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DOCUMENT TRANSMITTAL FORM <br />TO: CITY CLERK'S OFFICE <br />FROM: CITY ATTORNEY'S OFFICE <br />DATE: January 5, 2011 <br />CONTRACTOR/LESSOR: VICTOR FLORES AND MIRIAM GUTIERREZ <br />PROJECT DESCRIPTION/BID NO.: 1) Grant Deed <br />2) Agreement and Covenants, Conditions and Restrictions <br />affecting Real Property including Resale Restriction, <br />Affordability Exit Fee and Right of First Refusal and Owner <br />Occupancy requirements. <br />Neighborhood Stabilization Program (6281 Antioch Avenue) <br />X Approved by [City Council] [Agency] on 12/15/09 #3 �; x h <br />Anticipated [City Council] [Agency] future agenda of 4 170 <br />No [City Council] [Agency] action required <br />Insurance required: Bonds required: <br />r � <br />X No X No <br />Yes, as attached Yes, as attached <br />Yes, withhold execution until received Yes, withhold execution until received <br />Type of Insurance required (unless waived by the Risk Manager): <br />Commercial General Liability <br />Automobile Liability <br />Professional Liability <br />Workers' Compensation <br />Additional Insured Endorsement <br />Other: <br />Business Tax Certificate Required: NIA <br />Yes, current through <br />Yes, withhold execution until provided <br />No, exempted by RMC § 5.04.090 <br />Agreement date(s): <br />[City Council] [Agency] Approval Date: <br />X Date City /Agency Executes <br />Other: <br />X Agreement Expiration Date: 2066 <br />Dept. Head Approval: <br />C Attached V] Sig. pg <br />[) Req'std <br />Comments: AFTER EXECUTION, PLEASE RETURN TO BRENDAN RAFFERTY IN <br />DEVELOPMENT DEPARTMENT <br />Department: Development <br />Contact person: Brendan Rafferty <br />Approved as to form by: Rina M. Gonzales, Deputy City Attorney <br />Date Approved: 01/05/11 <br />CA #: 11-0015 <br />cc: Originating Department: Development <br />