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HomeMy WebLinkAboutR3- Redevelopment Agency i 1 1 RESOLUTION NO. 2 RESOLUTION OF THE COMMUNITY DEVELOPMENT COMMISSION 3 OF THE CITY OF SAN BERNARDINO, CALIFORNIA, APPROVING THE ECONOMIC DEVELOPMENT AGENCY'S BUDGET FOR THE 4 FISCAL YEAR 2009-2010 WITH ANY SUCH AMENDMENTS, CHANGES 5 AND MODIFICATIONS THAT MAY BE SPECIFICALLY AUTHORIZED BY SAID COMMISSION, EXCEPT FOR THOSE PORTIONS OF 6 CERTAIN BUDGET LINES WHICH ARE RELATED TO THE UPTOWN REDEVELOPMENT PROJECT AREA 7 8 WHEREAS, the Community Development Commission ("Commission") desires to 9 approve and adopt the Economic Development Agency's Budget for the Fiscal Year 2009-10 10 except for those portions of certain Budget Lines which are related to the Uptown 1 l Redevelopment Project Area. 12 NOW, THEREFORE, THE COMMUNITY DEVELOPMENT COMMISSION OF TH 13 CITY OF SAN BERNARDINO DOES HEREBY RESOLVE, DETERMINE AND ORDER, A 14 FOLLOWS: 15 Section 1. The Commission hereby approves and adopts the Economic Developmen 16 Agency's Budget for the Fiscal Year 2009-10, as attached hereto, except for those portions of 17 18 Budget Lines 4011, 4012, 4019, 4500, 4801, 4900, 5010, 5012 through 5017, 5019 through 19 5024, 6001 through 6004, 6007 through 6012, 6014, 6016 through 6018, 6020, 6021, 6103 20 6301, 6306, 6401, 6402, 6500, 6600, 6703, 7001 through 7003, 7102, 7302, 7403 and 8003 21 which are related to the Uptown Redevelopment Project Area. 22 Section 2. The Commission hereby approves and authorizes for inclusion within the 23 Economic Development Agency's Budget for the Fiscal Year 2009-10 any such additional 24 amendments, changes and modifications to said Budget as may be presented to the Commission 25 AAJ on this date and which are set forth either by interdelineation in said Budget or pursuant to 6/0 1 1 separate Staff Report or other written document expressing and describing such amendments 2 changes or modifications to said Budget, and as said Budget in the form, together with any such 3 amendments, changes or modifications, as herein approved and authorized by the Commission. 4 Section 3. This Resolution shall take effect upon the date of its adoption. 5 // 6 7 // 8 // 9 10 // 11 12 // 13 // 14 // 15 // 16 // 17 // 18 // 19 // 20 // 21 // 22 // 23 // 24 // 25 // 2 I RESOLUTION OF THE COMMUNITY DEVELOPMENT COMMISSION OF THE CITY OF SAN BERNARDINO, CALIFORNIA, APPROVING 2 THE ECONOMIC DEVELOPMENT AGENCY'S BUDGET FOR THE FISCAL YEAR 2009-2010 WITH ANY SUCH AMENDMENTS, CHANGES 3 AND MODIFICATIONS THAT MAY BE SPECIFICALLY AUTHORIZED 4 BY SAID COMMISSION, EXCEPT FOR THOSE PORTIONS OF CERTAIN BUDGET LINES WHICH ARE RELATED TO THE UPTOWN 5 REDEVELOPMENT PROJECT AREA 6 I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the 7 Community Development Commission of the City of San Bernardino at a g meeting thereof, held on the day of , 2009, by the following vote to wit: 9 Commission Members: Ayes Nays Abstain Absent 10 ESTRADA BAXTER I1 BRINKER 12 SHORETT 13 KELLEY 14 JOHNSON 15 MC CAMMACK 16 17 Secretary 18 The foregoing Resolution is hereby approved this day of , 2009. 19 20 21 Patrick J. Morris, Chairperson Community Development Commission 22 of the City of San Bernardino 23 Approved as to Form: 24 25 By: Agency Co sel 3 I RESOLUTION NO. 2 RESOLUTION OF THE COMMUNITY DEVELOPMENT COMMISSION OF THE CITY OF SAN BERNARDINO, CALIFORNIA, APPROVING 3 THE ECONOMIC DEVELOPMENT AGENCY'S BUDGET FOR THOSE PORTIONS OF CERTAIN BUDGET LINES WHICH ARE RELATED TO 4 THE UPTOWN REDEVELOPMENT PROJECT AREA FOR THE FISCAL 5 YEAR 2009-2010 WITH ANY SUCH AMENDMENTS, CHANGES AND MODIFICATIONS THAT MAY BE SPECIFICALLY AUTHORIZED BY 6 SAID COMMISSION 7 WHEREAS, the Community Development Commission ("Commission") desires to 8 approve and adopt the Economic Development Agency's Budget for those portions of certain 9 10 Budget Lines which are related to the Uptown Redevelopment Project Area for the Fiscal Yea 11 2009-10. 12 NOW, THEREFORE, THE COMMUNITY DEVELOPMENT COMMISSION OF TH 13 CITY OF SAN BERNARDINO DOES HEREBY RESOLVE, DETERMINE AND ORDER, A 14 FOLLOWS: 15 Section 1. The Commission hereby approves and adopts the Economic Developmen 16 Agency's Budget, as attached hereto, for those portions of Budget Lines 4011, 4012, 4019, 4500 17 4801, 4900, 5010, 5012 through 5017, 5019 through 5024, 6001 through 6004, 6007 through 18 6012, 6014, 6016 through 6018, 6020, 6021, 6103, 6301, 6306, 6401, 6402, 6500, 6600, 6703 19 7001 through 7003, 7102, 7302, 7403 and 8003 which are related to the Uptown Redevelopmen 20 Project Area for the Fiscal Year 2009-10. 21 Section 2. The Commission hereby approves and authorizes for inclusion within the 22 23 Economic Development Agency's Budget for the Fiscal Year 2009-10 any such additional 24 amendments, changes and/or modifications to said Budget as presented to the Commission o 25 this date and which are set forth either by interdelineation in said Budget or pursuant to separate Staff Report or other written document expressing and describing such amendments 1 I changes or modifications to said Budget, and as said Budget in the form, together with any such 2 amendments, changes or modifications, as herein approved and authorized by the Commission. 3 Section 3. This Resolution shall take effect upon the date of its adoption. 4 // 5 // 6 7 // 8 // 9 // 10 11 // 12 // 13 // 14 15 // 16 17 // 18 // 19 20 // 21 // 22 // 23 // 24 // 25 2 I RESOLUTION OF THE COMMUNITY DEVELOPMENT COMMISSION OF THE CITY OF SAN BERNARDINO, CALIFORNIA, APPROVING 2 THE ECONOMIC DEVELOPMENT AGENCY'S BUDGET FOR THOSE PORTIONS OF CERTAIN BUDGET LINES WHICH ARE RELATED TO 3 THE UPTOWN REDEVELOPMENT PROJECT AREA FOR THE FISCAL 4 YEAR 2009-2010 WITH ANY SUCH AMENDMENTS, CHANGES AND MODIFICATIONS THAT MAY BE SPECIFICALLY AUTHORIZED BY 5 SAID COMMISSION 6 I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the 7 Community Development Commission of the City of San Bernardino at a 8 meeting thereof, held on the day of , 2009, by the following vote to wit: 9 Commission Members: Ayes Nays Abstain Absent 10 ESTRADA 11 BAXTER 12 BRINKER 13 SHORETT 14 KELLEY 15 JOHNSON MC CAMMACK 16 17 18 Secretary 19 The foregoing Resolution is hereby approved this day of , 2009. 20 21 Patrick J. Morris, Chairperson 22 Community Development Commission of the City of San Bernardino 23 Approved as to Form: 24 25 By: Age c C sel 3 I RESOLUTION NO. 2 RESOLUTION OF THE COMMUNITY DEVELOPMENT COMMISSION OF 3 THE CITY OF SAN BERNARDINO, CALIFORNIA, AUTHORIZING THE FUNDING OF VARIOUS CITY OF SAN BERNARDINO FISCAL YEAR 2009- 4 2010 PUBLIC IMPROVEMENT EXPENDITURES AND MAKING FINDINGS AND DETERMINATIONS AS TO THE BENEFIT TO THE VARIOUS 5 REDEVELOPMENT PROJECT AREAS FOR UNDERTAKING PUBLIC 6 IMPROVEMENTS IN CONNECTION WITH THESE VARIOUS CITY EXPENDITURES AND APPROVING CERTAIN OTHER EXPENDITURES 7 8 WHEREAS, the City of San Bernardino, California (the "City"), is a municipal corporation 9 and a charter city duly created and existing pursuant to the Constitution and the laws of the State of 10 California; and 11 WHEREAS, the Community Development Commission of the City of San Bernardino (the 12 "Commission") on behalf of the Redevelopment Agency of the City of San Bernardino (the 13 "Agency"), is a redevelopment agency, a public body, corporate and politic of the State of 14 California, organized and existing pursuant to the Community Redevelopment Law (Part 1 of 15 Division 24 commencing with Section 33000) of the Health and Safety Code of the State of 16 California(the"Act"); and 17 WHEREAS, pursuant to Section 33445 of the Act, the Agency may, with the consent of the 18 Mayor and Common Council of the City (the "Council"), pay all or a part of the cost of installation 19 and construction of any building, facility, structure or other improvement which is publicly owned 20 either within or without the boundaries of a redevelopment project area if the Council determines: 21 (1) that such buildings, facilities, structures or other improvements are of benefit to the 22 redevelopment project area or the immediate neighborhood in which the project is located, 23 regardless of whether such improvement is within another project area, or in the case of the project 24 area in which substantially all the land is publicly owned, that the improvement is of benefit to an 25 adjacent project area of the Agency; (2) that no other reasonable means of financing such buildings, 26 facilities, structures or other improvements is available to the community, and such determination 27 by the Commission and the Council shall be final and conclusive; and, (3) that the payment of funds 28 I for the cost of the facilities, structures or other improvements will assist in the elimination of one 2 (1) or more blighted conditions inside the project area; and 3 WHEREAS, the Council and the Commission have previously approved and adopted 4 Redevelopment Plans (collectively hereinafter referred to as the "Redevelopment Plans") for various 5 redevelopment project areas within the City, which project areas include: State College Project 6 Area, Central City North Project Area, Southeast Industrial Park Project Area, Northwest Project 7 Area, and Central City Merged Project Area; and 8 WHEREAS, it is in the interest of the present landowners within the Central City North 9 project areas subject to the Redevelopment Plans (the "Project Area") and the residents, both within 10 the Project Areas and within the City generally, that the Agency cause the funding of certain 11 improvements consisting o£ (1) the Agency payment of the COP debt service payment for the 12 Central Police Department building ($490,000) within the Central City North Project Area; and (2) 13 the Agency payment of the Central Library Lease Revenue debt service payment ($690,000) for the 14 Central Library located within the Central City North Project Area; (collectively referred to herein 15 as the "City Funded Improvements"); and 16 WHEREAS, the Central Police Department Building and the Central Library are centrally 17 located facilities servicing all residents of the City with various City functions, and in support of the 18 retail, business and commercial functions, which includes servicing the residents, workers and 19 business owners within the State College Project Area, the Northwest Project Area and the 20 Southeast Industrial Park Project Area (collectively referred to herein as the "Benefited Project 21 Areas"); and 22 WHEREAS, each of the aforementioned Benefited Project Areas are generally contiguous or 23 in proximity to the Central City North Project Area, and the Central City North Project Area serves 24 the commercial, retail, City services and other community needs of each of the Benefited Project 25 Areas as to those functions that cannot be provided separately within each of the Benefited Project 26 Areas; and 27 28 2 1 WHEREAS, the Project Area is suffering from stagnant property values and impaired 2 investments, and in order to promote the City's health, safety and welfare, it is important that the 3 Agency fund the costs of the aforementioned City Funded Improvements; and 4 WHEREAS, in connection with the funding of the City Funded Improvements, it is proposed 5 that the Agency shall utilize revenues attributable to the Benefited Project Areas as follows: (1) 6 State College Project Area ($637,000); (2) Southeast Industrial Park Project Area ($413,000); and, 7 (3)Northwest Project Area($129,800); and 8 WHEREAS, it is appropriate at this time for the Commission to make certain findings and 9 determinations and take certain actions with respect to the Agency's funding of the City Funded 10 Improvements. 11 NOW, THEREFORE, THE COMMUNITY DEVELOPMENT COMMISSION OF THE 12 CITY OF SAN BERNARDINO DOES HEREBY RESOLVE, DETERMINE AND ORDER, AS 13 FOLLOWS: 14 Section 1. The Recitals hereinabove are true and correct and are incorporated herein by 15 this reference. 16 Section 2. The Commission hereby approves the payment by the Agency of the City 17 Funded Improvements in order to ensure the economic enhancements and stability of the Benefited 18 Project Areas and other neighborhoods with the City for the reasons set forth in the Recitals 19 hereinabove. The Commission also finds and determines that no other reasonable means of 20 financing the City Funded Improvements is presently available to the Agency and the City, and the 21 Agency requires the use of revenues generated from the Benefited Project Areas, and the 22 Commission further finds that the funding of the City Funded Improvements will enhance the 23 viability in the Benefited Project Areas thereby eliminating existing blighted conditions in the 24 Benefited Project Areas, provide the residents, workers and businesses with City services, and retail, 25 business, commercial and other community services from within the Central City North Project 26 Area to the Benefited Project Areas and the residents and businesses located therein. 27 The Commission further recognizes that the Agency through the adoption of this 28 Commission Resolution shall provide for the funding of the following items through loans or I 1 transfers of funds, as appropriate, on the financial records of the Agency: (1) payment of certain 2 security costs in the form of contractual committed police officers related to the Carousel Mall 3 ($267,100) within the Central City Merged Project Area; (2) the Agency payment of the Carousel 4 Mall janitorial ($350,000) within the Central City Merged Project Area; and, (3) the Agency 5 payment of the Carousel Mall security ($337,500) within the Central City Merged Project Area. 6 The Commission further recognizes that the elimination of all rent payments to the Agency 7 otherwise due and payable from the City for those City Departments that are tenants in the Agency 8 owned building located at 201 North "E" Street ($197,200) within the Central City Merged Project 9 Area although not a cash expenditure item in nonetheless a financial commitment by the Agency to 10 forego the receipt of such funds from the City. 11 Section 3. The Agency Secretary is hereby authorized and directed to cause this 12 Resolution to be transmitted to the City for consideration in connection with appropriate action by 13 that body. 14 Section 4. The findings and determinations herein shall be final and conclusive. The 15 Resolution shall become effective immediately upon its adoption. 16 // 17 // 18 // 19 // 20 // 21 // 22 // 23 // 24 // 25 // 26 // 27 // 28 // 4 I RESOLUTION OF THE COMMUNITY DEVELOPMENT COMMISSION OF THE CITY OF SAN BERNARDINO, CALIFORNIA, AUTHORIZING THE 2 FUNDING OF VARIOUS CITY OF SAN BERNARDINO FISCAL YEAR 2009- 3 2010 PUBLIC IMPROVEMENT EXPENDITURES AND MAKING FINDINGS AND DETERMINATIONS AS TO THE BENEFIT TO THE VARIOUS 4 REDEVELOPMENT PROJECT AREAS FOR UNDERTAKING PUBLIC IMPROVEMENTS IN CONNECTION WITH THESE VARIOUS CITY 5 EXPENDITURES AND APPROVING CERTAIN OTHER EXPENDITURES 6 I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Community 7 Development Commission of the City of San Bernardino at a meeting 8 thereof, held on the day of , 2009, by the following vote to wit: 9 Commission Members: Ayes Nays Abstain Absent 10 ESTRADA 11 BAXTER 12 BRINKER 13 SHORETT 14 KELLEY 15 JOHNSON 16 MC CAMMACK 17 18 Secretary 19 20 The foregoing Resolution is hereby approved this day of 52009. 21 22 Patrick J. Morris, Chairperson Community Development Commission 23 of the City of San Bernardino 24 Approved as to Form: 25 26 By: �^ 27 Agency nsel 28 c I I RESOLUTION NO. 2 RESOLUTION OF THE COMMUNITY DEVELOPMENT COMMISSION OF THE CITY OF SAN BERNARDINO, CALIFORNIA, APPROVING 3 AMENDMENTS TO EXHIBITS "A" AND "B", DELETION OF EXHIBITS "C-64" THROUGH "C-66" AND EXHIBITS "C-87" THROUGH "C-89", 4 AND ADDITION OF EXHIBITS "C-93" THROUGH "C-114" OF THE 5 PERSONNEL POLICIES AND PROCEDURES FOR ALL EMPLOYEES OF THE CITY OF SAN BERNARDINO ECONOMIC DEVELOPMENT 6 AGENCY 7 WHEREAS, on September 21, 1998, the Community Development Commission 8 ("Commission") adopted Resolution No. 5557 approving revised Economic Development 9 Agency of the City of San Bernardino Personnel Policies and Procedures for all employees of th 10 11 City of San Bernardino Economic Development Agency ("Agency") including Exhibits "A" 12 "B" and "C"; and 13 WHEREAS, on October 5, 1998, October 18, 1999, September 18, 2000, August 20 14 2001, October 15, 2001, December 16, 2002, February 22, 2005, June 23, 2005, June 29, 2006 15 June 21, 2007 and January 1, 2008 the Commission approved amendments to the Agency' 16 Personnel Policies and Procedures; and 17 WHEREAS, the Commission now deems it desirable to amend Exhibits "A" and "B", 18 delete Exhibits "C-64" through "C-66" and Exhibits "C-87" through "C-89", and add Exhibits 19 "C-93"through "C-114"to the Agency's Personnel Policies and Procedures. 20 NOW, THEREFORE, THE COMMUNITY DEVELOPMENT COMMISSION OF TH 21 CITY OF SAN BERNARDINO DOES HEREBY RESOLVE, DETERMINE AND ORDER, AS 22 FOLLOWS: 23 24 Section 1. The Commission hereby approves and adopts Exhibits "A" (list of staf 25 positions) and "B" (salary chart July 1, 2009), as amended, to said Agency Personnel Policies and Procedures. I Section 2. The Commission hereby deletes Exhibits "C-64" through "C-66" (job 2 description Real Property Manager) and Exhibits "C-87" through "C-89" (job description 3 Human Resource Analyst) of said Personnel Policies and Procedures. 4 Section 3. The Commission hereby adds Exhibits "C-93" through "C-114" (job 5 descriptions for various CATV / IEMG staff positions,job description for Executive Assistant t 6 the Executive Director, and job description for Administrative Analyst), of said Personnel 7 Policies and Procedures. 8 Section 4. This Resolution shall take effect upon the date of its adoption. 9 // 10 // I // 12 // 13 // 14 15 // 16 // 17 // 18 // 19 // 20 // 21 // 22 // 23 24 // 25 // 2 I RESOLUTION OF THE COMMUNITY DEVELOPMENT COMMISSION OF THE CITY OF SAN BERNARDINO, CALIFORNIA, APPROVING 2 AMENDMENTS TO EXHIBITS "A" AND "B", DELETION OF EXHIBITS "C-64" THROUGH "C-66" AND EXHIBITS "C-87" THROUGH "C-89", 3 AND ADDITION OF EXHIBITS "C-93" THROUGH "C-114" OF THE 4 PERSONNEL POLICIES AND PROCEDURES FOR ALL EMPLOYEES OF THE CITY OF SAN BERNARDINO ECONOMIC DEVELOPMENT 5 AGENCY 6 I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the 7 Community Development Commission of the City of San Bernardino at a 8 meeting thereof, held on the day of , 2009, by the following vote to wit: 9 Commission Members: Ayes Nays Abstain Absent 10 ESTRADA 11 BAXTER BRINKER 12 SHORETT 13 KELLEY 14 JOHNSON 15 MC CAMMACK 16 17 Secretary 18 19 The foregoing Resolution is hereby approved this day of , 2009. 20 21 Patrick J. Morris, Chairperson Community Development Commission 22 of the City of San Bernardino 23 Approved as to Form: 24 25 By: Agent C nsel 3 1 RESOLUTION NO. 2 RESOLUTION OF THE COMMUNITY DEVELOPMENT COMMISSION OF 3 THE CITY OF SAN BERNARDINO, CALIFORNIA, APPROVING THE ECONOMIC DEVELOPMENT AGENCY'S ("AGENCY") ANALYSIS AND 4 DETERMINATION OF THE APPROPRIATENESS OF THE PLANNING AND ADMINISTRATION EXPENDITURES OF THE LOW- AND 5 MODERATE - INCOME HOUSING FUND FOR THE FISCAL YEAR 2009- 6 2010 AGENCY BUDGET 7 WHEREAS, included in the Redevelopment Agency of the City of San Bernardino (the 8 "Agency") Fiscal Year 2009-2010 Budget is the amount of $30,947,482 representing anticipated 9 revenues and expenditures of the Low- and Moderate-Income Housing Fund, of which $1,533,140 10 has been allocated for the purpose of anticipated planning and administration expenditures; and 11 WHEREAS, Section 33334.3(d) of the Health and Safety Code requires that redevelopment 12 agencies annually determine that the planning and administrative expenditures of the Low- and 13 Moderate-Income Housing Fund are necessary for and not disproportionate to the costs of 14 production, improvement or the preservation of low- and moderate-income housing; and 15 WHEREAS, in compliance with Section 33334.3(d) of the Health and Safety Code, the 16 Agency has made annual calculations to determine that the planning and administrative expenditures 17 are proportionate to and necessary for the production, improvement or preservation of low- and 18 moderate-income housing; and 19 WHEREAS, the Agency's independent financial auditor's have previously reviewed such 20 annual calculations and determination of planning and administrative expenditures in relation to the 21 expenditures for production, improvement or preservation of low- and moderate-income housing 22 and have found the Agency to be in compliance with the Health and Safety Code provisions cited 23 above; and 24 WHEREAS, it has been determined for the fiscal year 2009-2010 that the anticipated 25 planning and administrative expenditures of the Low- and Moderate-Income Housing Fund in the 26 amount of $1,533,140 represent 4.95% of the total budget of $30,947,482, are necessary to 27 implement the required housing programs, and that $29,414,342 or 95.04% of the total budget is 28 1 anticipated to be spent directly for the production, improvement or preservation of low- and 2 moderate-income housing, as outlined in the Staff Report; and 3 WHEREAS, Section 33334.3(d) of the Health and Safety Code requires the legislative body 4 to adopt the Agency's annual calculation and determination of the proportionality of planning and 5 administrative expenditures, as outlined in the Staff Report. 6 NOW, THEREFORE, THE COMMUNITY DEVELOPMENT COMMISSION OF THE 7 CITY OF SAN BERNARDINO DOES HEREBY RESOLVE, DETERMINE AND ORDER, AS 8 FOLLOWS: 9 Section 1. The Community Development Commission of the City of San Bernardino 10 (the "Commission") hereby approves and adopts the Agency's annual calculation and determination 11 for the fiscal year 2009-2010 of the appropriate and necessary anticipated planning and 12 administration expenditures, as outlined in the Staff Report, in relationship to the anticipated 13 expenditures for the production, improvement or preservation of low- and moderate-income 14 housing. The Commission hereby finds and determines that said planning and administration 15 expenditures are reasonable. 16 Section 2. This Resolution shall become effective immediately upon its adoption. 17 18 19 20 21 22 23 24 25 26 27 28 /// 1 RESOLUTION OF THE COMMUNITY DEVELOPMENT COMMISSION OF THE CITY OF SAN BERNARDINO, CALIFORNIA, APPROVING THE 2 ECONOMIC DEVELOPMENT AGENCY'S ("AGENCY") ANALYSIS AND 3 DETERMINATION OF THE APPROPRIATENESS OF THE PLANNING AND ADMINISTRATION EXPENDITURES OF THE LOW- AND 4 MODERATE - INCOME HOUSING FUND FOR THE FISCAL YEAR 2009- 2010 AGENCY BUDGET 5 6 I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Community 7 Development Commission of the City of San Bernardino at a meeting 8 thereof, held on the day of , 2009, by the following vote to wit: 9 Commission Members: Ayes Nays Abstain Absent 10 ESTRADA 11 BAXTER 12 BRINKER 13 SHORETT 14 KELLEY 15 JOHNSON 16 MC CAMMACK 17 18 Secretary 19 20 The foregoing Resolution is hereby approved this day of , 2009. 21 22 23 Patrick J. Morris, Chairperson Community Development Commission 24 of the City of San Bernardino 25 Approved as to Form: 26 27 By: Agenc sel 28