items in Exhibit "B ", list of Improvements Pertaining to the Realty, (fixtures and
equipment), attached hereto and by this reference made a part hereof, which are either generally or for
purpose of this deed a part of that parcel of real property in the City of Santa Ana, County of Orange,
State of California, described as follows:
Grantor for himself, his heirs, representatives and assigns covenants and warrants that: 1) Grantor is
the sole owner of the itemized Improvements Pertaining to the Realty conveyed by this Quitclaim Deed
free from all liens and encumbrances, and 2) Grantor will defend the title and quiet enjoyment of the
real property described above, including all Improvements Pertaining to the Realty, against all
demands and claims of all persons.
SEE EXHIBIT "A" & "B" ATTACHED HERETO AND
BY THIS REFERENCE MADE A PART HEREOF
IN WITNESS WHEREOF, the grantor hereto has caused this Quitclaim Deed to be executed as
of this 0 Mday of Se 2 e /', 2013.
Western Den-al Services, Inc.
By. Date: (o
By: /) '' Date: ° u 4-0
S0,r 6,ra Lau, .Sear&ta �.
ACKNOWLEDGEMENT
State of California
County of Orange
On September 6, 2013 before me, Paula Perez, Notary Public**************
personally appeared
(insert name and title)
David Joe, Chief Financial Officer and Sandra Lau Secretary who proved to me on the basis of
satisfactory evidence to be the persons whose name are subscribed to the within instrument and
acknowledged to me that they executed the same in their authorized capacities, and that by their
signature on the instrument the persons, or entity upon behalf of which the persons acted, executed the
instrument.
I certify under the PENALTY OF PURJURY under the laws of the State of California that the forgoing
paragraph is true and correct.
WITNESS my hand and official seal. PAULA PEREZ
Commdsolon N 195 6237
"a Notary Public - Callfornla
J Signature (_;! -L.� _ Seal Orange County
MI Comm. Ex Tres Nov 22, 2015
EXHIBIT "A"
LEGAL DESCRIPTION
Real property In the City of Santa Ana, County of Orange, State of California, described as
follows:
PARCEL A:
LOTS 1, 3, 4,10,11 AND 12 IN BLOCK "E" OF SANTA ANA INVESTMENT COMPANY TRACT NO,
1, HUMPHREY'S ADDITION TO SANTA ANA, IN THE CITY OF SANTA ANA, COUNTY OF ORANGE,
STATE OF CALIFORNIA, AS PER MAP THEREOF RECORDED IN BOOK 11, AT PAGE 39, OF
MISCELLANEOUS RECORDS OF LOS ANGELES COUNTY, CALIFORNIA,
EXCEPTING THEREFROM THE SOUTHERLY ONE FOOT OF TATS 10,11 AND 12, IN BLACK E OF
SANTA ANA INVESTMENT COMPANY, TRACT N0, 1, HUMPHREY'S ADDITION TO SANTA ANA, AS
SHOWN ON A MAP THEREOF RECORDED IN BOOK 11, PAGE 39, MISCELLANEOUS RECORDS OF
LOS ANGELES COUNTY, CALIFORNIA, AS GRANTED T6 THE CITY OF SANTA ANA BY DEED
RECORDED APRIL 3, 1964, IN BOOK 6990, PAGE 100 AS INSTRUMENT NO. 3013, OF OFFICIAL
RECORDS.
ALSO EXCEPTING THEREFROM A SPANDREL SHAPED PARCEL OF LAND BOUNDED SOUTHERLY
BY THE NORTH LINE OF PARCEL 1, BOUNDED EASTERLY BY THE EAST LINE OF SAID LOT 12,
BOUNDED NORTHWESTERLY BY THE ARC OF A CURVE CONCAVE NORTHWESTERLY, HAVING A
RADIUS OF 25 FEET AND TANGENT TO SAID SOUTHERLY AND EASTERLY BOUNDARIES, AS
GRANTED TO THE CITY OF SANTA ANA BY DEED RECORDED APRIL 3, 1961, IN BOOK 6990,
PAGE 100 AS INSTRUMENT NO. 3013, OF OFFICIAL RECORDS.
PARCEL. B:
LOT 2 I BLOCK 13 OF SANTA ANA INVESTMENT COMPANY, TRACT NO. 1, HUMPHREY'S
ADDITION TO SANTA ANA, COUNTY OF ORANGE, STATE OF CALIFORNIA, AS SHOWN ON A MAP
RECORDED IN BOOK 11, PAGE 39 MISCELLANEOUS RECORDS OF LOS ANGELES COUNTY,
CALIFORNIA,
APH: 398 - 454 -12 and 398 - 454 -13
PUBLIC WORD$ WESTERN DENTAL
CITY OF SANTA ANA FAIR MARKET VALUE
GRAND AVENUE STREET WIDENING PROJECT DATE OF VALUE: APRIL 18, 2012
ITEM DESCRIPTION: FAIR SALVAGE
NO, QTY IMPROVEMENTS PERTAINING TO THE REALITY COND PIC # MARKET VALUE
VALUE
THROUGHOUT
LOT, C/O INSTALLATION OF:
(1) PAN/ CEPH MACHINE & COMPUTERS
(2) ESTIMATOR'S COMPUTERS
(2) DOCTOR'S COMPUTERS
(1) EWB SYSTEM, JOB STATUS SYSTEM
(2) BELMONT X-RAY MACHINES
(1) TV SCEPTRE, HDTV, HDMI, 1086P, 120 HZ
(1) VACUUM SYSTEM, COMPRESS AIR SYSTEM,
WATER DISTRIBUTION SYSTEM, 2 BREAKERS,
ASSOC, ELECTRIC
(6) ADMINISTRATIVE COMPUTERS, PRINTERS,
SERVER, ETC,
(2) WALL MOUNTED SERVERS
(1) SERVER RACK, WALL MOUNTED, MARK IV
(1 DATA COLLECTION UNIT, KRONOS, CARD
SWIPE, TERMINAL
(7) DENTAL CHAIRS AND DELIVERY SYSTEMS
1 ALARM SYSTEM, BAY ALARM, (1) 16 KEYPAD, (3)
WIRELESS SENSORS
DENTAL SUITE
INTERIOR CONSTRUCTION, FRAMED PARTITIONS
DIVIDE THE DENTAL SUITE INTO TWO MAJOR
AREAS. THE SOUTH SECTION INCLUDE THE
PATIENT WAITING LOBBY CONTAINING _286-SQ,
FT.; THE RECEPTION COUNTER AND BUSINESS
OFFICE 336 SQ. FT., TWO RESTROOMS -98-SQ.
FT. EACH AND 2 CLOSETS FOR AIR, VACUUM AND
OXYGEN EQUIPMENT, DENTAL CLINIC SECTION
CONTAINING _1352_SQ. FT. IS DIVIDED INTO (7)
DENTAL STATIONS SEMI -OPEN STALLS, PRIVATE
DENTAL ROOM # 5, CONVERTED OFFICE, A
LABORATORY, X -RAY ROOM WITH ALCOVE, AND
A STAFF BREAK ROOM, INCLUDING:
(1,900) SQ. FT, FRAMED INTERIOR PARTITION
WALLS, GYPSUM BOARD PANELS, TAPE,
SPACKLING, PAINT, 2 SIDES
(355) SQ. FT, LEAD SHEETING FOR X -RAY
PROTECTEDAREAS
(1,077) SQ. FT. SINGLE SIDE FACING, ON
INTERIORS OF PARTY WALL AND EXTERIOR
WALLS, GYPSUM BOARD, TAPED, SPACKLING,
SANDING AND PAINTING
A/0 22,820
A 2,500
A 28,000
ITEM OTY DESCRIPTION: FAIR SALVAGE
NO. IMPROVEMENTS PERTAINING TO THE REALITY COND PIC # MARKET VALUE
ALUE
(655) SQ. FT. GLAZED EXTERIOR WALLS, PLATE
GLASS COMMERCIAL GRADE, 2 GLASS EXTERIOR
DOORS AT LOBBY AND STAFF ROOM, PLATE
GLASS AT LOBBY AND BUSINESS OFFICE,
MINIMUM DETAIL AND FINISH
(2) GLASS DOOR AND SIDE PANEL AT LOBBY, 36"
WIDE DOOR FRAME, 21" ALUMINUM FRAME FOR
FIXED PANEL, INCLUDING HARDWARE AND
ELECTRICAL UNLOCKING CONTROLS, GLASS
DOOR AT PRIVATE OFFICE
(2) ACCORDIAN, FOLDING VINYL DOORS, DENTAL
ROOM # 6 AND STAFF
(3) WOOD HOLLOW CORE DOORS, RESTROOMS
ANDLABORATORY
(2) WOOD SOLID CORE, AIR AND VACUUM
EQUIPMENT ROOM, OXYGEN ROOM WITH 2. AIR
CIRCULATION VENT PANELS
1 FLOOR COVER, VINYL COMPOSITION TILES, WALL A 5,600
TO WALL, BASE BOARD, GROSS AREA 2,552 SQ.
FT. TRIM AND CUTTING AT BASE WALLS,
INSTALLED
1 WINDOW APPOINTMENTS, PLASTIC, VENETIAN G 2,975
BLINDS, HORIZONTAL, MANUAL HARDWARE,
LOBBY, LAB, OFFICEAND STAFF AREAS, C /O:
(3) SECTIONS, LABORATORY, 34" W X 56" H EACH
(3) SECTIONS, STAFF BREAK ROOM, 6'W X 24"
OVER DOOR, &W X 4' H, NORTH OF DOOR, TX
6'8" SOUTH OF DOOR
(6) SECTIONS, RECEPTION OFFICE, 36" X 9'H
(2) SECTIONS, 32" W X 74" H, IN DENTAL
TREATMENT ROOM # 5 AND PRIVATE OFFICE
RECEPTION DESK AND OFFICE
RECEPTION COUNTER, 106 "X 12" SERVICE TOP, A 3,700
42" HIGH, WOOD WITH PLASTIC VENEER, FRONT
PANEL 97" X 40" HIGH, OPEN KNEE WELL, SINGLE
DIVIDE PANEL
(1) SIDE SERVICE COUNTER, 11'3" X 12" TOP, 42"
HIGH, FRONT PANEL 161" X 401!2" HIGH, 2
PEDESTAL WITH DOUBLE DOOR AND DRAWER
21" WIDE, 4 SHALLOW DRAWERS 191/2" WIDE,
30" HIGH WORK TOP, 12" BACK PANEL FOR
SERVICE TOP
1 WALL AND COUNTER UNIT, (TYPICAL WOOD A 1,625
PLASTIC VENEER) 63" X 25" TOP, 31" OPEN KNEE
WELL, SINGLE SHALLOW DRAWER, PEDESTAL
28" WIDE, 1 DRAWER 14" WIDE, 1 LOCK, DOUBLE
DOOR STORAGE CABINET
ITEM DESCRIPTION: FAIR SALVAGE
NO. QTY IMPROVEMENTS PERTAINING TO THE REALITY COND PIC # MARKET VALUE
VALUE
(1) WALL CABINET, 62" X 38" H X 14" D, DOUBLE
DOOR AND SINGLE DOOR, 3 LOCKS
BATHROOMS
1 BABY CHANGING STATION, KOLA KARE, DROP A 175
CRIB TRAY, MODEL KB200, WALL MOUNTED,
HORIZONTAL
LOT, RESTROOM ACCESSOREIS, C /O: A 800
(2) SETS HANDICAPPED ASSISTOR BARS,
STAINLESS STEEL, WALL MOUNTED, 48" & 38"
(2) SCOTT PAPER TOWEL DISPENSER, 12" X 13"
PULLSHEET
(2) SANITARY TOILET SEAT COVER, NATIONAL
SANITARY SUPPLY
(2) AIR FRESHENERS, EIKOSHA, BATTERY
OPERATED FAN
(2) RUBBER MAID AIR FRESHENERS
(2) WASTE PAPER CONTAINERS, GREY PLASTIC,
19" X 34" H, LID, DROP CHUTE
(4) PAPER ROLLS, SINGLE
(2) MIRROR, 30" X 24"
(1) FLOWERS, YELLOW, PLASTIC PLANTER
(1) SOAP DISPENSER, "DISCOVERY ", BATTERY
OPERATED, TOUCHLESS
DENTAL TREATMENT AREAS
10 9 CABINETS, WOOD CONSTRUCTION, PLASTIC A 3,100
VENEER, WOOD GRAIN FINISH, WASTE
COMPARTMENT SINGLE ACCESS DOOR, 18" X 30"
H, 18" W DRAWER, SUPPLY STORAGE SINGLE
DOOR, 18" W X 25" H, 2 INTERIOR SHELVES,
INCLUDING:
(4) TV' X 16" TOP, WITH 6" DIA, DROP CHUTE, 36"
HIGH CABINET
(4) IRREGULAR TOP 55" FRONT, 41" BACK, 16"
DEEP TOP, 6" DIA. DROP CHUTE, 36" HIGH
CABINET
(1) IRREGULAR TOP, 55" & 41 "X 16" DEEP, NO
DROP OPENING, TYPICAL 2 DOOR, 1 DRAWER, X.
RAY CONTROL ROOM
11 1 NURSE'S STATION CABINETS, "U" SHAPE A 7,760
BETWEEN ROOM 4 5 AND OFFICE, T3" X 26"
COUNTER, 2 SIDES, 43" WIDE COUNTER WITH
SINK, DOUBLE DOOR, STAINLESS STEEL SINK, 22"
X 21" SINGLE COMPARTMENT WITH HARDWARE,
36" HIGH COUNTER, (2) DOUBLE DOOR, (4) 20"
DRAWER, (8) 18" DRAWER
ITEM QTY DESCRIPTION: FAIR SALVAGE
NO. IMPROVEMENTS PERTAINING TO THE REALITY COND PIC # MARKET VALUE
VALUE
(1) WALL CABINETS, 36" HIGH, 4 DOUBLE DOOR,
35" WIDE, 2 SINGLE DOOR, 21" WIDE, OPEN FACE
SHELF SECTION, 24'X 18 ", 2 ADJUSTABLE
SHELVES, UPPER DOUBLE DOOR CABINET, 24" X
18" HIGH
12 1 ISLAND COUNTER WORK STATION, 07" X 32" TOP, A 4,000
WITH 22" X 22" STAINLESS STEEL SINGLE
COMPARTMENT SINK, GOOSE NECK HARDWARE,
LOCAL PIPING, BASE CABINET, 2 SIDES WITH ONE
SINGLE DOOR 16" WIDE AND DOUBLE DOOR 30"
WIDE, 36" HIGH, 2 END DOORS, 20" WIDE
(1) ELECTRICAL CHUTE, 101/2" X S" X 17112"
HIGH, 2 DOUBLE PLUG RECEPTORS
(1) UPPER CABINET, 60" LX 28" W X 51" H TO
CEILING, 31" HIGH STORAGE CABINETS, 4
DOUBLE DOORS, 23" WIDE, 2 OPEN FACE SHELF
SECTIONS, 15'W X 15" H, UPPER DOUBLE DOOR
15" X 15 ", 20" HIGH BOX COMPARTMENT
LABORATORY
13 1 COUNTER, WOOD, WHITE VENEER FINISH, A 4,110
INCLUDING:
(1) DESK UNIT, 66" X 25" TOP, 5" SPLASH PANEL
WITH 41/2" SHELF, 2 PEDESTAL,1 DOUBLE
DOOR, 5 DRAWERS, 30" HIGH
(1) CABINET, 38" X 26" TOP, 36" HIGH
(1) RANGE TOP, TAPPAN, 4 BURNER, NATURAL
GAS WITH RANGAIRE OVERHOOD VENT
(1) CABINET, OVER VENT, WITH G.T. VENT DUCT,
36" W X 31" H. 17" H BOX COMPARTMENT ABOVE
(1) APPAREL RACK, BUILT -IN 35" W X 26" D X 77"
H, OPEN FRONT
(8) SHELF, WOOD PLANK, WHITE PAINT, 8" X V
BOARD, 4- 60 ", 3- 72",l- 36"
(1) SINK COUNTER, WOOD WITH WHITE PLASTIC
VENEER, 7'5" X 26" TOP, STAINLESS STEEL SINK,
SINGLE COMPARTMENT, 22" X 20 ", GOOSE NECK
HARDWARE, LOCAL PIPING, DRAIN TRAP,
ACCESSORIES, INSTALLED
STAFF BREAK ROOM
14 1 SINK COUNTER, WOOD /PLASTIC VENEER A 3,240
(TYPICAL) T6" TOP, 26" DEEP, STAINLESS STEEL
DOUBLE COMPARTMENT SINK, 33" X 22" X W
DEEP, BASE WITH 2- DOUBLE DOOR, 2- DRAWER
15" W, 21" OPENING FOR G.E. REFRIGERATOR
(1) GARBAGE DISPOSAL, 112 HP, ELECTRIC,
MODEL 5
(1) WATER FILTER, 3M, CARTRIDGE
ITEM QTY DESCRIPTION: PAIR SALVAGE
NO. IMPROVEMENTS PERTAINING 70 THE REALITY COND PIC # MARKET VALUE
VALUE
(1) WALL CABINETS, 76" X 36' H, 3- DOUBLE
DOORS
(1) MATCHING TABLE TOP, WALL MOUNTED
ACROSS ROOM, 1'6" X 26" D, 4" SPLASH PANEL,
MOUNTED ON SOUTH WALL
TOTAL IMPROVEMENTS PERTAINING TO THE REALTY 90,105
CERTIFICATE OF ACCEPTANCE
This is to certify that the interest in the real property conveyed by the Quitclaim
Deed dated September 6, 2013, from Western Dental Services, Inc., to the City of
Santa Ana, a charter city and municipal corporation organized and existing under
the Constitution and laws of the State of California, is hereby accepted by the
undersigned officer or agent on behalf of the City Council pursuant to authority
conferred by Ordinance No. NS -2352 and Section No. 33 -55 of the Santa Ana
Municipal Code adopted by the City Council on June 1, 1998, in compliance with
California Government Code Section 27281 and the grantee consents to recordation
thereof by its duly authorized officer.
Dated
For the City of Santa Ana:
Carlos Rojas,
Acting City Manager
CALIFORNIA ALL - PURPOSE ACKNOWLEDGEMENT
State of California
County of Orange SS
City of Santa Ana
On this 16th day of October. 2013, before me, Rose Ann Trujillo , Notary Public,
personally appeared Carlos Rojas Acting City Manager who 4ham to me on the
basis of satisfactory evidence to be the so peFSags whosnames tI/are-
s ubscribed to t*within instrument and acknowledged to me tha � executed
the same in I 1 /her/tir authorized 2pacit /capaciti� and that by hi /hew/#r
si natur si natures on the instrument t psrsons or the entity upon behalf of
which the person pefsens acted, executed the instrument. I certify under PENALTY OF
PERJURY under the laws of the State of California that the foregoing is true and
correct. Witness my hand and official seal.
NOTARY SEAL Witness my hand
amend official seal.
�
ROME ANNlRUJILLU _` d� ' —" "`J�y
NoWy Pubho • CaBNareda
L40 cemmlealem r 19700" Signature of Notary
omn" County
M Cumm. Ez Iree May 3 1
CAPACITY CLAIMED BY SIGNER: SIGNER IS REPRESENTING:
❑ Individual(s)
❑ Corporate
❑ Officers
Title(s)
El Partner(s)
❑ General Partner of a Limited
❑ Partnership
❑ Attorney -in -Fact
❑ Trustee (s)
❑ Subscribing Witness
❑ Guardian /Conservator
❑ Other:
THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED TO THE BELOW:
WESTERN DENTAL SERVICES INC. APN 398 - 454 -12 & 13 1221 E. FIRST QUITCLAIM DEED #8479
TITLE OR TYPE OF DOCUMENT: CERTIFICATE OF ACCEPTANCE FOR QUITCLAIM DEED #8479
WESTERN DENTAL SERVICES INC. APN 398- 454 -12 & 13,1221 E. FIRST
NUMBER OF PAGES: DATE OF DOCUMENT:
SIGNER (S) OTHER THAN NAMED ABOVE:
Form
W=
Request for Taxpayer
Give Form to the
(Rev, December 2011
Identification Number and Certification
requester. Do not
Ce rtral R t of the Treasury
real
Intemel Revenue Service
send to the IRS.
Name (as shown on your Income tax return)
Western Dental Services, Inc.
N
Business name /disregarded entity name, If different from above
d
m
m
ca
Check appropriate box for federal tax classification:
0
m
❑ Individual /sole proprietor ❑✓ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate
n�
0
0
❑ Limited liability company. Enter the tax classification (C =C corporation, S =S corporation, P= padnership) ►
F-1 Exempt payee
c.
❑ Other (see instructions)►
iE
Address (number, street, and apt, or suite no.)
Requester's name and address (optlona)
W
530 S. Main St. 6th Floor
on
City, state, and ZIP coda
m
N
Orange, CA 92866
List account number(s) here (optional)
Enter your TIN In the appropriate box. The TIN provided must match the name given on the "Name" line
to avoid backup withholding. For Individuals, this Is your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the Part I Instructions on page S. For other
entities, it is your employer Identification number (EN). If you do not have a number, see How to get a
TIN on page 3.
Note. If the account is In more than one name, see the chart on page 4 for guidelines on whose
number to enter.
Under penalties of perjury, I certify that: --
1. The number shown on this form is my correct taxpayer Identification number (or I am waiting for a number to be Issued tome), and
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 Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding, and
3. 1 am a U.S. citizen or other U.S. person (defined below).
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 have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage
Interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and
generally, payments other than Interest and tlivXends, you are not required to sign the certification, but you must provide your correct TIN. Seethe
'J" I Signature of
Here I U.S. person►
General Instructions /I/
Section references are to the Internal Revenue Code unless otherwise
noted.
Purpose of Form
A person who is required to file an Information return with the IRS must
obtain your correct taxpayer Identification number (TIN) to report, for
example, income paid to you, reel estate transactions, mortgage interest
you paid, acquisition or abandonment of secured property, cancellation
of debt, or contributions you made to an IRA.
Use Form W -9 only if you are a U.S. person (including a resident
open), to provide your correct TIN to the person requesting It (the
requester) and, when applicable, to:
1. Certify that the TIN you are giving Is correct (or you are waiting for a
number to be Issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding If you are a U.S. exempt
payee, If applicable, you are also certifying that as a U.S. person, your
allocable share of any partnership Income from a U.S. trade or business
is not subject to the withholding tax on foreign partners' share of
effectively connected Income.
Date ► -/ ffo
Note. If a requester gives you a form other than Form W -9 to request
your TIN, you must use the requester's form If it Is substantially similar
to this Form W -9.
Definition of a U.S, person. For federal tax purposes, you are
considered a U.S, person if you are:
• An individual who is a U.S. citizen or U.S. resident alien,
• A partnership, corporation, company, or association created or
organized in the United States or under the laws of the United States,
• An estate (other than a foreign estate), or
• A domestic trust (as defined In Regulations section 301.7701 -7).
Speolai rules for partnerships. Partnerships that conduct a trade or
business in the United States are generally required to pay a withholding
tax on any foreign partners' share of income from such business.
Further, in certain cases where a Form W -9 has not been received, a
partnership is required to presume that a partner is a foreign person,
and pay the withholding tax. Therefore, If you are a U.S. person that Is a
partner In a partnership conducting a trade or business In the United
States, provide Form W -9 to the partnership to establish your U.S.
status and avoid withholding on your share of partnership income.
Cat. No. 10231X Form W-9 (Rev. 12 -2011)
CITY OF SANTA ANA VENDOR STATEMENT
City of Santa Ana
20 Civic Center Plaza
P.O. Box 1988
Santa Ana, CA 92702
Vendor Number: 999002371
Invoice Date Invoice No.
Paid On: 9/26/2013
Check Number: 120036342
Total Amount: $90,105.00
Vendor: Western Dental Services Inc
P.O. No. Voucher Gross Amount Disc Amount Net Amount
0911612013 PWA2712 225744 $90,105.00 $0.00 $9010500
Vendor Totals: $90,105.00 $0.00 $90,105.00
. a. ,, . ; „ • , � ,°*arrtr� ",,.�. a�rsx��„�rd- �3'i,a rnr +rr�rrr��r�r�rT�3-s�s� - 3 , b;a�r�r�rn�raa_�;
� �� JPPAOROAN CHASE BANK N. A. 90- 176713222
�p
120036342
o PAVee�ocrlT:acAr!oN
°Account 999002371 Date 9/26/2013 $ 9 0, 1 0 5 00
O� 0 w
N wwwwwwwwwwwwwwwww *wwwwwwwwwwwwwwwwwwwwwwwwwwww
Ninety Thousand One Hundred Five Dollars And No Cents*
PAY ro THE oWest °ern Dental Services Inc
530 S Main St
Orange CA 92868
/DID IF ;101 PRF-gFNTED FOR F a 1,-� F VCp� -' S -=Il,j -,I-
L 200 36 31. 211a 1:12227L6271: 9 3 5 30 9 5001i'
RECORDING REQUESTED BY:
THE CITY OF SANTA ANA
AND WHEN RECORDED MAIL TO:
Clerk of the Council
City of Santa Ana
20 Civic Center Plaza, M -30
Santa Ana, California 92701
N -zet3 -116
Exempt from Recording Fee
Pursuant to Government Code
County Assessor's Parcel Number:
398 - 454 -12 & 13
Recorded in official Records, Orange County
Hugh Nguyen, Clerk- Recorder
NO FEE
116111$1111111111111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�
201300059152911:30 am 10121113
48 415 Q01 10
0.00 0.00 0.00 0.00 27.00 0.00 0.00 0.00
Exempt from Documentary Transfer Tax
D3 Pursuant to R &T Code & 11922
QUITCLAIM DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, •-
WESTERN DENTAL SERVICES, INC.
do(es) hereby REMISE, RELEASE AND FOREVER QUITCLAIM to the
THE CITY OF SANTA ANA, a charter city and municipal corporation duly organized under the
Constitution and laws of the State of California, the real property in the City of Santa Ana,
County of Orange, State of California, described as
all right title and interest in and to the following described real property in exhibit "A" including any and
all leasehold interest, title and interest in and to the improvements pertaining to the realty which are
attached or affixed in any manner to the following described real property specifically including, but not
limited to the items in Exhibit "B ", list of Improvements Pertaining to the Realty, (fixtures and
equipment), attached hereto and by this reference made a part hereof, which are either generally or for
purpose of this deed a part of that parcel of real property in the City of Santa Ana, County of Orange,
State of California, described as follows:
Grantor for himself, his heirs, representatives and assigns covenants and warrants that: 1) Grantor is
the sole owner of the itemized Improvements Pertaining to the Realty conveyed by this Quitclaim Deed
free from all liens and encumbrances, and 2) Grantor will defend the title and quiet enjoyment of the
real property described above, including all Improvements Pertaining to the Realty, against all
demands and claims of all persons.
SEE EXHIBIT "A" & "B" ATTACHED HERETO AND
BY THIS REFERENCE MADE A PART HEREOF
IN WITNESS WHEREOF, the grantor hereto has caused this Quitclaim Deed to be executed as
of this tO `day of Se 2 er, 2013.
Western Den al Services, Inc.
By: Date: q /(o b
By Date: °t (a a oI
Sa+d.rC. Ltcw� Seer qty.
ACKNOWLEDGEMENT
State of California
County of Orange
On September 6, 2013 before me, Paula Perez, Notary Public * * * * * * * * * * * * ** personally appeared
(insert name and title)
David Joe, Chief Financial Officer and Sandra Lau, Secretary who proved to me on the basis of
satisfactory evidence to be the persons whose name are subscribed to the within instrument and
acknowledged to me that they executed the same in their authorized capacities, and that by their
signature on the instrument the persons, or entity upon behalf of which the persons acted, executed the
instrument.
I certify under the PENALTY OF PURJURY under the laws of the State of California that the forgoing
paragraph is true and correct.
WITNESS my hag, and official seal. PAS U� A p pE
/ Commission N 1958237
Notary Public • California
Signature. - (Seal) Orange County
M Comm. Ex Tres Nov 22, 2015
d
EXHIBIT "A"
LEGAL DESCRIPTION
Real property In the City of Santa Ana, County of Orange, State of California, described as
Follow:
PARCEL A:
LOTS 1, 3, k, 10,11 AND 12 IN BLOCK °E" OF SANTA ANA INVESTMENT COMPANY TRACT NO,
1, HUMPHREY'S ADDITION TO SANTA ANA, IN THE CITY OF SANTA ANA, COUNTY OF ORANGE,
STATE OF CALIFORNIA, AS PER MAP THEREOF RECORDED IN BOOK 11, AT PAGE 39, OF
MISCELLANEOUS RECORDS OF LOS ANGELES COUNTY, CALIFORNIA,
EXCEPTING THEREFROM THE SOUTHERLY ONE FOOT OF LOTS 10, 11 AND 12, IN BLOCK E OF
SANTA ANA INVESTMENT COMPANY, TRACT NO, 1, HUMPHREY'S ADDITION TO SANTA ANA, AS
SHOWN ON A MAP THEREOF RECORDED IN BOOK 11, PAGE 39, MISCELLANEOUS RECORDS OF
LOS ANGELES COUNTY, CALIFORNIA, AS GRANTED TO THE CITY OF SANTA ANA BY DEED
RECORDED APRIL 3, 1964, IN BOOK 6990, PAGE 100 AS INSTRUMENT NO. 3B13, OF OFFICIAL
RECORDS.
ALSO EXCEPTING THEREFROM A SPANDREL SHAPED PARCEL OF LAND BOUNDED SOUTHERLY
BY THE NORTH LINE OF PARCEL 1, BOUNDED EASTERLY BY THE EAST LINE OF SAID LOT 12,
BOUNDED NORTHWESTERLY BY THE ARC OF A CURVE CONCAVE NORTHWESTERLY, HAVING A
RADIUS OF 25 FELT AND TANGENT TO SAID SOUTHERLY AND EASTERLY BOUNDARIES, AS
GRANTED TO THE CITY OF SANTA ANA BY DEED RECORDED APRIL 3, 1964, IN BOOK 6990,
PAGE 100 AS INSTRUMENT NO, 3013, OF OFFICIAL RECORDS.
PARCEL B;
LOT 2 I BLOCK B OF SANTA ANA INVESTMENT COMPANY, TRACT NO, 1., HUMPHREY'S
ADDITION 1.0 SANTA ANA, COUNTY OF ORANGE, STATE OF CALIFORNIA, AS SHOWN ON A MAP
RECORDED IN BOOK 11, PAGE 39 MISCELLANEOUS RECORDS OF LOS ANGELES COUNTY,
CALIFORNIA,
APN; 398- 45442 and 398. 454 -13
:
PUBLIC WORKS WESTERN DENTAL
CITY OF SANTA ANA FAIR MARKET VALUE
GRAND AVENUE STREET WIDENING PROJECT DATE OF VALUE: APRIL 18, 2012
ITEM DESCRIPTION: FAIR SALVAGE
NO QTY IMPROVEMENTS PERTAINING TO THE REALITY CpNp PIC # MARKET VALUE
VALUE
THROUGHOUT
LOT, C/O INSTALLATION OF:
(1) PAN t CEPH MACHINE & COMPUTERS
(2) ESTIMATOR'S COMPUTERS
(2) DOCTOR'S COMPUTERS
(1) EWB SYSTEM, JOB STATUS SYSTEM
(2) BELMONT X-RAY MACHINES
(1) TV SCEPTRE, HDTV, HDMI, 1080P, 120 HZ
(1) VACUUM SYSTEM, COMPRESS AIR SYSTEM,
WATER DISTRIBUTION SYSTEM, 2 BREAKERS,
ASSOC, ELECTRIC
(6) ADMINISTRATIVE COMPUTERS, PRINTERS,
SERVER, ETC.
(2) WALL MOUNTED SERVERS
(1) SERVER RACK, WALL MOUNTED, MARK IV
(1 DATA COLLECTION UNIT, KRONOS, CARD
SWIPE, TERMINAL
(7) DENTAL CHAIRS AND DELIVERY SYSTEMS
1 ALARM SYSTEM, BAY ALARM, (1) 16 KEYPAD, (3)
WIRELESS SENSORS
DENTAL SUITE
INTERIOR CONSTRUCTION, FRAMED PARTITIONS
DIVIDE THE DENTAL SUITE INTO TWO MAJOR
AREAS, THE SOUTH SECTION INCLUDE THE
PATIENT WAITING LOBBY CONTAINING 286 SQ,
FT.; THE RECEPTION COUNTER AND BUSINESS
OFFICE 336 SQ. FT., TWO RESTROOMS _98_SQ.
FT. EACH AND 2 CLOSETS FOR AIR, VACUUM AND
OXYGEN EQUIPMENT, DENTAL CLINIC SECTION
CONTAINING _1352 SQ, FT. IS DIVIDED INTO (7)
DENTAL STATIONS SEMI -OPEN STALLS, PRIVATE
DENTAL ROOM # 5, CONVERTED OFFICE, A
LABORATORY, X -RAY ROOM WITH ALCOVE, AND
A STAFF BREAK ROOM, INCLUDING:
(1,900) SQ. FT, FRAMED INTERIOR PARTITION
WALLS, GYPSUM BOARD PANELS, TAPE,
SPACKLING, PAINT, 2 SIDES
(355) SQ. FT, LEAD SHEETING FOR X -RAY
PROTECTED AREAS
(1,077) SQ, FT. SINGLE SIDE FACING, ON
INTERIORS OF PARTY WALL AND EXTERIOR
WALLS, GYPSUM BOARD, TAPED, SPACKLING,
SANDING AND PAINTING
A/G
A
22,820
2,600
28,000
ITEM DESCRIPTION: FAIR SALVAGE
NO. QTY IMPROVEMENTS PERTAINING TO THE REALITY COND PIC # MARKET VALUE
VALUE
(655) SQ. FT. GLAZED EXTERIOR WALLS, PLATE
GLASS COMMERCIAL GRADE, 2 GLASS EXTERIOR
DOORS AT LOBBY AND STAFF ROOM, PLATE
GLASS AT LOBBY AND BUSINESS OFFICE,
MINIMUM DETAIL AND FINISH
(2) GLASS DOOR AND SIDE PANEL AT LOBBY, 36"
WIDE DOOR FRAME, 21"ALUMINUM FRAME FOR
FIXED PANEL, INCLUDING HARDWARE AND
ELECTRICAL UNLOCKING CONTROLS, GLASS
DOOR AT PRIVATE OFFICE
(2) ACCORDIAN, FOLDING VINYL DOORS, DENTAL
ROOM # 6 AND STAFF
(3) WOOD HOLLOW CORE DOORS, RESTROQMS
AND LABORATORY
(2) WOOD SOLID CORE, AIR AND VACUUM
EQUIPMENT ROOM, OXYGEN ROOM WITH 2- AIR
CIRCULATION VENT PANELS
1 FLOOR COVER, VINYL COMPOSITION TILES, WALL A 5,600
TO WALL, BASE BOARD, GROSS AREA 2,552 SQ.
FT. TRIM AND CUTTING AT BASE WALLS,
INSTALLED
'1 WINDOW APPOINTMENTS, PLASTIC, VENETIAN G 2,975
BLINDS, HORIZONTAL, MANUAL HARDWARE,
LOBBY, LAB, OFFICE AND STAFF AREAS, C /O:
(3) SECTIONS, LABORATORY, 34" W X 56" H EACH
(3) SECTIONS, STAFF BREAK ROOM, 6'W X 24"
OVER DOOR, 3' W X 4' H, NORTH OF DOOR, TX
6'8" SOUTH OF DOOR
(6) SECTIONS, RECEPTION OFFICE, 36" X 9'H
(2) SECTIONS, 32" W X 74" H, IN DENTAL
TREATMENT ROOM # 6 AND PRIVATE OFFICE
RECEPTION DESK AND OFFICE
RECEPTION COUNTER, 106" X 12" SERVICE TOP, A 3,700
42" HIGH, WOOD WITH PLASTIC VENEER, FRONT
PANEL 97" X 40" HIGH, OPEN KNEE WELL, SINGLE
DIVIDE PANEL
(1) SIDE SERVICE COUNTER, 11'3" X 12" TOP, 42"
HIGH, FRONT PANEL 151 "X 40112" HIGH, 2
PEDESTAL WITH DOUBLE DOOR AND DRAWER
21" WIDE, 4 SHALLOW DRAWERS 19112" WIDE,
30" HIGH WORK TOP, 12" BACK PANEL FOR
SERVICE TOP
1 WALL AND COUNTER UNIT, (TYPICAL WOOD A 1,625
PLASTIC VENEER) 63" X 25" TOP, 31" OPEN KNEE
WELL, SINGLE SHALLOW DRAWER, PEDESTAL
28" WIDE, 1 DRAWER 14" WIDE, 1 LOCK, DOUBLE
DOOR STORAGE CABINET
ITEM DESCRIPTION: FAIR SALVAGE
NO. QTY IMPROVEMENTS PERTAINING TO THE REALITY COND PIC # MARKET VALUE
VALUE
(1) WALL CABINET, 62" X $8" H X 14"D, DOUBLE
DOOR AND SINGLE DOOR, 3 LOCKS
BATHROOMS
1 BABY CHANGING STATION, KOLA KARE, DROP A 175
CRIB TRAY, MODEL KB200, WALL MOUNTED,
HORIZONTAL
LOT, RESTROOM ACCESSOREIS, C /0: A 500
(2) SETS HANDICAPPED ASSISTOR BARS,
STAINLESS STEEL, WALL MOUNTED, 48" & 38"
(2) SCOTT PAPER TOWEL DISPENSER, 12" X 13"
PULLSHEET
(2) SANITARY TOILET SEAT COVER, NATIONAL
SANITARY SUPPLY
(2) AIR FRESHENERS, EIKOSHA, BATTERY
OPERATED FAN
(2) RUBBER MAID AIR FRESHENERS
(2) WASTE PAPER CONTAINERS, GREY PLASTIC,
19" X 34" H, LID, DROP CHUTE
(4) PAPER ROLLS, SINGLE
(2) MIRROR, 30" X 24"
(1) FLOWERS, YELLOW, PLASTIC PLANTER
(1) SOAP DISPENSER, "DISCOVERY ", BATTERY
OPERATED, TOUCHLESS
DENTAL TREATMENT AREAS
10 9 CABINETS, WOOD CONSTRUCTION, PLASTIC A 3,100
VENEER, WOOD GRAIN FINISH, WASTE
COMPARTMENT SINGLE ACCESS DOOR, 18'X 30"
H, 18" W DRAWER, SUPPLY STORAGE SINGLE
DOOR, 18" W X 25" H, 2 INTERIOR SHELVES,
INCLUDING:
(4) TV' X 16" TOP, WITH 6" DIA. DROP CHUTE, 36"
HIGH CABINET
(4) IRREGULAR TOP 55" FRONT, 41" BACK, 16"
DEEP TOP, 6" DIA. DROP CHUTE, 36" HIGH
CABINET
(1) IRREGULAR TOP, 55" & 41"X 16" DEEP, NO
DROP OPENING, TYPICAL 2 DOOR, 1 DRAWER, X-
RAY CONTROL ROOM
11 1 NURSE'S STATION CABINETS, "U" SHAPE A 7,760
BETWEEN ROOM # 5 AND OFFICE, 7'3" X 26"
COUNTER, 2 SIDES, 43" WIDE COUNTER WITH
SINK, DOUBLE DOOR, STAINLESS STEEL SINK, 22"
X 21" SINGLE COMPARTMENT WITH HARDWARE,
36" HIGH COUNTER, (2) DOUBLE DOOR, (4) 20"
DRAWER, (8) 18" DRAWER
ITEM DESCRIPTION: FAIR SALVAGE
NO. QTY IMPROVEMENTS PERTAINING TO THE REALITY COND PIC # MARKET VALUE
VALUE
(1) WALL CABINETS, 36" HIGH, 4 DOUBLE DOOR,
35" WIDE, 2 SINGLE DOOR, 21" WIDE, OPEN FACE
SHELF SECTION, 24" X 18 ", 2 ADJUSTABLE
SHELVES, UPPER DOUBLE DOOR CABINET, 24" X
18" HIGH
12 1 ISLAND COUNTER WORK STATION, 07" X 32" TOP, A 4,000
WITH 22" X 22" STAINLESS STEEL SINGLE
COMPARTMENT SINK, GOOSE NECK HARDWARE,
LOCAL PIPING, BASE CABINET, 2 SIDES WITH ONE
SINGLE DOOR 16" WIDE AND DOUBLE DOOR 30"
WIDE, 36" HIGH, 2 END DOORS, 29" WIDE
(1) ELECTRICAL CHUTE, 10 1/2" X 8" X 17112"
HIGH, 2 DOUBLE PLUG RECEPTORS
(1) UPPER CABINET, 60" L X 26" W X 51 " H TO
CEILING, 31" HIGH STORAGE CABINETS, 4
DOUBLE DOORS, 23" WIDE, 2 OPEN FACE SHELF
SECTIONS, 15" W X 15" H, UPPER DOUBLE DOOR
15" X 16 ", 20" HIGH BOX COMPARTMENT
LABORATORY
13 1 COUNTER, WOOD, WHITE VENEER FINISH, A 4,110
INCLUDING:
(1) DESK UNIT, 66" X 25" TOP, 5" SPLASH PANEL
WITH 4112" SHELF, 2 PEDESTAL,1 DOUBLE
DOOR, 5 DRAWERS, 30'" HIGH
(1) CABINET, 38" X 26 " TOP, 36" HIGH
(1) RANGE TOP, TAPPAN, 4 BURNER, NATURAL
GAS WITH RANGAIRE OVERHOOD VENT
(1) CABINET, OVER VENT, WITH G.T. VENT DUCT,
36" W X 31" H, 17"H BOX COMPARTMENT ABOVE
(1) APPAREL RACK, BUILT -IN 35" W X 26" D X 77"
H, OPEN FRONT
(8) SHELF, WOOD PLANK, WHITE PAINT, 6 "X 1"'
BOARD, 4- 60 ", 3.72 ", 1- 361'
(1) SINK COUNTER, WOOD WITH WHITE PLASTIC
VENEER, T5" X 26" TOP, STAINLESS STEEL SINK,
SINGLE COMPARTMENT, 22" X 20 ", GOOSE NECK
HARDWARE, LOCAL PIPING, DRAIN TRAP,
ACCESSORIES, INSTALLED
STAFF BREAK ROOM
14 1 SINK COUNTER, WOOD /PLASTIC VENEER A 3,240
(TYPICAL) 7'6" TOP, 26" DEEP, STAINLESS STEEL
DOUBLE COMPARTMENT SINK, 33" X 22"X 8"
DEEP, BASE WITH 2- DOUBLE DOOR, 2- DRAWER
15" W, 21" OPENING FOR G.E. REFRIGERATOR
(1) GARBAGE DISPOSAL, 1/2 HP, ELECTRIC,
MODEL 5
(1) WATER FILTER, 3M, CARTRIDGE
ITEM DESCRIPTION: FAIR SALVAGE
NO. QTY IMPROVEMENTS PERTAINING TO THE REALITY COND PIC # MARKET VALUE
ALUE
(1) WALL CABINETS, 7'6" X 36' H, 3- DOUBLE
DOORS
(1) MATCHING TABLE TOP, WALL MOUNTED
ACROSS ROOM, 1'6" X 26" D, 4" SPLASH PANEL,
MOUNTED ON SOUTH WALL
TOTAL IMPROVEMENTS PERTAINING TO THE REALTY 90,105 0
6
CERTIFICATE OF ACCEPTANCE
This is to certify that the interest in the real property conveyed by the Quitclaim
Deed dated September 6, 2013, from Western Dental Services, Inc., to the City of
Santa Ana, a charter city and municipal corporation organized and existing under
the Constitution and laws of the State of California, is hereby accepted by the
undersigned officer or agent on behalf of the City Council pursuant to authority
conferred by Ordinance No. NS -2352 and Section No. 33 -55 of the Santa Ana
Municipal Code adopted by the City Council on June 1, 1998, in compliance with
California Government Code Section 27281 and the grantee consents to recordation
thereof by its duly authorized officer.
l C)%6-1z�
Dated
For the City of Santa Ana:
Carlos Rojas,
Acting City Manager
CALIFORNIA ALL - PURPOSE ACKNOWLEDGEMENT
State of California
County of Orange SS
City of Santa Ana
On this 16th day of October. 2013, before me, Rose Ann Trujillo-, Notary Public,
personally appeared Carlos Rojas, Acting City Manager who provesj to me on the
so
basis of satisfactory evidence to be the pamans_ whose nam names (Pars -
subscribed to th within instrument and acknowledged to me tha h /sb &/tq _ executed
the in /herAhjair
same hi authorized pacit /capacities- and that by hi /N&Otheir
natur the instrument
si aignatu u on t erso parscns; or the entity upon behalf of
which the person ersams acted, executed the instrument. I certify under PENALTY OF
PERJURY under the laws of the State of California that the foregoing is true and
correct. Witness my hand and official seal.
NOTARY SEAL Witness my hand and official seal.
ROSE
commlo Signature of Notary
EAN"WIR D31
NoWry POnM
Comm.
CAPACITY CLAIMED BY SIGNER: SIGNER IS REPRESENTING:
❑ Individual(s)
❑ Corporate
❑ Officers
Title(s)
❑ Partner(s)
❑ General Partner of a Limited
❑ Partnership
❑ Attorney -in -Fact
❑ Trustee (s)
❑ Subscribing Witness
❑ Guardian /Conservator
❑ Other:
THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED TO THE BELOW:
WESTERN DENTAL SERVICES INC. APN 398 - 454 -12 & 13,1221 E FIRST QUITCLAIM DEED #8479
TITLE OR TYPE OF DOCUMENT: CERTIFICATE OF ACCEPTANCE FOR QUITCLAIM DEED #8479
WESTERN DENTAL SERVICES INC. APN 398- 454 -12 & 13,1221 E FIRST
NUMBER OF PAGES: DATE OF DOCUMENT:
SIGNER (S) OTHER THAN NAMED ABOVE: