HomeMy WebLinkAboutStaff Report 444-10TO: HONORABLE CITY COUNCIL
FROM: CITY MANAGER
DATE: DECEMBER 13, 2010
REPORT TYPE: CONSENT ITEM
DEPARTMENT: PLANNING AND
COMMUNITY ENVIRONMENT
CMR: 444:10
SUBJECT: Approval of Amendment No. Four to Agreement with the Housing
Trust of Santa Clara County, Inc. to Provide a Contribution in the
Amount of $100,000 from the Residential Housing Fund for Fiscal
Year 2010/11 to be Expended Through Fiscal Year 2014115.
EXECUTIVE SUMMARY
Council approval of the recommended actions will provide an additional $100,000 in financial
contributions to the Housing Trust of Santa Clara County, Inc. (HTSCC) to support activities and
efforts to increase affordable housing opportunities. The City of Palo Alto has provided a total
of $850,000 in financial contributions since the inception of the HTSCC to increase affordable
housing opportunities in Palo Alto. HTSCC has invested close to $2.85 million in Palo Alto
through its homeless/special needs and multi-family residential loan programs, and first-time
homebuyer assistance program. No General Fund monies are being used for this housing
activity. Only Housing funds collected through developer fees are used to contribute to HTSCC
and are restricted for the development of affordable housing and no other purpose.
RECOMMENDATION
Staff recommends that Council:
1. Approve Amendment No. Four to Agreement with the Housing Trust of Santa Clara
County, Inc. to Provide a Contribution in the Amount of $100,000 from the Residential
Housing Fund for Fiscal Year 2010/11 to be Expended Through Fiscal Year 2013/14.
2. Authorize the City Manager to execute the Amendment No. Four with the Housing Trust
of Santa Clara County, Inc.
BACKGROUND
In 2000, the Housing Trust of Santa Clara County, Inc. was created to provide additional
financial resources to address the County's affordable housing deficit. The HTSCC's initial
CMR: 444:10 10f3
funding endowment of $20 million was met in two years and included contributions from public
jurisdictions in the County, major employers and private foundations. On October 23,2000, the
City Council approved a contribution of $500,000 from the City's Residential Housing Fund,
with the provision that the City's fund be used exclusively for qualifying affordable housing
projects located within Palo Alto. The City provided additional funding in the amount of
$150,000, $100,000, and $100,000 in 2004, 2009, and 2010, respectively. On June 21, 2010,
the City Council adopted the budget for FYI Dill which includes an allocation of $100,000 from
the Residential Housing Fund for a City contribution to HTSCC.
DISCUSSION
The City's participation in the Housing Trust has increased the available housing funding for a
number of Palo of Alto projects. Since the execution of the Agreement with the City, the
HTSCC has loaned approximately $2.74 million to non-profit housing developers for various
projects in Palo Alto as shown below.
Number of HTSCC
Pro.iect Name Units Loan Amount
Opportunity Center 89 $ 650,000
Oak Court Apartments 53 $ 400,000
Fabian Way Senior Housing 56 $ 689,439
Tree House 35 $ 500,000
801 Alma Family Housing 50 $ 500,000
Total 283 $ 2,739,439
In addition, the HTSCC invested close to $111,000, assisting 17 households purchase homes in
Palo Alto through its first-time homebuyer program. Assisted households had an average
income of $58,466, and the average home purchase price was $239,443.
The City's adopted FY10111 budget includes an allocation of $100,000 from the Residential
Fund to the HTSCC. Since the City has already entered into an agreement with the HTSCC and
the terms for the use of the funds are unchanged, the existing Agreement needs only to be
amended to reflect the additional contribution.
RESOURCE IMPACT
On June 21, 2010, the City Council adopted the budget for FYI 011 1 which includes an allocation
of $100,000 from the Residential Housing Fund for a City contribution to HTSCC. The
contribution of $100,000 will reduce the Residential Housing Fund to approximately $1 million
from its available uncommitted current balance of approximately $1.1 million. No General Fund
monies are being used. for this housing activity.
POLICY IMPLICATIONS
The recommendation furthers Comprehensive Plan policies that support addressing housing
needs on a regional basis and working with outside agencies and other jurisdictions to develop
and implement housing programs.
CMR: 444:10 20f3
ENVIRONMENTAL REVIEW
This action is not considered a project subject to the California Environmental Quality Act, as it
would not cause a physical change in the environment.
PREPARED BY:
Senior Planner
DEPARTMENT HEAD REVIEW: ~ \N~~
CURTIS WILLIAMS, Director
Planning and Community Environment
CITY MANAGER APPROVAL:
ATTACHMENTS
Attachment A:
Attachment B:
Amendment No. Four to the Agreement between the City of Palo Alto and
Housing Trust of Santa Clara County, Inc.
Agreement between the City of Palo Alto and Housing Trust of Santa
Clara County, Inc.
COURTESY COPIES
Housing Trust of Santa Clara County
CMR: 444:10 3 of3
ATTACHMENT A
AMENDMENT NO. FOUR TO AGREEMENT NO C1136231
BETWEEN THE CITY OF PALO ALTO AND
HOUSING TRUST OF SANTA CLARA COUNTY, INC.,
a California Nonprofit Corporation
This Amendment No. Four ("Amendment") to Agreement No. CI136231 ("Agreement")
is entered into , by and between the CITY OF PALO ALTO ("CITY"),
and HOUSING TRUST OF SANTA CLARA COUNTY, INC., a California Nonprofit
Corporation, ("HTSCC").
RECITALS:
WHEREAS, on May 7, 2001, the Agreement was entered into between the parties
regarding the City's initial contribution of $500,000 to HTSCC; and
WHEREAS, on July 12, 2004, the Agreement was amended to reflect an increase in the
amount of the City of Palo Alto's contribution to HTSCC by an additional $100,000 to be
expended in fiscal year 2004-05 and an additional $50,000 to be expended in fiscal year 2005-
06; and
WHEREAS, on April 16, 2007, the City Council approved a time extension allowing for
the expenditure of the City's contribution of$50,000 made in fiscal year 2005-06 through fiscal
year 2009-10; and
WHEREAS, on May 11,2009, the Agreement was amended to reflect an increase in the
amount of the City of Palo Alto's contribution to HTSCC by a second $100,000 to be expended
through fiscal year 2013-14; and
WHEREAS, on February 8, 2010, the Agreement was amended to reflect an increase in
the amount of the City of Palo Alto's contribution to HTSCC by a third $100,000 to be expended
through fiscal year 2013-14; and
WHEREAS, pursuant to the provisions of Section 12 of Article III of the Chapter of the
City Palo Alto, the Council on June 21, 2010 did adopt a budget for Fiscal Year 2010-11; and
WHEREAS, the City Council allocated $100,000 in Residential Housing Fund for the
City of Palo Alto's contribution to HTSCC for fiscal year 2010-11; and
WHEREAS, the parties wish to amend the Agreement;
NOW, THEREFORE, in consideration of the covenants, terms, conditions, and
provisions of this Amendment, the parties agree:
SECTION I. Section 2 of the Agreement, entitled "Deposit of City's Residential
Housing In-Lieu Funds into Endowment Fund" IS hereby amended to read, as follows:
"City agreed to deposit the sum of $500,000 in the Endowment Fund within thirty
(30) days after the mutual execution and delivery of this Agreement. City agreed
to deposit an additional sum of $100,000 within thirty (30) days after the mutual
execution of Amendment No. One to the Agreement and, subject to appropriation
by the City Council, to deposit the sum of $50,000 by no later than thirty (30)
days of the beginning of fiscal year 2005-06. The patties agree that the first
additional sum of $100,000, which was to be deposited within thirty (30) days
after execution of Amendment No. One to the Agreement, had to be expended in
fiscal year 2004-05 and the $50,000, which was to be deposited within thirty (30)
days of the beginning of fiscal year 2005-06, had to be expended through fiscal
year 2009-IO.The second additional sum of $100,000, which was to be deposited
within thirty (30) days of beginning of fiscal year 2008-09, shall be expended
through fiscal year 2013-14.The third additional sum of $100,000, which was to
be deposited within thirty (30) days of the beginning of fiscal year 2009-10, shall
be expended through fiscal year 2013-14. City agrees to deposit the fourth
additional sum of $100,000 within thirty (30) days after mutual execution of this
Amendment No. Four to the Agreement, which shall be expended through fiscal
year 2014-2015, and according to paragraph 3.2.2 of the Agreement."
SECTION 2. Except as herein modified, all other provisions of the Agreement,
including any exhibits and subsequent amendments thereto, shall remain in full force and effect.
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IN WITNESS WHEREOF, the parties have by their duly authorized representatives.
executed this Amendment No.4 as of the date first above written.
APPROVED AS TO FORM:
Senior Asst. City Attorney
APPROVED:
... Director of·Administrative··
Services
Director of Planning
and Community Environment
Insurance Review
ClTYOF PALO ALTO
City. Manager
HOUSING TRUST OF SANTA CLARA
COUNTY, INC., a California
nonprofit corporation
Taxpaxer Identification No. .
. "...3--OS,=! '5 I 3 s:
(Compliance with Corp. Code & 313 is required If th.
enlily on whose behalf this contcscl Is signed is a
corporation. ]n the allemaUve, 8 certified corporatc~
resolution attesting to the sIgnatory authority of the
individual signing In their respectIve capaoitles Is
acceptable.)
CERTIFICATE Or ACKNOWLEDGMENT
(Civil Code § 1189)
, STATE OF CALIFORNIA )
COUN,;.y OF "Sq 'I\. Tq C~q<tt ?
On \'2.. ').'\0 ,beforeme, M<2\'\,S2:><tC,.k)\er,anotarypublicinand
for said County, persortallyappeared \<..12.11\.. Ye..CL5.E?-I who proved to
me on the basis of satisfactory evidence to be the person(st whose name(st Is:laJ:e.
s\lbscribed to the within instrument and acknowledged to me th,at helst:lellJ:ley executed the '
same in his!t:lerllAelr authorized capjilcity(iest, and that by hls/Rer/thelr slgnature(e-) on the
Instrument the person~), or the entity upon behalf of which the person(-sracted. executed the
instrument.
I certify Ulider penalty of perjury under the laws of the State of California that tlie
foregoing paragraph is true and correct.
WITNESS my hand and official seal. ~)i~~.
Notary Public '
r·:~i,i~:j_.,>-... Wl.!'.N'~.~".~~
~ . . MELISSA G. MILLER ff
' COMM. # 1742023 ;;'
NOtARY PUBL.IC .. CALIFORNIA~
SAUTA CLARA COUI.JTY .......
Comm. 2011
CERTIFICATE OF ACKNOWLEDGMENT
(Civil Code § 1189)
STATE· OF CALIFORNIA· )
. -. )
COUNTYOF-:2c,Js ClOie,,)
On 1" (Droke! al, clJIO, before me~~dOr~ ~ l,.~ cA ,a notary public in and
for said County, personally appeared tiZCwI-= who proved to
. me on the basis of satisfactory evidence to be the person(sfwhose name(s)-is/ate
subscribed tothe within instrument and acknowledged to me th~t h.e/sJ:lelt1J.e1 executed the
same in his/I)eflthell' authorized capacity(~; and that by his/her/their signatureW on the
Instrumentthe person(sf. or the entity upon behalf of which the person(s1" acted, executed the
instrument.
I certify under penalty of perjury under the laws of the St e of Callto la that the
foregoing paragraph is true and correct.
WITNESS my hand and official seal .
.. Wl.l.~l!lf 1 • Commlalon" 179UN I Nola" fIubIIc • CoIIIomIa I J Sonia Clara County ~
• ••••• '~!,*,Mar''''012 f cassssse
AGREEMENT
BETWEEN
CITY OF PALO ALTO
AND
) ATTACHMENT B
HOUSING TRUST OF SANTA CLARA COUNTY, INC.
REGARDING A CONTRIBUTION TO THE
SANTA CLARA COUNTY HOUSING TRUST FUND ENDOwMENT
THIS AGREEMENT is made and entered into as of
t-1. 1 . , 2001, by and between THE CITY OF PALO ALTO (City)
and HOUSING TRUST OF SANTA CLARA .COUNTY, INC .. ("HTSCC"), a
California nonprofit corporation.
RECITALS
A. The Housing Trust of Santa Clara County, Inc. Endowment
Fund ("Endowment Fund"), an investment pool fund in which
private corporations and public agencies participate, has
been created by.the HTSCC for the purpose of establishing a
revolving loan fund and grant-making program to address the
issue of affordable, available housing in Santa Clara
County.
B. On January 22, 2001 the City 'Council of the City of Palo
Alto adopted Budget Amendment Ordinance No. 4677. The
Budget Amendment Ordinance provides for the transfer of
Five Hundred Thousand Dollars ($500,000) in Residential
Housing In-Lieu Funds to the Endowment Fund.
C. The City's' Housing Reserve Guidelines require that the
funds be used to provide assistance in expanding,
preserving, or improving the supply of low and moderate
housing in the City as defiJ;led in the City' 5 Comprehensive
Plan.
D. The City desires to increase, improve, or preserve
affordable housing for persons and families of low and
moderate income in the City of Palo Alto, by participating
in the Endowment Fund as specified in this Agreement.
E. The purpose of this Agreement is to set forth the mutual
agreement of the City and. the HTSCC regarding the use of
the City's Residential Housing In-Lieu Funds through the
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010427 ,yo 0090828
Endowment Fund. In view of the above, the parties agree as
follows:
SECTION 1. AUTHORITY AND STATUS OF HTSCC
HTSCC :represents and' warrants that the information
contained in this Agreement is true and accurate to the best of
its knowledge, and that it is a duly organized, validly existing
nonprofit corporation in good ,standing under the laws of its
place of incorporation; that its signatory to this Agreement is
authorized by resolution, bylaws, or constitution of the
nonprofit corporation, currently, in .full force and effect,to
execute this Agreement on HTSCC's behalf.
SECTION 2. DEPOSIT OF CITY'S RESIDENTIAL' HOUSING
IN-LIEU FUNDS INTO ENDOWMENT FUND
City agrees to deposit the sum of $'500,000 into the
Endowment Fund within 30 days after the mutual execution and
delivery of this Agreement.
SECTION 3. USE OF CITY'S RESIDENTIAL' HOUSING IN
LIEU FUNDS
3.1 HTSCC ag,rees that no fees will be charged to
City's Residential Housing In-Lieu Mitigation Funds on deposit
in the Endowment Fund for administrative or overhead costs,
including but not limited to funciraising expenses. The sole
adrninistrati ve expenses which may be charged to City's
Residential Housing In-L,ieu Funds on deposit in the Endowment
Fund shall be as set forth in Section 6.
3.2 The communi'ty Foundation Silicon Valley shall
serve as the Endowment Fund's fiscal agent, and the City's funds
shall be paid directl'y to' them. All disbursements of the City's
Residential Housing In-Lieu Funds from the Endowment Fund shall
be in the form of loans secured by a deed of trust recorded
against the property. The HTSCC shall consult, in advance, with
the City Manager of Palo Alto, prior to making any loans. The
initial disbursement of the funds shall be used only for one or
more projects that meet all of the following criteria:
3.2. I The proj ect must provide rental housing
or housing for the homeless. A project to provide home
ownership assistance is not eligible.
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3.2.2 The pr.oj ect must increase, impr.ove or
preserve aff.ordable h.ousing, .or h.ousing fer the h.omeless, in the
'Cit~ .of Pale Alt.o.
3.2.3 Such h.ousing must be aff.ordable t.o
pers.ons and families .of lower very lew inc.ome h.ouseh.olds as
,th.ose terms are defined by the Department .of H.ousing and Urban
Devel.opment as pertains t.o' the San J.ose Metr.op.olitan Statistical
Area.
3.2.4 The HTSCC shal.1 use the. City's
Residential H.ousing In-Lieu Funds t.o increase, impr.ove or
preserve aff.ordable h.ousing fer h.omeless individuals and
families and/.or aff.ordable rental h.ousing for pers.ons and
families .of lew or very lew inc.ome h.ouseholds, by meth.ods of
pr.oviding, financial assistance that include, but are nat limited
t.o, the meth.ods set forth in Calif.ornia Health and Safety Cede
Section 33334.2 (e), excluding subsecti.ons' (4) and (8).
3.2.5 Any new .or substantia11y rehabilitated,
housing that is devel.oped, financed .or assisted, in' wh.ole .or in
part, with the City's Residential H.ousing In Lieu Funds shall
remain available at affordable h.ousing c.osts t.o pers.ons and
families' .of',low .or very lew, inc.ome h.ouseh.olds, as the case may
be, for the longest feasible time, but net less than thirty (30)
years fer rental units. The HT,SCC ,shall require the recording
in the o'ffice of the C.ounty Recorder' .of c.ovenants or
restricti.ons implementing this Secti.on 3.2.5 fer each parcel .or
unit .of real pr.operty subject t.o this Secti.on 3.2.5, which
covenants .or restricti.ons shall run with the land and shall be
enforceable against the .original .owner and success.ors in
interest, by the City .or the HTSCC.
3.2.6' There shall be n.o discriminati.on
against .or segregati.on .of any person, .or gr.oup .of pers.ons, .on
account .of race, c.ol.or, religi.on, nati.onal .orJ.g~n, ancestry,
gender, marital status, sexual preference, .or handicap status in
the sale, lease, sublease, transfer, use, occupancy, tenure .or
enj oyment ,.of any such proj ect, .or any part thereof, nor shall
any recipient of the City's Residential Housing In-Lieu Funds,
.or any person claiming under ,or through such pers.on, establish
.or permit any such practice or practices of discrimination .or
segregati.on with reference to the selection, location, number
use or .occupancy of tenants, lessees, subtenants, sublessees, or
vendees of any such project.
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3.2.7 The· restrictions of this Section 3.2
shall apply to the initial use of the City's Residential In-Lieu
'Hoilsing Funds by the HTSCC.
3.2.8 The HTSCC shall refund to the City any
portion of the City Residential Housing In-Lieu Funds that have
not been disbursed or contractually conunitted to be disbursed in
accordance with this Section 3.2 by the date that is thirty-six
(36) months after the date of this Agreement. If the City's
Residential Housing In-Lieu Funds are disbursed or contractually
conuni tted to be disbursed in accordance with this Section 3.2
within such 36-month·period, the HTSCC shall have no obligation
to repay any portion of the City's Residential ·Housing In-Lieu
Funds to the City.
3.3 All disbursements by the HtSCC shall be made
after· consul tation with the City Manager of Palo Alto· and with
the advice and suggestion of the HTSCC Board of Directors which
includes two members of the Santa Clara County Board of
Supervisors. The HTSCC shall follow the recommendations
regarding disbursements rendered by the Endowment Fund Steering
Conunittee unless to do so would be a violation of law, this
Agreement, or the HTSCC's Articles of Incorporation or Bylaws.
SECTION 4. INVESTMENT OF THE FUND
The HTSCC shall hold, manage, invest and reinvest the
Endowment Fund in accordance with the "reasonably prudent person
standard. Provided, inyestment ·of the funds contributed by the
City under this Agreement shall be limited to money-market funds
of the type described in Government Code Section 53601 (k) (2).
SECTION 5. FINANCIAL REPORTS·
5.1 The HTSCC sh.all establish and
accordance with
complete record
Endowment Fund.
generally accepted accounting
of all financial transactions
maintain, in:
principles, a
related to the
5.2 The HTSCC shall provide City with quarterly
reports which shall set forth in detail all financial
transactions· related to the Endowment Fund. The HTSCC shall
also provide City with a copy of its audited report, prepared by
independent certified public accountants annually.
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010427 'yn 0090828
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HTSCC shall provide City with a written
report on the initial expenditure of the City's Residential"
HouS!ing In Lieu" Funds, including, at a minimum, for each project
assisted" with City's Residential Housing In-Lieu Funds, the
following information: location and, description of the assisted
project (s); number of units; rent and income restrictions; and
term of "restrictions.
5.3 The
SECTWN 6. ADMINISTRATIVE FEES
The HTSCCmay charge "an annual administrative fee
equal to one percent (1% l. of the" fair" market value of the
Endowment Fund against the Endowment Fund. "The HTSCC may also
charge against the Endowment Fund reasonable bank "fees.
One-Twelfth (1/12) of the annual" fees will be deducted monthly.
The HTSCC shall report the fees charged 'against the ,Endowment
Fund in its quarterly and annual reports.
SECTION 7. NOTICES
Any communication or notice which either party is
required to send to the other or which either party desires to
send to the other, shall be in writing and shall be 'either
personally delivered or mailed in the United States mail,
postage prepaid, to the respective parties addressed as follows:
City:
HTSCC:
City Manager
City of Palo Alto
P.O. Box 10250
Palo Alto, CA 94303
Housing Trust of Santa Clara County, Inc.
111 West St. John ,Street, Suite 710
San Jose, CA 95113
Either party may change its address by sending notice of the new
address to the other party pursuant to this Section.
SECTION 8. COMPLIANCE WITH ALL LAWS
The HTSCC shall comply
ordinances, codes and regulations
local governments.
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010427 .yn 0090828
with all applicable laws,
of the federal, state and
,
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SEC.TION 9. MISCELLANEOUS PROVISIONS
A. The parties agree that this Agreement shall be governed and
construed in accordance with the laws of ,_ the State of
Cali fornia. In the event that suit shall be brought -by
either party to. this Agreement, the parties agree t)1at
venue shall be exclusively vested in the state courts of
the County of Santa -(,lara, or where otherwise appropriate,
eXClusively in the United States District Court; _ Northern
District of California, San Jose, California.
B. .The headings of the sections and subsections of this
Agreement are inserted for convenience only. They do not
consti tute-a part of this agreement and shall not be used
in its construction.
c. The waiver by any_ party to this Agreement of a
any prov~s~on of this Agreement shall not be
continuing waiver or a waiver of any subsequent
that or any other provision of this Agreement.
breach of
deemed .a
breach of
D. Any and all exhibits, which are referred to in this
Agreement, . are incorporated herein by reference and are
deemed a part of this Agreement. This Agreement may only be
amended by formal written agreement executed by both
parties.
E. If a court of competent jurisdiction adjudges any provision
of this -Agreement as void or unenforceable, the remaining
provisions shall not be affected hereby and shall remain in
full force and effect; provided that construction of the
agreement without. the invalid or unenforceable provision
does not deprive the parties of the benefit of their
bargain.
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. Where this agreement refers to City and no Officer of
the 'City is named, . the City Manager. shall have the authority to
act on the City's behalf.
Frank nest
City Manager
APPROVED AS TO FORM:
\V¥W2.'~ S~Asst. City Attorney
APPROVED~
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010427 syn 0090828
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HOUSING TRUST OF SANTA CLARA
COUNTY, INC.
BY:.~~
'ris Block
Executive Director
By: .~ 14'
Name ~. ~tMl-b
Taxpayer Identification No.
77-0545135
(Compliance with Corp. Code § 313
is required if the entity on whose
behalf this contract is s,igned is
a corporation. In the alternative,
a certified corporate resolution
attesting to the signatory
authority of the individuals
signing in their respecti ve
capacities is acc.eptable).
)
CERTIFICATE OF ACKNOWLEDGMENT
STATE OF M4fO/U/i ft
COUNTY OF ~1rNrft UMA
(Civil Code 1189)
ss.
\
)
On M~'.1? ,2001, before me, the undersigned, a
Notary Public in .and for said County and State, personally
appeared ut/USJf) 'P1Jt2R /SW{j' ,
personally known to me or proved to me on the basis of
satisfactory evidence to be· the person <¥} whose name on is/aXe
subscribed to the within instrument and acknowledged to me that
he/~e/th~y executed the same in his/h)trlt!¥ir authorized
capaci ty (ie.e) , and that by his/h~/thfir signature ():J on the
instrument the person rf.), or the entity upon behalf of which the
person(~ acted, executed the instrument.
WITNESS my hand and official seal.
si
'.
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010427 syn 0090828
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CALIFORNIA ALL·PURPOSE ACKNOWLEDGMENT
State of California }
-=(>::..:.A,-,-.'_-rl~---'<.J' "==I~",--A ___ ' ss. County of ..:> ,., I 'I ~
On M W 7, cl/JO/ ,before me, -----'='~~~~;;t,:;~~lfoiot~F=.w.' D8\e . I
personally appeared _....t:~:::.Jw.!J.!::£!<./.T __ -=S:J.If,L· ~r:::J)"¥.: .JtkP~~.i~6::';.:;-________ _ .::;;!.~nl!r(s)
-, .:. Place Nolsl)' Seal Above
," .
o personally known to me
iii3 proved to me on the basis of satisfactory
(evidence
to be the person~ whosename(J'j is/~
subscribed to the Wi~h' 'nstrument and
acknowledged to me tha f}(l/!P\ey executed
the same in hisfli r/t~ir. authorized
capacity(~), and that by his/h~/fh~ slgnature(~ on the instrument the perso~, or
the entity upon be.half of which the perso~)
acted, executed the instrument.
OPTIONAL-------------------
Though the information below is not required by law, it may prove valuab/e to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attache~ocu~en /J. • A ••. II,!;, /J. A ()pt il. . "I ..
Tille or Type of DrZr:£t: PP;~ ri."'ff i f/@) I([JA -\ 1¥U4ftcg ;a«d
Document Date: HtrJ-"':'4~ Number of Pages: ---+r-.----
Signer(s) Other Than Named Above: _____________________ _
Capacity(ies) Claimed by Signer
Signer'S Name: I?O fiEld" .s.1ftf1?l1tW
o Individual
l)!, Corporate Officer -Title(s):
b Partner -0 Limited 0 General
o Attorney in Fact
o Trustee
o Guardian or Conservator o Other: _____ ~ _________________ _
RlGtifTHUMBPRINT
OF SIGNER
Top of thumb here.
Signer Is Representing: _____________________ L ____ ..J
'I
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