HomeMy WebLinkAbout32199L-202
BerryHoldings/Probation(3430)/DBH(5630)
Agreement No. 15-380
1 LEASEAGREEMENT
2 THIS LEASE AGREEMENT (hereinafter LEASE) is made and entered into this f)~day
3 of Au~ , 2015, by and between ROBERT BERRY HOLDINGS, LLC, a California
4 limited liability corporation, 4955 E. Yale Avenue, Fresno, CA 93727 (hereinafter LESSOR),
5 and the COUNTY OF FRESNO, a political subdivision of the State of California, 2220 Tulare
6 Street, 21 51 Floor, Room 2101 ,Fresno, CA 93721-2106 (hereinafter LESSEE). LESSOR and
7 LESSEE shall also be referred to herein singularly as a "Party" and collectively as "Parties."
8 1. LEASED PREMISES -LESSOR hereby leases to LESSEE the office space at
9 the location commonly known as 2212 N. Winery, Suite 122, Fresno, CA 93727, which is
1 0 approximately 1 0,539 square feet, (hereinafter "Premises").
11 2. TERM -The term of this LEASE shall be for five (5) years beginning July 1, 2015
12 and ending June 30, 2020.
13 3. RENT -LESSEE agrees to pay rent in advance on or about the first of each month
14 beginning July 1, 2015 according the following schedule:
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Rent Per
Rent Year Month
July 1, 2015 $ 13,529.75
July 1, 2016 $ 13,529.75
July 1, 2017 $ 13,529.75
July 1, 2018 $ 13,529.75
July 1, 2019 $ 13,529.75
4. UTILITIES-LESSEE shall pay directly those metered costs for its use of natural
gas and electricity, and all costs associated with its use of telephone service. In addition,
LESSEE shall pay to LESSOR one-third (1/3) of the cost for water, garbage and sewer
services for the 21,200 square feet property known as 2212 N. Winery, Fresno, CA, within
thirty (30) days after receipt of monthly invoices from LESSOR.
5. USE-LESSEE shall use the Premises as office space for its Probation
Department or for any other County of Fresno department, office, or agency. LESSEE agrees
to comply with all applicable laws, ordinances and regulations in connection with such use.
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1 LESSOR covenants that: (i) the Premises are suitable for the intended use; (ii) the
2 Premises are in compliance with all applicable laws, ordinances and regulations, including but
3 not limited to safety regulations, health and building codes; and (iii) the Premises shall remain
4 in such compliance throughout the term of this LEASE.
5 6. MAINTENANCE AND REPAIRS-LESSOR shall be responsible for the structural
6 condition of the Premises and for all exterior and interior maintenance, including but not limited
7 to the air conditioning, heating, electrical, plumbing, roof, painting, landscaping and parking lot.
8 LESSOR, at no cost to LESSEE, shall provide janitorial service, including paper supplies, as
9 shown in Exhibit A, attached hereto and by this reference incorporated herein. LESSOR
10 covenants that the Premises shall be maintained in substantially the same condition as that
11 existing at the commencement of this LEASE.
12 LESSOR shall provide one call-out per week for toilet or other interior repairs and the
13 cost to LESSOR for same shall be capped at $300 per month. LESSEE shall pay the excess
14 over the $300 cap each month. In addition, LESSEE shall pay all costs associated for call-outs
15 that exceed one call-out per week for the period Monday through Friday.
16 LESSEE shall be responsible for any water damage, including mold testing, to the
17 interior of the Premises that may result from overflowing toilets or sinks caused by LESSEE'S
18 employees, invitees or agents during Monday through Friday, 8:00am to 5:00pm. LESSOR
19 will be responsible for all other water damage, including mold testing, to the interior of the
20 Premises caused by broken pipes or toilets for the hours between 5:00 pm and 8:00 am,
21 Monday through Friday, and all hours Sunday, Saturday and holidays.
22 7. LESSOR IMPROVEMENTS TO PREMISES-LESSOR, at no cost to LESSEE,
23 shall make the improvements to the Premises as described on Exhibit 8, attached hereto and
24 by this reference incorporated herein. The improvements shall be completed on or before
25 November 30, 2015.
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8. COMPLIANCE WITH ALL LAWS-As to the Premises, LESSOR acknowledges
public funds are used for payments made by LESSEE under this LEASE and for "public works"
projects. Accordingly, LESSOR shall comply with, and shall ensure compliance by all
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1 contractors and subcontractors with, all applicable laws and regulations, including the payment
2 of prevailing wages pursuant to Section 1770 et. seq. of the Labor Code.
3 9. BREACH OF OBLIGATION TO MAINTAIN -In the event LESSOR breaches its
4 obligation to maintain the Premises as herein provided, LESSEE shall give written notice to
5 LESSOR within fifteen ( 15) days of the discovery of such breach. LESSOR shall then have
6 thirty (30) days from the date of notice to cure its breach; however, that if such default
7 continues for thirty (30) days after written notice thereof from LESSEE to LESSOR then
8 LESSOR will not be in default hereunder if within such thirty (30) day period, LESSOR
9 commences the curing of such default and diligently and in good faith prosecutes the same to
10 completion. If the period for cure expires and if, in LESSEE'S sole determination, LESSOR
11 has failed to cure, then LESSEE may, at its election:
12 (A) terminate this LEASE by providing thirty (30) days prior written notice. In such
13 case, LESSEE shall have the right to demand LESSOR refund any monies which,
14 in the judgment of LESSEE, were paid to LESSOR pursuant to the LEASE but
15 which were not earned by LESSOR by consequence of its breach. Upon receipt of
16 such demand, LESSOR shall promptly refund all such monies; or
17 (B) cure LESSOR'S breach and deduct the cost of such cure, together with
18 reasonable administrative costs, from LESSEE'S future rent obligation. LESSEE'S
19 decision to cure LESSOR'S breach shall not constitute a waiver of any rights or
20 remedies that LESSEE may have arising from this LEASE or by operation of law.
21 10. DESTRUCTION OR DAMAGE FROM CASUALTY-If the Premises are damaged
22 or destroyed as a result of fire, earthquake, act of God, or any other identifiable event of a
23 sudden, unexpected, or unusual nature {hereinafter "Casualty''), then LESSOR shall either
24 promptly and diligently repair the damage at its own cost, or terminate this LEASE as provided
25 hereinbelow.
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(A) LESSOR'S Election to Repair: If LESSOR elects to repair the Casualty damage
to the Premises, then it shall within fifteen (15) days after the date of Casualty
provide written notice (hereinafter "Notice of Repair") to LESSEE indicating the
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anticipated time required to repair. LESSOR shall bear the cost of all repairs to
the Premises, including the cost to repair any alterations or fixtures installed or
attached thereto by LESSEE. Such repairs shall restore the Premises to
substantially the same condition as that existing at the commencement of this
LEASE; such repairs shall also be made in compliance with all applicable state
and local building codes. LESSOR shall not be liable to LESSEE for
compensation for any loss of business, or any inconvenience or annoyance
arising from repair of the Premises as a result of the Casualty except for rent
reduction as hereinafter provided. LESSEE shall be responsible at its sole cost
and expense for the replacement of its personal property.
(B) LESSOR'S Election to Terminate Due to Casualty: LESSOR may only elect
to terminate this LEASE due to Casualty if: the Premises have been destroyed or
substantially destroyed by said Casualty; and the estimated time to repair the
Premises exceeds sixty (60) days from the date of the Casualty. LESSOR shall
provide LESSEE with written notice of its election to terminate within thirty (30) days
after the date of Casualty, specifying a termination date not Jess than thirty (30) days
from the date of said notice.
(C) Rent Reduction Due to Casualty: In the event of Casualty, LESSEE'S
obligation to pay rent shall be reduced beginning on the date of the Casualty.
Such reduction shall be proportional to the damage caused to the Premises by
the Casualty as determined by LESSEE. If LESSOR elects to repair the Premises
pursuant to the terms of this LEASE, then the rent reduction shall continue until
the date of substantial completion of repair.
(D) LESSEE'S Election to Terminate Due to Casualty: If LESSEE does not receive a
Notice of Repair from LESSOR within fifteen (15) days after a Casualty, or if the
anticipated period of repair contained in the Notice of Repair exceeds sixty (60)
days, then LESSEE may elect to terminate this LEASE by providing thirty (30)
days prior written notice to LESSOR. In such case, LESSEE shall have the right
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to demand that LESSOR refund any monies which, in the judgment of LESSEE,
were paid to LESSOR pursuant to the LEASE but which were not earned by
LESSOR by consequence of the Casualty. Upon receipt of such demand,
LESSOR shall promptly refund all such monies.
11. TERMINATION NOTICES -In the case of LESSEE, the County Administrative
Officer, Director of Internal Services/Chief Information Officer, Chief Probation Officer or a
designee of one of them, shall have the power to provide termination notices as described
herein to terminate this LEASE.
12. NON FUNDING TERMINATION-This LEASE is contingent on the allocation of
funds by a governmental agency. Should funds not be allocated, this LEASE may be
terminated by the Board of Supervisors at any time by giving at least thirty (30) days prior
written notice to LESSOR.
13. HOLD HARMLESS-LESSOR agrees to indemnify, save, hold harmless, and at
LESSEE'S request, defend the LESSEE, its officers, agents, and employees from any and all
costs and expenses, damages, liabilities, claims, and losses occurring or resulting to LESSEE
in connection with the performance, or failure to perform, by LESSOR, its officers, agents, or
employees under this LEASE, and from any and all costs and expenses, damages, liabilities,
claims, and losses occurring or resulting to any person, firm, or corporation who may be injured
or damaged by the performance, or failure to perform of LESSOR, its officers, agents, or
employees under the LEASE. This LEASE is made upon the expressed condition that the
LESSEE is to be free of all liability, damages or injury arising from structural failures of the
Leased Premises, including, but not limited to, external walls, glass, doors, roof and
floor. The parties acknowledge that as between LESSOR and LESSEE, each is responsible
for the negligence of its own employees and invitees.
14. INSURANCE-Without limiting the LESSEE'S right to obtain indemnification from
LESSOR or any third parties, LESSOR, at its sole expense, shall maintain in full force and
effect, the following insurance policies or a program of self-insurance throughout the term of
the Agreement:
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a. Commercial General Liability -Commercial General Liability Insurance with
limits of not less than One Million Dollars ($1 ,000,000) per occurrence and an
annual aggregate of Two Million Dollars ($2,000,000). This policy shall be issued
on a per occurrence basis. LESSEE may require specific coverages including
completed operations, products liability, contractual liability, Explosion-Collapse-
Underground, fire legal liability, or any other liability insurance deemed necessary
because of the nature of this contract.
b. Property Insurance-Against all risk of loss to LESSEE's property, at full
replacement cost with no coinsurance penalty provision, naming LESSEE as
additional loss payee.
c. Automobile Liability -Comprehensive Automobile Liability Insurance with limits
for bodily injury of not less than Two Hundred Fifty Thousand Dollars
($250,000.00) per person, Five Hundred Thousand Dollars ($500,000.00) per
accident and for property damages of not less than Fifty Thousand Dollars
($50,000.00), or such coverage with a combined single limit of Five Hundred
Thousand Dollars ($500,000.00). Coverage should include owned and non-owned
vehicles used in connection with this LEASE.
d. Worker's Compensation -A policy of Worker's Compensation insurance as
may be required by the California Labor Code.
LESSOR shall obtain endorsements to the Commercial General Liability insurance
naming the County of Fresno (hereinafter "County''), its officers, agents, and employees,
individually and collectively, as additional insured, but only insofar as the operations under this
LEASE are concerned. Such coverage for additional insured shall apply as primary insurance
and any other insurance or self-insurance maintained by its officers, agents, and employees
shall be excess only and not contributing with insurance provided under LESSOR'S policies
herein. This insurance shall not be cancelled or changed without a minimum or thirty (30) days
advance written notice given to County.
Within (30) days from the date LESSOR executes this LEASE, LESSOR shall provide
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certificates of insurance and endorsement as stated above for all of the foregoing policies, as
required herein, to the County of Fresno, Attn: lSD Lease Services (L-202), 2220 Tulare Street,
21st Floor, Room 2101, Fresno, CA 93721-2106, stating that such insurance coverages have
been obtained and are in full force; that the LESSEE, its officers, agents and employees will
not be responsible for any premiums on the policies; that such Commercial General Liability
insurance names the LESSEE, its officers, agents, and employees, individually and
collectively, as additional insured, but only insofar as the operations under this LEASE are
concerned; that such coverage for additional insured shall apply as primary insurance and any
other insurance or self-insurance shall not be cancelled or changed without a minimum of
thirty (30) days advance written notice given to LESSEE.
In the event LESSOR fails to keep in effect at all times insurance coverage as herein
provided, the LESSEE may, in addition to other remedies it may have, suspend or terminate
this Lease upon the occurrence of such event.
All policies shall be with admitted insurers licensed to do business in the State of
California. Insurance purchased shall be purchased from companies possessing a current A.M
Best Company rating of A FSC VII or better.
LESSEE shall maintain during the term of this Lease the following policies of insurance,
which coverages may be provided in whole or in part through one or more programs of self-
insurance:
a. Commercial General liability insurance with limits of not less than One Million
Dollars ($1 ,000,000.00) per occurrence and an annual aggregate of not less than Two Million
Dollars ($2,000,000.00). This policy shall be issued on an occurrence basis.
b. All-Risk property insurance.
15. SURRENDER OF POSSESSION -Upon the expiration or termination of this
LEASE, LESSEE will surrender the Premises to LESSOR in such condition as existing at the
commencement of this LEASE, less reasonable wear and tear, less the effects of any Casualty
as herein defined, and less the effects of any breach of LESSOR'S covenant to maintain.
LESSEE will not be responsible for any damage which LESSEE was not obligated hereunder
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to repair.
16. FIXTURES-LESSOR agrees that any equipment, fixtures or apparatus installed
in or on the Premises by LESSEE shall continue to be the property of LESSEE and may be
removed by LESSEE at any time. LESSEE shall repair any damage caused by the removal of
fixtures. Any fixtures not removed when LESSEE surrenders possession shall become the
property of LESSOR.
17. RIGHT OF ENTRY-LESSOR, or its representative(s), upon giving 24 hours
written notice, shall have the right to enter the Premises at any time during business hours, or
at such other time as LESSEE deems appropriate, to make any alterations, repairs or
improvements to the Premises. The normal business of LESSEE or its invitees shall not be
unnecessarily inconvenienced.
18. AMENDMENT -This LEASE may be amended in writing by the mutual consent of
the parties without in any way affecting the remainder.
19. ASSIGNMENT -Neither Party shall assign, transfer or sub-let this LEASE, or the
rights or duties under this LEASE, without the prior written consent of the other Party, which
consent shall not be unreasonably withheld or denied.
20. GOVERNING LAW -Venue for any action arising out of or relating to this
LEASE shall be in Fresno County, California. This LEASE shall be governed by the laws of the
State of California.
21. CONFIDENTIALITY BY LESSOR-LESSOR acknowledges that in the course of
providing janitorial or other services in conformance with this LEASE, LESSOR and LESSOR'S
agents, designees and persons that LESSOR contracts with (collectively "LESSOR" for
purposes of this Section 21) may come into contact with information and documents regarding
LESSEE'S clients. LESSOR understands that all information and documents maintained by
LESSEE at the Premises is strictly confidential and said information and documents shall not
be disclosed and shall be kept in strict confidence. LESSOR acknowledges that any use or
distribution of documents or information obtained through LESSOR'S access to LESSEE'S
information and documents at the Premises shall be grounds for immediate termination of this
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1 LEASE.
2 22. NOTICES -All notices to be given under this LEASE by either Party to the other
3 Party shall be in writing, and given by any one of the following methods:
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(i)
(ii)
Personal delivery; or
Sent by certified United States mail, first class postage prepaid, with
6 return receipt requested, to the applicable addresses as set forth below, in which case such notice
7 shall be deemed given three (3) business days if LESSOR is the recipient, or three (3) LESSEE
8 business days if LESSEE is the recipient, after such deposit and postmark with the United States
9 Postal Service; or
10 (iii) Sent by a reputable overnight commercial courier, in which case
11 such notice shall be deemed given one (1) business day if LESSOR is the recipient, or one {1)
12 LESSEE business day if LESSEE is the recipient, after such deposit with that courier to the
13 applicable addresses as set forth below; or
14 The addresses and telephone numbers of the Parties for purposes of giving receiving
15 notices under this LEASE are as follows:
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COUNTY OF FRESNO
Fresno, California
LESSEE:
County of Fresno (L-202)
Robert W. Bash, Director of Internal
Services/Chief Information Officer
2220 Tulare Street, 21 81 Floor, Room 2101
Fresno, CA 93721-2106
LESSOR:
Robert Berry Holdings, LLC
4955 E. Yale
Fresno, CA 93727
Provided however, such notices may be given to such person or at such other place as
either of the Parties may from time to time designate by giving written notice to the other Party, and
provided further however, in any event, notices of changes of address or termination of this LEASE
shall not be effective until actual delivery of such notice. Notices given hereunder shall not be
amendments or modifications to this LEASE.
23. INDEPENDENT CONTRACTOR-In performance of the work, duties and obligations
assumed by LESSOR under this LEASE, it is mutually understood and agreed that LESSOR,
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including any and all of the LESSOR'S officers, agents, and employees will at all times be acting and
performing as an independent contractor, and shall act in an independent capacity and not as an
officer, agent, servant, employee, joint venturer, partner, or associate of the LESSEE. Furthermore,
LESSEE shall have no right to control or supervise or direct the manner or method by which
LESSOR shall perform its work and function. However, LESSEE shall retain the right to administer
this LEASE so as to verify that LESSOR is performing its obligations in accordance with the terms
and conditions thereof.
LESSOR and LESSEE shall comply with all applicable provisions of law and the rules
and regulations, if any, of governmental authorities having jurisdiction over matters the subject
thereof.
Because of its status as an independent contractor, LESSOR shall have absolutely no
right to employment rights and benefits available to LESSE'S employees. LESSOR shall be
solely liable and responsible for providing to, or on behalf of its employees, all legally-required
employee benefits. In addition, LESSOR shall be solely responsible and save LESSEE
harmless from all matters relating to payment of LESSOR'S employees, including compliance
with Social Security withholding and all other regulations governing such matters. It is
acknowledged that during the term of this LEASE, LESSOR may be providing services to
others unrelated to the LESSEE or to this LEASE.
24. DISCLOSURE OF SELF DEALING TRANSACTIONS -This provision is only
applicable if the LESSOR is operating as a corporation (a for-profit or non-profit corporation) or
if during the term of this LEASE, the LESSOR changes its status to operate as a corporation.
Members of LESSOR'S Board of Directors shall disclose any self-dealing
transactions that they are a party to while LESSOR is providing goods or performing services
under this LEASE. A self-dealing transaction shall mean a transaction to which the LESSOR is
a party and in which one or more of its directors has a material financial interest. Members of
the Board of Directors shall disclose any self-dealing transactions that they are a party to by
completing and signing a Self-Dealing Transaction Disclosure Form Exhibit "C", attached
hereto and by this reference incorporated herein, and submitting it to the County of Fresno
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prior to commencing with the self-dealing transaction or immediately thereafter.
25. AUTHORITY-Each individual executing this LEASE on behalf of LESSOR
represents and warrants that such individual is duly authorized to execute and deliver this
LEASE on behalf of ROBERT BERRY HOLDINGS LLC, and that this LEASE is binding upon
ROBERT BERRY HOLDINGS, LLC, in accordance with its terms. The terms of this LEASE are
intended by the parties as a final expression of their agreement with respect to such terms as
are included in this LEASE and may not be contradicted by evidence of any prior or
contemporaneous agreement, arrangement, understanding or negotiation (whether oral or
written).
26. ENTIRE LEASE-This LEASE constitutes the entire LEASE between the
LESSOR and LESSEE with respect to the subject matter hereof and supersedes all prior
leases, negotiations, proposals, commitments, writings, advertisements, publications, and
understandings of any nature whatsoever unless expressly referenced in this LEASE.
Ill
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This LEASE shall be binding on and inure to the benefit of LESSOR'S heirs,
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1 successors and assigns. EXECUTED as of the date first herein written.
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4 By~~6U~~~~~~~~~~~~
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COUNTY OF FRESNO
Fresno, California
ATTEST: BERNICE E. SEIDEL, CLERK
BOARD OF SUPERVISORS
By d.,.,;-y.:, ~
Deputy /
APPROVED AS TO LEGAL FORM:
DANIEL C. CEDERBORG, COUNTY COUNSEL
By k.L~
CJ>eputy ""
APPROVED AS TO ACCOUNTING FORM:
VICKI CROW, C.P.A
TAX COLLECTOR AUDITOR--
CONTRO~R!T~~URER
By vi l1Lc U 0---
Fund 0001
Subclass 10000
Org No. 3430(75%) and 56302091 (25%)
Acct. No. 7340
Property/L -202Berry/Probation-DBH
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Fresno County Probation
2212 N Winery, Suite t.: Z.
Janitorial Schedule
GENERAL CLEANING
Empty trash cans and replace liners as needed
Vacuum, pick-up and turn mats
Dust, damp wipe chairs, clocks and pictures
Dust damp wipe and sanitize desks, tables and phones
Dust window ledges and sills
Dust baseboards and corners
Clean and polish light switches, handles, push plates
Spot clean doors, frames and walls
Clean vents, louvers, fans and blinds
Vacuum upholstered furniture
Clean, polish kick plates and thresholds
Dust lights
Clean, polish and sanitize drinking fountains and sinks
RESTROOMS
Empty all trash and replace liners
Clean and sanitize all dispensers; soap, towels and tissue
Replenish paper and soap supplies
Clean and disinfect sinks, counter tops and mirrors
Clean and disinfect toilets and urinals
Clean and disinfect stalls, walls and partitions
Sweep, mop and disinfect floors
Clean & polish glass, mirrors and chrome hardware
Clean and flush floor drains
FLOOR CARE
Sweep and damp mop tile floors
Vacuum carpets
Spot clean carpets
Buff floors
Wax floors
GLASS
Clean entrance glass doors
Clean Interior class
Sweep spider webs exterior glass windows and doors
BREAKROOM
Clean and damp wipe counters
Damp wipe tables and chairs
Clean and damp wipe microwave In and out
Clean and disinfect sinks
Clean and wipe exterior of refrigerator
Spot clean walls
Empty trash cans and replace liners
Sweep floors
Wipe tables and chairs
Exhibit "A"
L-202
Times I Week Times I Month Times I Year
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1
1
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1
1
1
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1
5
Times I Week Times I Month Times I Year
5
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5
Times I Week Times I Month Times I Year
5
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1
4
Times I Week Times I Month Times I Year
5
1
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Times I Week Times I Month Times I Year
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North Building (L-202)
LESSOR PAID IMPROVEMENTS
2212 N. Winery, Suite 122
Fresno, CA 93727
• Carpet/vinyl flooring in building (offices carpet; hallways vinyl)
• Paint interior in building
• Exterior siding and facade repair and paint both buildings
• Emergency exit signage
• Tile restroom floors
Property Improvements
• Repair pot holes in parking lot
• Lighting on exterior exits
Total Building and Property Improvements
Exhibit "B"
L-202
$55.8k
11.0k
14.0k
1.0k
4.7k
10.0k
2.0k
$100.0k
SEL.f..OEAUNG 1RANSAC110N DISCLOSURE FORM
Exhibit "C"
L-202
In order to conduct business with the County of Fresno (hereinafter referred to as "County"),
members of a contractor's board of directors (hereinafter referred to as "County Contractor''),
must disclose any self-dealing transactions that they are a party to while providing goods,
performing services, or both for the County. A self-dealing transaction is defined below:
':4 self-dealing transaction means a transaction to which the corporation is a party and in
which one or more of its directors has a material financial interest"
The definition above will be utilized for purposes of completing this disclosure form.
INSTRUCTIONS
(1} Enter board member's name, job title (if applicable), and date this disclosure is being
made.
(2} Enter the board member's company/agency name and address.
(3} Describe in detail the nature of the self-dealing transaction that is being disclosed to
the County. At a minimum, include a description of the following:
a. The name of the agency/company with which the corporation has the
transaction; and
b. The nature of the material financial interest in the Corporation's transaction that
the board member has.
(4) Describe in detail why the self-dealing transaction is appropriate based on applicable
provisions of the Corporations Code.
(5) Form must be signed by the board member that is involved in the self-dealing
transaction described in Sections (3} and (4).
Mall the completed form to: County of Fresno
Attn: Lease Services (L-202)
Internal Services Department
2220 Tulare Street, 21 51 Floor, Room 2101
Fresno, CA 93721-2106
(1) Company Board Member Information:
Name: Date:
Job Title:
(2) Company/Agency Name and Address:
(3) Dlscfosurl! (Please describe the nature of the self·dealing transaction you are a party to):
Exhibit "C"
L-202
(4) Explain why this self~ealing transaction is consistent with the requirements of Corporations Code SZ33{a):
(5} ,Authorized Signature '
Signature: I Date:
I