HomeMy WebLinkAboutBender, Kevin dba Kevin Bender Presents; 2017-06-19;AGREEMENT FOR CARRILLO MANUSCRIPT PREPARATION AND DEVELOPMENT SERVICES
KEVIN BENDER, D.B.A.
KEVIN BENDER PRESENTS
THIS AGREEMENT is made and entered into as of the \ q-th day of ~\A\At , 2011, by and between the CITY OF CARLSBAD, a municipal
corporatio , ("C1ty"), and Kev1n Be-;;cfer, d.b.a. Kevin Bender Presents, a sole propnetorsh1p,
(hereinafter "Contractor" or "KBP").
RECITALS
A. City requires the professional services of a researcher and writer that is
knowledgeable in California History as it relates to Leo Carrillo Ranch Historic Park, and the life
and times of Leopolda Antonio Carrillo, his family, and his tenure at Rancho de los Quiotes.
B. Contractor has the necessary experience and knowledge in providing professional
services and advice related to historical research, writing, and manuscript preparation and
development.
C. Contractor has submitted a proposal to City and has affirmed its willingness and
ability to perform such work.
NOW, THEREFORE, in consideration of these recitals and the mutual covenants
contained herein, City and Contractor agree as follows:
1. SCOPE OF WORK
City retains Contractor to perform, and Contractor agrees to render, those services (the
"Services") that are defined in attached Exhibit "A", which is incorporated by this reference in
accordance with this Agreement's terms and conditions.
2. STANDARD OF PERFORMANCE
While performing the Services, Contractor will exercise the reasonable professional care and skill
customarily exercised by reputable members of Contractor's profession practicing in the
Metropolitan Southern California Area, and will use reasonable diligence and best judgment while
exercising its professional skill and expertise.
3. TERM
The term of this Agreement will be effective for a period of two years from the date first above
written. The City Manager may amend the Agreement to extend it for one additional one year
period or part thereof. Extensions will be based upon a satisfactory review of Contractor's
performance, City needs, and appropriation of funds by the City Council. The parties will prepare
a written amendment indicating the effective date and length of the extended Agreement.
4. TIME IS OF THE ESSENCE
Time is of the essence for each and every provision of this Agreement.
5. COMPENSATION
The total fee payable for the Services to be performed during the initial Agreement term will be
thirty-one thousand four hundred dollars ($31 ,400). No other compensation for the Services will
be allowed except for items covered by subsequent amendments to this Agreement. If the City
elects to extend the Agreement beyond the initial two year term, the amount shall not exceed
three thousand six hundred dollars ($3,600) for any subsequent Agreement year. The City
reserves the right to withhold a ten percent (1 0%) retention until City has accepted the work and/or
Services specified in Exhibit "A".
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Incremental payments, if applicable, should be made as outlined in attached Exhibit "A".
6. STATUS OF CONTRACTOR
Contractor will perform the Services in Contractor's own way as an independent contractor and
in pursuit of Contractor's independent calling, and not as an employee of City. Contractor will be
under control of City only as to the result to be accomplished, but will consult with City as
necessary. The persons used by Contractor to provide services under this Agreement will not be
considered employees of City for any purposes.
The payment made to Contractor pursuant to the Agreement will be the full and complete
compensation to which Contractor is entitled. City will not make any federal or state tax
withholdings on behalf of Contractor or its agents, employees or subcontractors. City will not be
required to pay any workers' compensation insurance or unemployment contributions on behalf
of Contractor or its employees or subcontractors. Contractor agrees to indemnify City within thirty
(30) days for any tax, retirement contribution, social security, overtime payment, unemployment
payment or workers' compensation payment which City may be required to make on behalf of
Contractor or any agent, employee, or subcontractor of Contractor for work done under this
Agreement. At the City's election, City may deduct the indemnification amount from any balance
owing to Contractor.
7. SUBCONTRACTING
Contractor will not subcontract any portion of the Services without prior written approval of City.
If Contractor subcontracts any of the Services, Contractor will be fully responsible to City for the
acts and omissions of Contractor's subcontractor and of the persons either directly or indirectly
employed by the subcontractor, as Contractor is for the acts and omissions of persons directly
employed by Contractor. Nothing contained in this Agreement will create any contractual
relationship between any subcontractor of Contractor and City. Contractor will be responsible for
payment of subcontractors. Contractor will bind every subcontractor and every subcontractor of
a subcontractor by the terms of this Agreement applicable to Contractor's work unless specifically
noted to the contrary in the subcontract and approved in writing by City.
8. OTHER CONTRACTORS
The City reserves the right to employ other Contractors in connection with the Services.
9. INDEMNIFICATION
Contractor agrees to indemnify and hold harmless the City and its officers, officials, employees
and volunteers from and against all claims, damages, losses and expenses including attorneys'
fees arising out of the performance of the work described herein caused by any negligence,
recklessness, or willful misconduct of the Contractor, any subcontractor, anyone directly or
indirectly employed by any of them or anyone for whose acts any of them may be liable.
The parties expressly agree that any payment, attorney's fee, costs or expense City incurs or
makes to or on behalf of an injured employee under the City's self-administered workers'
compensation is included as a loss, expense or cost for the purposes of this section, and that this
section will survive the expiration or early termination of this Agreement.
10. INDEMNIFICATION FOR INTELLECTUAL PROPERTY INFRINGEMENT
Contractor agrees to defend, indemnify and hold harmless City, its elected officials, employees
and agents from and against any claim, action, proceeding, liability, loss, damage, cost or
expense, including, without limitation, reasonable attorneys' fees, as provided herein, arising out
of any claim that the Contractor's Works, products, services and/or deliverables, or any part of
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them, infringes upon or otherwise violates any copyright, trade secret, trademark, service mark,
patent, invention, proprietary information, or other rights of any third party, or that City's use of
them otherwise violates this Section [collectively referred to for purposes of this Section as
"Infringement Claims(s)"], by paying all amounts that a court finally awards or that Contractor
agrees to in settlement of such Infringement Claim(s), as well as any and all expenses or
charges arising from such Infringement Claim(s), including reasonable attorneys' fees, as they
are incurred by City or any other party indemnified under this Section.
City also agrees that, if the use or operation of the Contractor's Works, products, services
and/or deliverables, or any part of them, becomes, or in Contractor's opinion is likely to become,
the subject of an Infringement Claim(s), City will permit Contractor, at Contractor's option and
expense for all associated costs, either to procure the right for City to continue to use
Contractor's Works, products, services and/or deliverables, or part thereof, or to replace or
modify them with another item of comparable quality and performance capabilities to become
non-infringing, provided such replacement or modification does not cause the product, services
and/or deliverables, or any part thereof, to fail to comply with any of the requirements of this
Agreement, including but not limited to, all functionality, technical specifications and
performance warranties.
In the event City's ongoing use of Contractor's Work's, products, services and/or deliverables,
or any part of them, is the subject of any act by a third party arising from an Infringement Claim
that would preclude or impair City's use of Contractor's Works, products, services and/or
deliverables (e.g., injunctive relief), or if City's continued use of them may subject it to punitive
damages or statutory penalties, City shall give written notice to Contractor of such fact(s). Upon
notice of such facts, Contractor shall procure the right for City to continue to use the Works,
products, services and/or deliverables, or part thereof, or replace or modify the Works, products,
services and/or deliverables of comparable quality and performance capabilities to become non-
infringing.
If Contractor fails to complete the remedial acts set forth above within forty-five (45) calendar days
of the date of the written notice from City, City shall have the right to take such remedial acts it
determines to be reasonable to mitigate any impairment of its use of Contractor's Works,
products, services and/or deliverables or damages (hereafter referred to as "City's Remedial
Acts"). Contractor shall indemnify City for all amounts paid and direct and indirect costs
associated with City's Remedial Acts. Failure by Contractor to pay such amounts within ten (1 0)
calendar days of invoice by City shall, in addition to and cumulative to all other remedies, entitle
City to immediately withhold payments due Contractor under this Agreement up to the amount
paid in connection with City's Remedial Acts.
11. TITLES AND COPYRIGHT ASSESSMENT
Contractor and City intend this to be an Agreement for Services and each considers the
deliverable product (Work) and results of the Services to be rendered by Contractor hereunder
to be a work made-for-hire. Contractor acknowledges and agrees that the Work (and all rights
therein, including, without limitation, copyright) belongs to and shall be the sole and exclusive
property of City.
If for any reason the Work would not be considered a work made-for-hire under applicable law,
Contractor does hereby give, sell, assign, and transfer to City, its successors and assigns, the
entire right, title and interest in and to the copyright in the Work and any registrations and
copyright applications relating thereto and any renewals and extensions thereof, and in and to
all Works based upon, derived from, or incorporating the Work, and in and to all income,
royalties, damages, claims and payments now or hereafter due or payable with respect thereto,
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and in and to all causes of action, either in law or in equity for past, present, or future
infringement based on the copyrights, and in and to all rights corresponding to the foregoing
throughout the world.
If the Work is one to which the provisions of 17 U.S.C. 1 06A apply, the Contractor hereby
waives and appoints City to assert on the Contractor's behalf the Contractor's moral rights or
any equivalent rights regarding the form or extent of any alteration to the Work (including,
without limitation, removal or destruction) or the making of any derivative works based on the
Work, including, without limitation, photographs, drawings or other visual reproductions or the
Work, in any medium, for City purposes.
Contractor agrees to execute all required documents and to perform such other proper acts, as
City may deem necessary to secure for City or its designee the rights herein assigned.
12. INSURANCE
Contractor will obtain and maintain for the duration of the Agreement and any and all
amendments, insurance against claims for injuries to persons or damage to property which may
arise out of or in connection with performance of the services by Contractor or Contractor's
agents, representatives, employees or subcontractors. The insurance will be obtained from an
insurance carrier admitted and authorized to do business in the State of California. The insurance
carrier is required to have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus
line insurer on the State of California's List of Approved Surplus Line Insurers (LASLI) with a rating
in the latest Best's Key Rating Guide of at least "A:X"; OR an alien non-admitted insurer listed by
the National Association of Insurance Commissioners (NAIC) latest quarterly listings report.
12.1 Coverage and Limits.
Contractor will maintain the types of coverage and minimum limits indicated below, unless the
Risk Manager or City Manager approves a lower amount. These minimum amounts of coverage
will not constitute any limitations or cap on Contractor's indemnification obligations under this
Agreement. City, its officers, agents and employees make no representation that the limits of the
insurance specified to be carried by Contractor pursuant to this Agreement are adequate to
protect Contractor. If Contractor believes that any required insurance coverage is inadequate,
Contractor will obtain such additional insurance coverage, as Contractor deems adequate, at
Contractor's sole expense. The full limits available to the named insured shall also be available
and applicable to the City as an additional insured.
12.1.1 Commercial General Liability Insurance. $1,000,000 combined single-limit per
occurrence for bodily injury, personal injury and property damage. If the submitted policies contain
aggregate limits, general aggregate limits will apply separately to the work under this Agreement
or the general aggregate will be twice the required per occurrence limit.
12.1.2 Automobile Liability. (if the use of an automobile is involved for Contractor's work
for City). $1,000,000 combined single-limit per accident for bodily injury and property damage.
12.1.3 Workers' Compensation and Employer's Liability. Workers' Compensation limits as
required by the California Labor Code. Workers' Compensation will not be required if Contractor
has no employees and provides, to City's satisfaction, a declaration stating this.
12.1.4 Professional Liability. Prior to the satisfactory completion of the terms of this
agreement, and submittal of final manuscript, Contractor will obtain and submit for risk manager
approval, a multimedia liability policy satisfactory to the City.
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12.2 Additional Provisions. Contractor will ensure that the policies of insurance required under
this Agreement contain, or are endorsed to contain, the following provisions:
12.2.1 The City will be named as an additional insured on Commercial General Liability
which shall provide primary coverage to the City.
12.2.2 Contractor will obtain occurrence coverage, excluding Professional Liability, which
will be written as claims-made coverage.
12.2.3 This insurance will be in force during the life of the Agreement and any extensions
of it and will not be canceled without thirty (30) days prior written notice to City sent by certified
mail pursuant to the Notice provisions of this Agreement.
12.3 Providing Certificates of Insurance and Endorsements. Prior to City's execution of this
Agreement, Contractor will furnish certificates of insurance and endorsements to City.
12.4 Failure to Maintain Coverage. If Contractor fails to maintain any of these insurance
coverages, then City will have the option to declare Contractor in breach, or may purchase
replacement insurance or pay the premiums that are due on existing policies in order to maintain
the required coverages. Contractor is responsible for any payments made by City to obtain or
maintain insurance and City may collect these payments from Contractor or deduct the amount
paid from any sums due Contractor under this Agreement.
12.5 Submission of Insurance Policies. City reserves the right to require, at any time, complete
and certified copies of any or all required insurance policies and endorsements.
13. BUSINESS LICENSE
Contractor will obtain and maintain a City of Carlsbad Business License for the term of the
Agreement, as may be amended from time-to-time.
14. ACCOUNTING RECORDS
Contractor will maintain complete and accurate records with respect to costs incurred under this
Agreement. All records will be clearly identifiable. Contractor will allow a representative of City
during normal business hours to examine, audit, and make transcripts or copies of records and
any other documents created pursuant to this Agreement. Contractor will allow inspection of all
work, data, documents, proceedings, and activities related to the Agreement for a period of three
(3) years from the date of final payment under this Agreement.
15. RESERVED
16. RESERVED
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17. NOTICES
The name of the persons who are authorized to give written notice or to receive written notice on
behalf of City and on behalf of Contractor under this Agreement.
For City
Name Mick Calarco
Title Special Projects Manager
Department Parks & Recreation
City of Carlsbad
Address 799 Pine Ave.
Carlsbad, CA 92008
Phone No. 760-434-2859
For Contractor
Name Kevin Bender
Title Owner ------------------------------
Address 4070 Adams Street
Carlsbad, CA 92008
Phone No. 760-710-1422
Email kevinallanbender@gmail.com
Each party will notify the other immediately of any changes of address that would require any
notice or delivery to be directed to another address.
18. CONFLICT OF INTEREST
If requested by City, Contractor shall file a Conflict of Interest Statement with the City Clerk in
accordance with the requirements of the City of Carlsbad Conflict of Interest Code. The
Contractor shall report investments or interests in all four categories.
19. GENERAL COMPLIANCE WITH LAWS
Contractor will keep fully informed of federal, state and local laws and ordinances and regulations
which in any manner affect those employed by Contractor, or in any way affect the performance
of the Services by Contractor. Contractor will at all times observe and comply with these laws,
ordinances, and regulations and will be responsible for the compliance of Contractor's services
with all applicable laws, ordinances and regulations.
Contractor will be aware of the requirements of the Immigration Reform and Control Act of 1986
and will comply with those requirements, including, but not limited to, verifying the eligibility for
employment of all agents, employees, subcontractors and consultants whose services are
required by this Agreement.
20. DISCRIMINATION AND HARASSMENT PROHIBITED
Contractor will comply with all applicable local, state and federal laws and regulations prohibiting
discrimination and harassment.
21. DISPUTE RESOLUTION
If a dispute should arise regarding the performance of the Services the following procedure will
be used to resolve any questions of fact or interpretation not otherwise settled by agreement
between the parties. Representatives of Contractor or City will reduce such questions, and their
respective views, to writing. A copy of such documented dispute will be forwarded to both parties
involved along with recommended methods of resolution, which would be of benefit to both
parties. The representative receiving the letter will reply to the letter along with a recommended
method of resolution within ten (1 0) business days. If the resolution thus obtained is unsatisfactory
to the aggrieved party, a letter outlining the disputes will be forwarded to the City Manager. The
City Manager will consider the facts and solutions recommended by each party and may then opt
to direct a solution to the problem. In such cases, the action of the City Manager will be binding
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upon the parties involved, although nothing in this procedure will prohibit the parties from seeking
remedies available to them at law.
22. TERMINATION
In the event of the Contractor's failure to prosecute, deliver, or perform the Services, City may
terminate this Agreement for nonperformance by notifying Contractor by certified mail of the
termination. If City decides to abandon or indefinitely postpone the work or services contemplated
by this Agreement, City may terminate this Agreement upon written notice to Contractor. Upon
notification of termination, Contractor has five (5) business days to deliver any documents owned
by City and all work in progress to City address contained in this Agreement. City will make a
determination of fact based upon the work product delivered to City and of the percentage of work
that Contractor has performed which is usable and of worth to City in having the Agreement
completed. Based upon that finding City will determine the final payment of the Agreement.
Either party upon tendering thirty (30) days written notice to the other party may terminate this
Agreement. In this event and upon request of City, Contractor will assemble the work product and
put it in order for proper filing and closing and deliver it to City. Contractor will be paid for work
performed to the termination date; however, the total will not exceed the lump sum fee payable
under this Agreement. City will make the final determination as to the portions of tasks completed
and the compensation to be made.
23. COVENANTS AGAINST CONTINGENT FEES
Contractor warrants that Contractor has not employed or retained any company or person, other
than a bona fide employee working for Contractor, to solicit or secure this Agreement, and that
Contractor has not paid or agreed to pay any company or person, other than a bona fide
employee, any fee, commission, percentage, brokerage fee, gift, or any other consideration
contingent upon, or resulting from, the award or making of this Agreement. For breach or violation
of this warranty, City will have the right to annul this Agreement without liability, or, in its discretion,
to deduct from the Agreement price or consideration, or otherwise recover, the full amount of the
fee, commission, percentage, brokerage fees, gift, or contingent fee.
24. CLAIMS AND LAWSUITS
By signing this Agreement, Contractor agrees that any Agreement claim submitted to City must
be asserted as part of the Agreement process as set forth in this Agreement and not in anticipation
of litigation or in conjunction with litigation. Contractor acknowledges that if a false claim is
submitted to City, it may be considered fraud and Contractor may be subject to criminal
prosecution. Contractor acknowledges that California Government Code sections 12650 et seq.,
the False Claims Act applies to this Agreement and, provides for civil penalties where a person
knowingly submits a false claim to a public entity. These provisions include false claims made
with deliberate ignorance of the false information or in reckless disregard of the truth or falsity of
information. If City seeks to recover penalties pursuant to the False Claims Act, it is entitled to
recover its litigation costs, including attorney's fees. Contractor acknowledges that the filing of a
false claim may subject Contractor to an administrative debarment proceeding as the result of
which Contractor may be prevented to act as a Contractor on any public work or improvement for
a period of up to five (5) years. Contractor acknowledges debarment by another jurisdiction is
grounds for City to terminate this Agreement.
25. JURISDICTION AND VENUE
Any action at law or in equity brought by either of the parties for the purpose of enforcing a right
or rights provided for by this Agreement will be tried in a court of competent jurisdiction in the
County of San Diego, State of California, and the parties waive all provisions of law providing for
a change of venue in these proceedings to any other county
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26. SUCCESSORS AND ASSIGNS
It is mutually understood and agreed that this Agreement will be binding upon City and Contractor
and their respective successors. Neither this Agreement nor any part of it nor any monies due or
to become due under it may be assigned by Contractor without the prior consent of City, which
shall not be unreasonably withheld.
27. ENTIRE AGREEMENT
This Agreement, together with any other written document referred to or contemplated by it, along
with the purchase order for this Agreement and its provisions, embody the entire Agreement and
understanding between the parties relating to the subject matter of it. In case of conflict, the terms
of the Agreement supersede the purchase order. Neither this Agreement nor any of its provisions
may be amended, modified, waived or discharged except in a writing signed by both parties.
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28. AUTHORITY
The individuals executing this Agreement and the instruments referenced in it on behalf of
Contractor each represent and warrant that they have the legal power, right and actual authority
to bind Contractor to the terms and conditions of this Agreement.
CONTRACTOR
By:
(sign here)
/( El/1 AI /?Ert/0 E7e_
(print name/title)
By:
(sign here)
(print name/title)
CITY OF CARLSBAD, a municipal
corporation of the State of California
By:
City Clerk
If required by City, proper notarial acknowledgment of execution by contractor must be attached.
If a corporation, Agreement must be signed by one corporate officer from each of the following
two groups.
Group A
Chairman,
President, or
Vice-President
Group B
Secretary,
Assistant Secretary,
CFO or Assistant Treasurer
Otherwise, the corporation must attach a resolution certified by the secretary or assistant
secretary under corporate seal empowering the officer(s) signing to bind the corporation.
APPROVED AS TO FORM:
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EXHIBIT "A"
SCOPE OF SERVICES
Scope of Work
Goal: KBP will research, write and deliver to the City of Carlsbad (City) an original 60,000 [plus
or minus ten percent (10%)] word manuscript.
Audience: The manuscript will be directed at an audience of staff, volunteers, and visitors, and
will cover Carrillo's life with emphasis on Rancho de los Quiotes.
Deliverables: KBP will deliver the Microsoft Word formatted manuscript chapters according to the
agreed upon schedule and in sequence. (See content, delivery and payment schedule below.)
City Contact and Process: Mick Calarco, special projects/historic sites manager (SPM), will be
the sole editor and sole City employee contact with KBP. KBP will deliver each chapter of the
manuscript in electronic Microsoft Word document (.doc) form to the SPM. The SPM will then
have a maximum of ten (1 0) calendar days after receiving the material to submit revisions,
comments, and proposed edits (collectively referred to as "Comments") to KBP.
KBP will incorporate the SPM's revisions into said chapter. However, the parties may desire to
discuss the prop·osed Comments and the parties agree to meet within a reasonable time to
discuss said Comments. If the parties meet to discuss, the timelines shall be extended to account
for the time spent meeting and conferring over the Comments. KBP will thereafter submit the
revised version within ten (1 0) calendar days to the SPM and the SPM will then have an additional
ten (1 0) calendar days from receipt of the revised chapter submission to make any additional
revisions and edits. This process shall continue until each chapter is completed.
Each manuscript chapter will be submitted, edited and approved in this manner until the entire
document has been delivered.
Fee
Research, writing, editing, final preparation and manuscript delivery $31,400
Content, Delivery and Payment Schedule
KBP will invoice one-fifth of total fee upon submission of each SPM approved chapter(s).
Chapters 1 &2 (Months 1-1 0) $12,000
Content:
Leo and the Blessing of the Ranch, July 1939 (intra to Leo/ranch land/Ranch)
Finding and acquiring the Ranch
Building the Ranch (Leo and the Mendozas)
Stocking the Ranch (horses, cattle, peacocks, etc.)
Running the Ranch (Leo and the Handleys, foremen and ranch hands)
Leo in Hollywood
Politics and public service
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Parties at the Ranch (Leo and his visitors and social life)
The Family at the Ranch (Leo, Deedie and Tony)
Deedie passes away
Chapter 3 (Months 11-15)
Content:
The Cisco Kid TV series
Leo's last years
The California I Love
Starting to sell the land
Tony at the Ranch
Tony passes away
Estate sale
Developers
City of Carlsbad and the Ranch
Kindles/FOCR and park advocacy and activism
$6,000
Becoming a City Park--converting private home to public park
~
Chapter 4 (Months 16-20)
Content:
Leo Carrillo Ranch Historic Park opens
The Park today--Programs and Plans
The Legacy of Leo Carrillo
Chapter 5 (Months 21-24)
Content:
The Carrillos in California 1769-1880
Leo's life and career 1880-1937
Agreement total
$6,000
$7,400
$31,400
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California All-Purpose Certificate of Acknowledgment
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.
~=~:;f;a;:z:. I]~ s.s.
On ~b'?d.OJ/before me, fv;u/ ~~,"~ 'JbMe_
personally appeared f}'tii/A/ 7J t.#A tie
!~arne of Signer ( 1)
r--~zune of Sigllt~f (2)
who proved to me on the basis of satisfactory evidence to be the person(~ whose name(.t}
is.Lefe subscribed to the within instrument and acknowledged to me that he/sR9/they executed
the same in his/ha~ltheif authorized capacity(iee-), and that by his/h~rttloletr signature~ on the
instrument the person(,t), or the entity upon behalf of which the personGBY 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.
Seal
OPTIONAL INFORMATION ------------
Although the information in Uris section is no/required by law, it could prevent fraudulent removal and reattachment of
this acknowledgment to en unauthoiizeri document and may prove useful to persons relying on the attached document.
Description of Attached Document
' The preceding Certificate of Acknowledgment is attached to a
r documenttitled/foJ tloepili~r)Atv
&.vufh>~A~,~~.
containing _iL pages, and dated .
The s~ner(s) capacity or authority is/are as:
B"'ndividual(s)
0 Attorney-in-fact
0 CorporateOfficer(s) ---------------Title(s)
D Guardian/Conservator
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0 Other: -----------------
representing:
Proved to me on the basis of satisfactory evidence:
0 form(s) of identification 0 credible witness(es)
Notarial event is detailed in notary journal on: _.....,.
Page # ___5_.. Entry # ;;;:>-
Notary contact: _________ _
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