HomeMy WebLinkAboutA8467 - PATRICIA L KUHN & THE SANDCLIFF HOA�70
FREE RECORDING REQUESTED BY
AND WHEN RECORDED RETURN TO:
City of Palm Springs
3200 East Tahquitz Canyon Way
Palm Springs, CA 92263-2743
Attn: City Clerk
2020-0161410
04/10/2020 12:44 PM Fee: $ 0.00
Page 1 of 13
Recorded in Official Records
County of Riverside
Peter Aldana
Assessor -County Clerk -Recorder
1111 Pr4s,K'NLKI. N''Iffil II
HISTORIC PROPERTY PRESERVATION AGREEMENT
This Historic Property Preservation Agreement ("Agreement") is made this 13th day of
February 2020 by and between the City of Palm Springs, a charter city and municipal
corporation ("City") and Patricia L. Kuhn ("Owner") and the Sandcliff Homeowners
Association ("HOA").
RECITALS:
A. California Government Code Sections 50280, et seq. (the "State Law"), as may be
amended from time to time, authorizes cities to enter into contracts with the owners
of qualified historical property to provide for the use, maintenance, protection, and
restoration of such historical property so as to retain its characteristics as a
property of historical significance.
B. The Owner possess fee title in and to that certain real property, together with
associated structures and improvements thereon, generally located at the street
address 1836 South Barona Road Palm Springs, California ("Historic Property").
A legal description of the Historic Property is attached hereto as Exhibit A and is
incorporated herein by this reference.
C. HOA and Owner share responsibility for routine maintenance and upkeep of the
Historic Property's building exteriors and grounds.
D. On February 3, 2016 (the "Approval Date"), the City Council of the City of Palm
Springs ("Council") approved Resolution 23963 designating the Property a Class
1 historic site, pursuant to the terms and provisions of Chapter 8.05 of the Palm
Springs Municipal Code (the "City Code").
E. The City, the Owner, and the HOA desire to enter into this Agreement for the
purpose of protecting and preserving the characteristics of historical significance
of the Historic Property, in accordance with the State Law; to help preserve the
Palm Springs community's own unique civic identity and character; and to qualify
the Historic Property for an assessment of valuation pursuant to Revenue and
Taxation Code Section 439.2 and any corresponding adjustment in property taxes
resulting therefrom.
AGREEMENT
NOW, THEREFORE, the City, the Owner, and the HOA, in consideration of the mutual
covenants and conditions set forth herein, agree as follows:
1. Effective Date and Tenn of Agreement. This Agreement shall be effective
and commence February 13, 2020 ("Effective Date") and shall remain in effect for
a minimum term of ten (10) years thereafter. Each year upon the anniversary of
the Effective Date ("Renewal Date"), an additional one (1) year shall automatically
be added to the remaining term of the Agreement unless a notice of nonrenewal
is delivered as provided in Section 2 of this Agreement.
2. Non -Renewal and Cancellation. If either the Owner or the City desire in any year
not to renew this Agreement, the Owner or the City shall serve a written notice of
nonrenewal upon the party in advance of the Renewal Date ("Notice of Nonrenewal").
The Notice of Nonrenewal shall be effective only if served by the Owner upon the City at
least ninety (90) days prior to the Renewal Date, or if served by the City upon the Owner,
the Notice of Nonrenewal shall be effective only if served upon the Owner at least sixty
(60) days prior to the Renewal Date. If either the City or the Owner serve a Notice of
Nonrenewal in any year, this Agreement shall remain in effect for the balance of the term
then remaining from the last Renewal Date (or from the Effective Date if no Renewal Date
has yet occurred).
3. Owner Protest of City Nonrenewal. Within fifteen (15) days of the Owner's receipt
of the Notice of Nonrenewal from the City, the Owner may file with the City a written
protest of the Notice of Nonrenewal. Upon receipt of the written protect, the City Council
shall set a hearing prior to the expiration of the Renewal Date of this Agreement. The
Owner may furnish the City Council with any information which Owner deem relevant and
shall furnish the City Council with any information it may require. The City Council may,
at any time prior to the annual Renewal Date, withdraw its Notice of Nonrenewal.
4. Maintenance Standards for the Property. During the term of this Agreement, the
Property shall be subject to the following conditions, requirements, and restrictions:
4.1 The Owner and the HOA shall preserve and maintain the characteristics of
the cultural and historical significance of the Historic Property. Attached to
this Agreement as Exhibit "B", is a list of the minimum standards and
conditions for maintenance, use, protection, and preservation of the Historic
Property, which shall apply to the Historic Property. The Owner and HOA
shall comply with these minimum standards throughout the term of this
Agreement. In addition, Owner and HOA shall comply with the terms of the
City Code, and shall obtain any applicable permits necessary to protect,
preserve, restore, and rehabilitate the Historic Property so as to maintain its
historical and cultural significance.
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4.2 The Owner and the HOA shall, where necessary, repair, maintain, restore,
and rehabilitate the Historic Property according to the rules and regulations
of the Office of Historic Preservation of the State Department of Parks and
Recreation, Secretary of the Interior's Standards for the Treatment of
Historic Properties, the State Historical Building Code, and the City of Palm
Springs. The condition of the interior and exterior of the Historic Property on
the effective date of this Agreement is documented in photographs attached
as Exhibit "C" to this Agreement. At a minimum, Owner and HOA shall
continually maintain the exterior of the Historic Property in the same
condition as documented in Exhibit "C."
4.3 The Owner and the HOA shall carry out specific restoration, repair,
maintenance, and/or rehabilitation projects on the Historic Property, as
outlined in the attached Exhibit "D" to this Agreement. All such projects shall
be undertaken and completed in accordance with the Secretary of the
Interior's Standards for the Treatment of Historic Properties with Guidelines
for Preservation, Restoration and/or Rehabilitation and the City Codes and
all applicable design guidelines.
4.4 The Owner and the HOA shall not be permitted to block the view corridor
with any new structure, such as walls, fences, or shrubbery, so as to prevent
the viewing of the Historic Property from the public right-of-way.
5. Interior and Exterior Inspections. Prior to the approval, execution, and recordation
of this Agreement, and every five years thereafter, the City Manager of the City or the City
Manager's designee (the "City Manager') shall inspect the interior and exterior of the
premises to determine the Owner's compliance with the terms and provisions of this
Agreement.
6. Provision of Information of Compliance. The Owner and the HOA shall furnish the
City Manager with any and all information requested by the City Manager, which the City
Manager deems necessary or advisable to determine eligibility of the Historic Property
and compliance with the terms and provisions of this Agreement.
7. Breach of Agreement: Remedies.
7.1 If the Owner or the HOA breaches any provision of this Agreement, the City
Manager may give written notice to the Owner and/or HOA by registered or
certified mail detailing the Owner's and/or HOA's violations. If such violation
is not corrected to the reasonable satisfaction of the City Manager within
thirty (30) days after the date of notice of violation, or within such a
reasonable time as may be required to cure the violation (provided the acts
to cure the violation are commenced within thirty (30) days and thereafter
diligently pursued to completion), the City Manager may, without further
notice, declare The Owner and/or HOA to be in breach of this Agreement.
Upon the City Manager's declaration of the Owner's and/or HOA's breach,
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the City Manager may pursue any remedy available under local, state, or
federal law, including those specifically provided for in this section.
7.2 The City Council may cancel this Agreement if the City Council determines,
following a duly noticed public hearing in accordance with California
Government Code section 50286, that the Owner or HOA breached any of
the conditions of the Agreement, the Owner or HOA allowed the Historic
Property to deteriorate to the point that it no longer meets the standards for
a qualified historic property, or the Owner or HOA failed to maintain and
preserve the Historic Property in accordance with the terms of this
Agreement. If this Agreement is cancelled, under this paragraph, the Owner
shall pay a cancellation fee to the Office of the Auditor for the County of
Riverside as required by California Government Code Section 50286.
7.3 As an alternative to cancellation of this Agreement for the Owner's or HOA's
breach of any condition, the City Manager may bring an action in court
necessary to enforce this Agreement including, but not limited to, an action
to enforce this Agreement by specific performance, injunction, or
receivership.
8. Destruction of Property; Eminent Domain; Cancellation. If the Historic Property is
destroyed by earthquake, fire, flood, or other natural disaster such that in the opinion of
the City Building Official more than sixty percent (60%) of the original fabric of the
structure must be replaced, this Agreement shall be cancelled because the historic value
of the structure will have been destroyed. If the Historic Property is acquired in whole or
in part by eminent domain or other acquisition by any entity authorized to exercise the
power of eminent domain, and the acquisition is determined by the City Council to
frustrate the purpose of this Agreement, this Agreement shall be cancelled. No
cancellation fee pursuant to Government Code section 50286 shall be imposed if the
Agreement is cancelled pursuant to this Section.
9. Waiver. The City does not waive any claim of default by the Owner or HOA if the
City or the City Manager does not enforce or cancel this Agreement. All other remedies
at law or in equity which are not otherwise provided for in this Agreement or in City's
regulations governing historic properties are available to the City to pursue in the event
that there is a reach of this Agreement. No waiver by the City or the City Manager of any
breach or default under this Agreement shall be deemed to be a waiver of any other
subsequent breach thereof or default hereunder.
10. Binding Effect of Agreement. The Owner and the HOA hereby subject the Historic
Property to the covenants, conditions, and restrictions set forth in this Agreement. The
City, the Owner, and the HOA hereby declare their specific intent that the covenants,
conditions, and restrictions set forth in this Agreement shall be deemed covenants
running with the land and shall inure to and be binding upon the Owner's and HOA's
successors and assigns in title or interest to the Historic Property. Each and every
contract, deed, or other instrument herein after executed, covering or conveying the
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Historic Property, or any portion thereof, shall conclusively be held to have been
executed, delivered and accepted subject to the covenants, reservations and restrictions
are set forth in such contract, deed or other instrument.
11. Covenants Run with the Land. The City, the Owner, and the HOA hereby declare
their understanding and intent that the burden of the covenants, reservations, and
restrictions set forth in this agreement touch and concern the land in that it restricts
development of the Historic Property. The City and the Owner hereby further declare their
understanding and intent that the benefit of such covenants, reservations and restrictions
touch and concern the land by enhancing and maintaining the cultural and historical
characteristics and significance of the Historic Property for the benefit of the public, the
City, the Owner, and the HOA.
12. Notice. Any notice required to be given by the terms of this Agreement shall be
provided at the address of the respective parties as specified below or at any other
address as may be later specified by the parties hereto:
City: City of Palm Springs
Office of the City Clerk
3200 E. Tahquitz Canyon Way
Palm Springs, CA 92263
Owners: Patricia L. Kuhn
1836 South Barona Road
Palm Springs, CA 92264
HOA: Michael Wells
Board President
1805 Sandcliff Road
Palm Springs, CA 92264
13. Effect of Agreement. None of the terms, provisions, or conditions of this Agreement
shall be deemed to create a partnership between the parties hereto and any of their heirs,
successors, or assigns, nor shall such terms, provisions, or conditions cause the parties
to be considered joint venturers or members of any joint enterprise.
14. Indemnily of City. The Owner and HOA shall defend, indemnify, and hold harmless
the City and its elected officials, officers, agents, and employees from any actual or
alleged claims, demands, causes of action, liability, loss, damage, or injury to property or
persons, including wrongful death, whether imposed by a court of law or by administrative
action of any federal, state or local governmental agency, arising out of or incident to (i)
the direct or indirect use operation, or maintenance of the Historic Property by the Owner
or the HOA or any contractor, subcontractor, employee, agent, lessee, licensee, invitee,
or any other person; (ii) the Owner's or HOA's activities in connection with the Historic
Property; and (iii) any restrictions on the use or development of the Historic Property, from
application or enforcement of the City Code, or from the enforcement of this Agreement.
This indemnification includes, without limitation, the payment of all penalties, fines,
judgments, awards, decrees, attorneys' fees, and related costs or expenses, and the
reimbursement of City, its elected officials, employees, and/or agents for all legal
expenses and costs incurred by each of them. The Owner's and HOA's obligation to
indemnify shall survive the termination, cancellation, or expiration of this Agreement and
shall not be restricted to insurance proceeds, if any, received by the City, its elected
officials, employees, or agents.
15. Binding Upon Successors. All of the agreements, rights, covenants, reservations
and restrictions contained in this Agreement shall be binding upon and shall inure to the
benefit of the parties herein, their heirs, successors, legal representatives, assigns and
all persons acquiring any part or portion of the Historic Property, whether by operation of
law or in any manner whatsoever.
16. Legal Costs. In the event legal proceedings are brought by any party or parties to
enforce or restrain a violation of any of the covenants, conditions or restrictions contained
herein, or to determine the rights and duties of any party hereunder, the prevailing party
in such proceeding may recover all reasonable attorneys' fees to be fixed by the court, in
addition to court costs and other relief ordered by the court.
17. Severability. In the event that any of the provisions of this Agreement are held to
be unenforceable or invalid by any court of competent jurisdiction, or by subsequent
preemptive legislation, the validity and enforceability of the remaining provisions, or
portions thereof, shall not be effected thereby.
18. Recordation. No later than twenty (20) days after the parties execute and enter
into this Agreement, the City shall cause this Agreement to be recorded in the office of
the County Recorder of the County of Riverside. In the event the City fails to record this
Agreement as provided in this Section, the Owner or agent of an owner shall record this
Agreement with Riverside County within six (6) months of entering into the Agreement
and shall file and submit a conformed copy of this Agreement with the City Clerk promptly
after recordation.
19. Amendments. This Agreement may be amended, in whole or in part, only by
written recorded instrument executed by the parties hereto.
20. Governing Law and Venue. This Agreement shall be construed and governed in
accordance with the laws of the State of California. Any action at law or in equity brought
by either of the parties hereto for the purpose of enforcing a right or rights provided for by
this Agreement shall be tried in a court of competent jurisdiction in the County of
Riverside, State of California, and the parties hereby waive all provisions of law providing
for a change of venue in such proceedings to any other county.
21. No Compensation. Neither the Owner nor the HOA shall not receive any payment
from the City in consideration of the obligations imposed under this Agreement. The
Owner, the HOA, and the City acknowledge and agree that the primary consideration to
the City for the execution of this Agreement is the substantial benefit to the citizens of
on
Palm Springs accruing from the rehabilitation and maintenance of the Property, and the
primary consideration to the Owner and HOA is the economic advantage that will accrue
to the Owner and HOA as a result of the possible effect upon the assessed value of the
Property of the restrictions on the use and preservation of the Property imposed
hereunder. The Owner and HOA acknowledges that it is not guaranteed to receive a
reduction of property taxes as a result of this Agreement.
SIGNATURES ON FOLLOWING PAGE
7
IN WITNESS WHEREOF, the City, the Owner, and the HOA have executed this
Agreement on the day and year first written above.
CITY OF PALM SPRINGS,
a Charter City and Municipal Corporation
f
Dated: a3 �'� loZo By.
City Manager: David H
APPROVED AS TO FORM
1
Attor y: Jeff Ballinger
ATTEST:
City CI rk A�yM, M MC
Dated A&Z'X, z , y:
(Owner): Patnci L. uhn
Dated: jj- �2 f Z o Zv By: �- g
(HOA): Michael Wells
Board President
Sandcliff Homeowners Association
APPROVED BY CRY COUNCL
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
CIVIL CODE 1189
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 Californi )
County of
On M&,,v- JA- -2, T-0 before me,
awvi�...ri �w �a a61" 6-
Dat // Here Insert Name and Title of the Officer
personally appeared G JAL- h - ki)� it i a4 J
Names; -of Signerw
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
- I I I I I I I I I a I I INATARAkiLIjAC�UES'.
a+ Comm. #21590 5 Z
t T Notary Public -California b
Riverside County
Z^�FoaH� My Commission Expires
July 30, 2020 �=
Place Notary Seal Above
I certify under PENALTY O PF UURY under the laws
of the State of I aliforn' that the foregoing paragraph
is true and correct.
WITNESS my han and o (c' seal.
OPTIONAL
Public
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-.Rly}on� vj r Document Date: F41Y'ua t C3 LWoLCD
Number of Pages: 13 Signer(s) Other Than Named Above:
Rapacity(ies) Claimed by Signer() ❑ p 1 (
�jgner's NamE]Btj rj(. . Ku Yl �gner's NamU I IGh1� WeA6
❑ Corporate Officet j- Title(s): ❑ Corporate OffrceiD-- Title(s):
❑ ❑ ❑ ❑
❑ Partner — Limited General ❑ Partner — Limited General
)( Individual Attorney in Fact Individual Attorney in Fact
Trustee Guardian or Conservator Trustee Guardian or Conservator
Signer Is Representing: evK_e_tl\ov► r Signer Is Representing: i-51 �
9GC ( rr
0
EXHIBIT A
LEGAL DESCRIPTION
All that certain land situated in the State of Califomia, County of Riverside, City of Palm
Springs, being included within a record of survey map filed April 8, 1960, in book 31, page
48 of the Records of Survey, Records of Riverside County, California, being described as
follows:
Parcel 1:
Lot 9, together with an undivided 1/40 interest in and to common Lot 42, as show on that
certain map attached to an instrument entitled "First Revision of Declaration of Protective
Restrictions, Limitations, Conditions, Covenants, Reservations, Liens and Charges for
Garden Villas, a Residential Project" recorded July 1, 1966, as Instrument No. 68359, of
official records of Riverside County, California.
Excepting therefrom an easement over the easterly 7.00 feet of said Lot 42, referred to
above, for ingress, egress, public utilities, and incidental purposes, together with the right
to convey a dedicated same to any person, firm or governmental agency, as contained in
an instrument entitled "Indenture of Easements and Rights of Way" recorded November
27, 1964, in Book 3862, Page 554 of Official Records of Riverside County, California.
Also excepting therefrom all gas, oil, and mineral rights below a depth of 50 feet, as was
reserved by John C. Munholland, et al, in various Deeds of Record.
Parcel 2:
An easement over the westerly 18.00 feet of Lot 41 of Tract No. 3010, as shown by map
on file in Book 50, Pages 76 and 77 of Maps, Records of Riverside County, California, for
ingress, egress, public utilities and incidental purposes as contained in an instrument
entitled "Indenture of Easements and Rights of Way" recorded November 27, 1964, in
Book 3862, Page 554 of Official Records of Riverside County, California.
Excepting from all property conveyed hereunder all oil, gas, petroleum, and other
hydrocarbon substances in and under the property, including the exclusive title and right
to remove said substances, together with the sole right to negotiate and conclude leases
and agreements with respect to all such substances under the property, and to use those
portions of the property which underlie a plane parallel to, and 500 feet below, the present
surface of the properly for the purpose of prospecting for, developing and/or extracting
such substances from the property by means of wells drilled into or through said portions
of the property from drill sites located on other property, it being expressly understood
and agreed that no right is granted hereby to enter upon the surface of the property or to
use the property or any portion thereof above of the aforesaid plans.
APN: 510-040-026
10
EXHIBIT B
MAINTENANCE STANDARDS
(Section 4.1)
All structures, walls, water features, landscaping and any other improvements associated
with the parcel that is the subject of this Mills Act Historic Property Preservation
Agreement ("Agreement") shall be maintained in good condition throughout the term of
this agreement.
All nuisances as defined in Title 11 "Peace, Morals and Safety" of the Palm Springs
Municipal Code that occur or develop on the subject parcel shall be abated in a timely
manner and to the satisfaction of the City Manager or his designee.
All structures, walls, water features, landscaping and any other improvements
associated with the parcel that is the subject of this Agreement that are part of the
historic character -defining features of the property shall be maintained as outlined in the
Secretary of the Interior Standards for Preserving, Rehabilitating, Restoring, and
Reconstructing Historic Buildings (1995 Weeks and Grimmer).
11
EXHIBIT C
EXISTING CONDITIONS
(Section 4.2)
(Aerial photo of the property and tract map are on file in the Planning Services Department of
the City of Palm Springs, California at 3200 Tahquitz Canyon Way, Palm Springs, CA 92262)
12
EXHIBIT D
SPECIFIC PROJECTS
(Section 4.3)
(Aerial photo of the property and tract map are on file in the Planning Services Department of
the City of Palm Springs, California at 3200 Tahquitz Canyon Way, Palm Springs, CA 92262)
13
Ph DELPHIA INDEMNITY INSURANCE COMI"
2601 MARKET STREET, SUITE 300
RECEIVED HARRISBURG, PA 17110
CITY of PALM SPRINGSENERAL STATUS INQUIRY
4: 32
OFFICE OF THE CITY CLEWi
TO: City of Palm Springs
3200 E. Tahquitz Canyon Way
Palm Springs, CA 92262
DATE: 7/10/20
BOND NUMBER: CE11511100183
EFFECTIVE DATE: 2/21/2020
CONTRACT AMOUNT: $52,900.00
PRINCIPAL/CONTRACTOR: BARKSHIRE LASER LEVELING, INC
JOB DESCRIPTION: Demuth Park, Sunrise Park and James 0 Jessie Desert Highland Unity Center - Laser Leveling of Ballfields
AS SURETY ON THE ABOVE CAPTIONED, WE ARE REQUESTING A STATUS REPORT ON THE PROGRESS OF THIS PROJECT AND At
COMMENTS THAT YOU WISH TO SHARE. YOUR COMPLETION AND PROMPT RETURN OF THIS BRIEF INQUIRY WOULD BE APPRECIATED.
If the contract has been completed:
Completion Date: / / Date of Acceptance:
Final Payment Date:
CHANGE ORDERS TO ORIGINAL CONTRACT?
Percentage Completed:
Final Contract Amount $
YES NO AMOUNT $
Probable Date of Completion: /__/,
Contract Amount to Date: $ Payment Amount to Date: $
Do you know of any unpaid bills for labor or material? YES NO
COMMENTS
Please sign, date and return this Inquiry to:
EMAIL: contractexpress@phly.com
OR
Philadelphia Indemnity Insurance Company
ATTN: Contract Express Program
2601 Market Place, Suite 300
Harrisburg, PA 17110
Direct Line: (717) 540-2851 or (717) 540-2853
Signature:-
Name/Tittle:
Date:
Phone
FAX
Email:
IMPORTANT:
It is understood that the information contained herein is furnished as a matter of courtesy for the confidential use of the surety and is merely
expression of opinion. It is also agreed that in furnishing this information, no guaranty or warranty of accuracy or correctness is made and
responsibility is assumed as a result of reliance by the surety whether such information is furnished by the owner or by an architect or engineer as t
agent of the owner.
It is expressly recommended that if there is a situation that could potentially give rise to a claim under the bond provided that you call us
immediately. A proactive response ensures that all parties work together towards a rapid resolution.
IMPORTANT NOTICE
REGARDING YOUR INTEREST IN THE INSURANCE POLICY IDENTIFIED BELOW
NAME AND ' NATIONAL INTERSTATE INS. CO.
ADDRESS OF INSURANCE 3250 INTERSTATE DRIVE
COMPANY RICHFIELD, OH 44286-9000
(330) 659-8900
NAME AND . LIN LINES, INC.
ADDRESS 1801 E TAHQUITZ CANYON WY #100
OF INSURED PALM SPRINGS, CA 92262
KIND OF POLICY: COMMERCIAL MONOLINE
POLICY/APPLICATIONBINDER NO.: CAR 0110203 03
EFFECTIVE DATE OF NOTICE:
7/24/2020 12:01 A.M.
(DATE) (HOUR -STANDARD TIME AT THE ADDRESS OF THE INSURED)
DATE OF MAILING: 7/6/2020
NAME AND ADDRESS OF AGENT/BROKER:
AMERICAN HIGHWAYS INS. AGENCY
3250 INTERSTATE DRIVE
RICHFIELD, OH 44286
(Specific information concerning the
cancellation or nonrenewal has been
given to the Insured.)
TO CERTIFICATE HOLDER:
You are notified that the above policy is cancelled or nonrenewed effective on and after the hour and date mentioned above. This notice is being
provided to you as you have been provided with a certificate of insurance on the above policy. Any interest you may have in the above policy is
terminated.
NAME AND . CITY OF PALM SPRINGS
ADDRESS OF 3200 E. TAHQUITZ CANYON WAY
CERTIFICATE PALM SPRINGS, CA 92262
HOLDER
(E)GU 546 (Ed. 2-00) UNIFORM INFORMATION SERVICES, INC. ® 1999
CERTIFICATE HOLDER
Authorized Representative
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