HomeMy WebLinkAboutSALVATION ARMY - 2015 City of Santa Ana
1-41-"lit Clerk of the Council COTC Office Use Only
AGREEMENT TERMINATION FORM
Please complete this form when the attached agreement and all
amendments (if any) are no longer in effect.
Return form to the Clerk of the Council Office (M-30).
Call 647-1520 if you have any questions.
The agreement with - f i4 . 0/?/1-11-3
No. 'N'oeC)45-'15e was completed on and final payment has been made.
(List all amendments. Use space below if needed.)
Department: HO) d'1
Phone/Ext.: Y -C
Signature:
Date: 7//2-17/�
Revised 10-31-12
N-2015-158
IN WITNESS WHEREOF, the parties have executed this Memorandum of Understanding as of
the clay and year first above written.
ATTEST:
Maria D. Huizar, Clerk of;k e Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
Vic_ 'ter a
Lisa Storek, Asst. City Attorney
RECOMMEND APPROVAL:
Has7agt2i, ecutive Director
Planning & Building Agency
CITY OF SANTA ANA ("City")
David Cavazos, City Manager
THE SALVATION ARMY ("Operator")
Division
RECOMMEND APPROVAL:
Carlos Rojas, Chief of Police
Santa Ana Police Department
lifornia
This document is exempt from payment of a recording fee pursuant
to Government Code Sections 27383 and 6103.
FREE RECORDING REQUESTED BY AND
WHEN RECORDED RETURN TO:
City of Santa Ana
20 Civic Center Plaza (M-20)
P.O. Box 1988
Santa Ana, CA 92702
APN:398-484-05
(Space Above This Line For Recorder's Use Only)
yd' 2 6 215 MEMORANDUM OF UNDERSTANDING
(EMERGENCY SHELTER MANAGEMENT & OPERATIONS PLAN) N-2015-158
(818 E. Third Street, Santa Ana, CA)
This Memorandum of Understanding is entered into on this 17d' day of August, 2015, by The
Salvation Army, a 501(c)(3) tax exempt non-profit organization, having a mailing address of
P.O. Box 93002, Long Beach, CA 90809-3002 (hereinafter referred to as "Operator") and the
City of Santa Ana, a charter city and municipal corporation, having a mailing address of 20 Civic
Center Plaza, P.O. Box 1988, Santa Ana, CA 92702 (hereinafter referred to as "City").
1. Operator has filed with City an "Emergency Shelter Management and Operations
Plan" ("MOP"), pertaining to a certain property located at 818 E. Third Street, Santa
Ana, California ("Property"), dated the 31" day of July 2015, as required by Santa
Ana Municipal Code section 41-1201(8). Said MOP serves the purpose of setting
forth guidelines and rules for administration of an emergency shelter facility ("The
Salvation Army Hospitality House") and other improvements. Said MOP has been
approved by the Plamzing Director in consultation with the Chief of Police. All of the
foregoing is set forth in the MOP.
2. The term of the MOP shall be for as long as the Property is used as an emergency
shelter.
3. The full MOP, as amended from time to time, is on file with the City of Santa Ana
and can be reviewed at 20 Civic Center Plaza, 2nd Floor, contact Planning Division.
4. This Memorandum of Understanding is not intended to amend or modify, and shall
not be deemed or construed as amending or modifying, any of the terms, conditions
or provisions of the MOP, all of which are hereby ratified and affirmed. In the event
of a conflict between the provisions of this Memorandum of Understanding and the
provisions of the MOP, the detailed provisions of the MOP shall control. The
Agreement shall be binding upon and inure to the benefit of the parties and their
respective heirs, successors, and assigns, subject to the provisions of the MOP.
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or validity
of that document.
State of California)
County of Orange)
On September 24, 2015 before me, Maria D. Huizar, Notary Public personally
appeared David Cavazos, City Manager , who proved to me on the basis of
satisfactory evidence to be the person whose name is subscribed to the within
instrument and acknowledged to me that he executed the same in his authorized
capacity, and that by his signature on the instrument the person, or the entity upon
behalf of which the person acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the
foregoing paragraph is true and correct.
----------------
rA MARIA 0. HUIZAR
Commission 8 1974202
Notary Public • California i
Orange County
M Comm. Ex fres A r 5, 2016
CAPACITY CLAIMED BY SIGNER:
❑
Individual(s) _
❑
Corporate
❑
Officers
Titles)
❑
Partner(s)
❑
General Partner of a Limited
❑
Partnership
❑
Attorney -in -Fact
❑
Trustee (s)
❑
Subscribing Witness
❑
Guardian/Conservator
❑
Other:
WITNESS my hand and official seal.
C.j
Signature z Gr,*,X- /,'/
(Seal)
SIGNER IS REPRESENTING:
THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED TO
THE BELOW: MEMORANDUM OF UNDERSTANDING (EMERGENCY SHELTER
MANAGEMENT AND OPERATIONS PLAN — 818 E THIRD STREET, SANA ANA CA)
NUMBER OF PAGES: DATE OF DOCUMENT:
SIGNER (S) OTHER THAN NAMED ABOVE:
A notary public or other officer completing this certificate verifies only the Identity of the individual who signed the
document to which this certificate is attached and not the truthfulness, accurac , or validit of that document.
State of California
County of Orange SS.
On September 22, 2015 , before me, Karen C. Gerardo Notary Public
Date Name and Title of Officer (e.g., "Jane Doe, Notary Public')
personally appeared Carlos Rojas
Names) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)
is/afe subscribed to the within instrument and acknowledged to me that he/she"
executed the same in hisitherFtheir authorized capacity(-ies), and that by
his/he,04ei; signature(s) on the instrument the person(s), or the entity upon behalf of which
the persons) acted, executed the instrument.
KAREN C..GERARRDO
Commission #t 2111280
-; Notary Public - California
Orange County
t A Comm. Ex ices Jun 10, 2019 t
Place Notary Seal Above
I certify under PENALTY OF PERJURY under
the laws of the State of California that the
foregoing paragraph is true and correct.
WITNESS my hand and official seal.
1
Signature of Notary Public
OPTIONAL
Though this section is optional, completing this information can deter alternation of the document or fraudulent
reattachment of this form to an unintended document
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Signer's Name:
Capacity(les) Claimed by Signer(s)
❑ Individual
❑ Corporate Officer — Title(s):_
❑ Partner -- ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing: __
❑ Individual
❑ Corporate Officer—Title(s): _
❑ Partner -- ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing:
s
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIC CODE § 1189
4
A notary public or other officer completing this certificate verities only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
" State of California
County of Orange SS.
On September 18, 2015 , before me, Karen C. Gerardo, Notary Public
Date Name and Title of Officer (e.g., "Jane Doe, Notary Public")
5
personally appeared Hassan Haghani
Iv
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)
islare subscribed to the within instrument and acknowledged to me that helshelthey
executed the same in his/hpr4heir authorized capacity( W, and that by
hisitherF#& signature(s) on the instrument the person(is), or the entity upon behalf of which N
the person{64 acted, executed the instrument.
s I certify under PENALTY OF PERJURY under
KAREN C.GERAR00 the laws of the State of California that the H
> Commission #2191280 foregoing paragraph is true and correct.
o Notary Public • Calllornle z
Orange County 9 WITNESS my hand and official seal.
M I Comm. Ex Irea Jun 90 2099 �i � � ��
1 Signature of Notary Public
1 Place Notary Seal Above
OPTIONAL
" Though this section is optional, completing this information can deter alternation of the document or fraudulent
reattachment of this form to an unintended document
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages: c
" Signer(s) Other Than Named Above:
n
H
Signer's Name:
Capacity(les) Claimed by Signers)
4,
❑ Individual ❑ Individual
" ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ;
k ❑ Partner -- ❑ Limited ❑ General ❑ Partner -- ❑ Limited ❑ General
❑ Attorney in Fact ❑ Attorney in Fact
❑ Trustee ❑ Trustee
❑ Guardian or Conservator ❑ Guardian or Conservator
" ❑ Other: ❑ Other:
L
"
Signer is Representing: Signer is Representing:
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
YXXXX^,coencrcm,A;�.,,'^- r,crr:s<X^ a^.e `,ce-c;cxx r>(:rrccx;r,K,
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of
On efore me,
Date
personally appeared
Name and Title of the Officer
who proved to me on the basis of satisfactory evidence to be the personks)'whose name,(a)'is/Xe2
subscribed to the within instrument and acknowledged to me that he/oie,/they executed the same in
his/I er/9aetr authorized capacity�es�, and that b is/Y w/tLneii signaturejs) on the instrument the perso9*
or the entity upon behalf of which the persongacted, executed the instrument.
Place Notary Seal Above
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand ano ficial sea
Signatire _
*ignatureo N tary Public
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Number of Pages:
Document Date:
Signers) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
Corporate Officer — Title(s):
Partner — Limited General
Individual Attorney in Fact
Trustee Guardian or Conservator
Other:
Signer Is Representing:
Signer's Name: _
Corporate Officer — Title(s):
Partner — Limited General
Individual Attorney in Fact
Trustee Guardian or Conservator
Other:
Signer Is Representing:
02014 National Notary Association • www.NationaiNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907
M. LANKFORO
•.
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.,,mmission # 2093378
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-
Notary Public - California
Angeles County
Na •.
los
My Comm. Expires Jan 9, 2019
Place Notary Seal Above
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand ano ficial sea
Signatire _
*ignatureo N tary Public
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Number of Pages:
Document Date:
Signers) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
Corporate Officer — Title(s):
Partner — Limited General
Individual Attorney in Fact
Trustee Guardian or Conservator
Other:
Signer Is Representing:
Signer's Name: _
Corporate Officer — Title(s):
Partner — Limited General
Individual Attorney in Fact
Trustee Guardian or Conservator
Other:
Signer Is Representing:
02014 National Notary Association • www.NationaiNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907