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Get Equine Rescue and Rehabilitation Ranch Adoption and Transfer of Owership Application Form

Price Worksheet Transfer fee of horse Shipping fees if applicable Total Due Waiver of Liability buyer do hereby release Equine Rescue and Rehabilitation Ranch Inc. its I officers directors representatives volunteers agents servants and assigns collectively Releases of and from any liability arising from care and handling of the horses offered for transfer of ownership. I further agree that Releases are not liable for the mistakes and/or negligence and/or intentional acts of service providers and/or contractors such as livestock haulers veterinarians or handlers who may at any time be in the care custody and control of the horse I am adopting. Its I officers directors representatives volunteers agents servants and assigns collectively Releases of and from any liability arising from care and handling of the horses offered for transfer of ownership. I further agree that Releases are not liable for the mistakes and/or negligence and/or intentional acts of service providers and/or contractors such as livestock haulers veterinarians or handlers who may at any time be in the care custody and control of the horse I am adopting. I understand that I may pursue claims against such third parties for any damages caused by mistakes negligence and/or intentional acts of such third parties during the time that my horse is in their care custody and control. I further agree that Releases are not liable for the mistakes and/or negligence and/or intentional acts of service providers and/or contractors such as livestock haulers veterinarians or handlers who may at any time be in the care custody and control of the horse I am adopting. I understand that I may pursue claims against such third parties for any damages caused by mistakes negligence and/or intentional acts of such third parties during the time that my horse is in their care custody and control. Signed Date Agreement Signing this application authorizes Equine Rescue and Rehabilitation Ranch Inc. Where sodium-based bentonite clay is being used in this manner o The clay shall be used in a ratio of at least two 2 pounds of sodium-based bentonite per one 1 gallon of water to create a low permeability seal or according to the manufacturer s specifications and a pH below five 5. 0 or having a total dissolved solids content greater than one thousand 1 000 milligrams per liter mg/L or according to the manufacturer s specifications. DDOE Well Completion Reporting Within 60 days of installation the well owner or duly designated agent shall submit the attached Well Completion Form along with any additional information asked for on the form to DDOE WQD Ground Water Protection Program 1200 First Street NE 5th Floor Washington DC 20002 Schematic Form and any additional comments DDOE Well Abandonment Workplan To abandon a well including a borehole in the District submit a well abandonment workplan to DDOE WQD for approval. Disapproval of this item on ROPS I and ROPS II and the subsequent unclear communication from DOF appearing to approve the item from LMIHF on ROPS I was one of several subjects of the Successor Agency s True Up Payment litigation against the County Auditor Controller and DOF and was addressed in discussions with DOF legal counsel leading up to the stipulated judgment issued by Sacramento County Superior Court on December 21 2012. Although this item was not directly addressed in the stipulated judgment the Successor Agency relied upon discussions with DOF legal counsel in determining its use of ROPS I and ROPS III RPTTF and in its request to amend its Housing Due Diligence Review. The 60 000 balance of the pre DDA obligation is being listed on ROPS 13 14A for funding with RPTTF consistent with the stipulated judgment discussions and DOF s initial ROPS III approvals. DESCRIPTION OF HORSE TO BE ADOPTED Be sure to list the horse s name and description here. Price Worksheet Transfer fee of horse Shipping fees if applicable Total Due Waiver of Liability buyer do hereby release Equine Rescue and Rehabilitation Ranch Inc. its I officers directors representatives volunteers agents servants and assigns collectively Releases of and from any liability arising from care and handling of the horses offered for transfer of ownership. 05 17 12 WELL ID S WELL OWNER WELL ADDRESS LOT NUMBER SIGNATURE SQUARE NUMBER D. C. WELL APPLICATION SCHEMATIC FORM LOCKABLE CAP PROTECTIVE CASING AND CONCRETE PAD TOP OF CASING TO GROUND SURFACE L1 PAD DIMENSIONS HEIGHT ABOVE GROUND ------------------------------------------------------------------------------------------------------------------------------------------------------------- WELL CASING GROUT AROUND CASING MIX RATIO OF SOLIDS L4 L6 LOW PERMEABILITY SEAL HEIGHT ABOVE FILTER PACK L3 Feet FILTER PACK TYPE OF FILTER HEIGHT ABOVE SCREEN L4 Feet WELL SCREEN L5 SCREEN MATERIAL SLOT SIZE DEPTH TO THE BOTTOM OF WELL L6 Feet WELL ANNULUS inches APPLICATION DATE WELL ID NUMBER LOT NUMBER WELL OWNER OWNER ADDRESS. The outstanding obligation has been revised from prior ROPS based on estimated funding requirements under the terms of the agreement. Due to the uneven nature of the Successor Agency s FY2013 14 obligations of RPTTF the entire administrative allowance is being included on ROPS 13 14A. CITY COUNCIL RESOLUTION 2012-XX AGENCY SUCCESSOR AGENCY down the former redevelopment agencies affairs and of the City but the City is providing administrative services for the Successor Agency and WHEREAS the Dissolution Act requires the Successor Agency to prepare a Recognized obligations including an administrative cost allowance of 250 000 per fiscal year and WHEREAS Health Safety Code Section 34173 h allows the City to loan funds to the reported on a ROPS and approved by the Oversight Board and period January through June 2013 and the Department of Finance DOF approved the DOF over the True Up Payment the cost of which is an enforceable obligation of RPTTF that was included on the ROPS for July through December 2013 ROPS 13-14A so that the WHEREAS there are insufficient funds available in the RPTTF to pay all approved period and the litigation costs on ROPS 13-14A and WHEREAS the estimated cash flow advance to the Successor Agency required during the ROPS III period will be 238 000 and WHEREAS to enable the Successor Agency to meet its fiduciary responsibilities to holders of enforceable obligations and for the Successor Agency to have adequate funds for amount not to exceed 238 000 and WHEREAS Exhibit A to this Resolution is a proposed Cash Flow Loan Agreement Loan Agreement pursuant to the authority granted by Health and Safety Code Section 34173 h and WHEREAS the City and Successor Agency have determined that entering into the proposed Loan Agreement is in the best interests of the City and the Successor Agency and WHEREAS the Loan Agreement is subject to the approval of the Oversight Board of the hereby finds the above recitals to be true and accurate. .

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