93-0706_MARBELLA PLAZA_License Agreement Amd No. 12. The last sentence (unindented) of Paragraph 2 is hereby deleted and
replaced with the following sentence:
The foregoing indemnification and insurance obligations will terminate
when the play equipment and related structures, and fencing are removed from the
creek."
3. City and Property Owner hereby rarity and confirm the terms and
provisions of the License Agreement as modified by paragraphs 1 and 2 above.
IN WITNESS WHEREOF, City and Property Owner have executed this
Amendment No. 1 to License Agreement as of the date first written above.
CITY OF SAN JUAN CAPISTRANO
By%
LJc S MAYOR
H. TURNER NEWTON,
PRESIDENT
CAPITAL & COUNTIES U.S.A., INC.
H. TURNER NEWTON
ATTEST:
CHERYL A. JQRNSON, PITY CLERK
APPROVED AS TO FORM:
I YATTO Y r/Vqs- l'
Page 2 of 2
CALIFORNIA ALL-PURPO*ACKNOWLEDGMENT
State of u^ -
County of
On 5 s before me,
DAT A
M
NAME, TITLE OF OFFICER - E.G, "JANE DOE, NOT PUBLIC"
personally appeared 9` . dtl e+ /C/GcJI / ,
NAMES) OF SIGNER(S)
personally known to me - OR - proved to me on the basis of satisfactory evidence
to be the person(,$ whose name(.) is/a-Fe
subscribed to the within instrument and ac-
knowledged to me that he/shekhey executed
the same in his/ITe authorized
FA.r.:• ;. r;,c,::cr_ : capacit }y(1e , and that by his/hef t retr
T rain+r uBLw at)rol Nu ; signatures on the instrument the personSAr: r,'r;,N sc o ccXu+iv
My Carla. E:LSre; Ju:y zS.+;! or the entity upon behalf of which th
person acted, executed the instrument.
WITNESS my hand and official seal.
SIGNATURE OF NOTARY
OPTIONAL
W. 5907
Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent
fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER
i INDIVIDUAL
Y_V CORPOPRTE OFFICER
TITLE(S)
PARTNER(S) LIMITED
GENERAL
ATTORNEY-IN-FACT
TRUSTEE(S)
GUARDIAN/CONSERVATOR
OTHER:
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTn Y(IES)
DESCRIPTION OF ATTACHED DOCUMENT
TITLE OR TYPE OF DOCUMENT u
NUMBER OF PAGES
l *,/f3
7\f • •Ifl luC
SIGNER(S) OTHER THAN NAMED ABOVE
01993 NATIONAL NOTARY ASSOCIATION • 8236 Remmet Ave., P.O. Box 7184 • Canoga Park, CA 91309-7184