HomeMy WebLinkAboutHARBINGER HOMES, INC - 2005-07-05Council/Agency Meeting Held: 71,1�-Ioj
Deferred/Continued to:
*l-Approved 0 Conditionally Approved U Denied
lbevi,47 ity le4's Sig6ature
Council Meeting Date: July 5, 2005
Departm," Number: PL 05-20
CITY OF HUNTINGTON BEACH
REQUEST FOR CITY COUNCIL/REDEVELOPMENT AGENCY ACTION
SUBMITTED TO: HONORABLE MAYOR AND CITY COUNCIL
MEMBERS/REDEVELOPMENT A�3�CY MEMBERS
Cl�l
SUBMITTED BY: PENELOP(E CULB ETH-GRAFT, City Administrator/Executivb
Director, /
PREPARED BY: HOWARD ZELEFSKY, Director of Planning
SUBJECT: APPROVE AFFORDABLE HOUSING AGREEMENT (HARBINGER
HOMES, INC.)
Statement of Issue, Funding Source, Recommended Action, Alternative Action(s), Analysis, Environmental Status, Attachment(s)
Statement of Issue: Transmitted for your consideration is a request by Harbinger Homes,
Inc. to approve an affordable housing agreement for an eight unit aftached townhome project
located at the southwest corner of Delaware Street and Garfield Avenue. The agreement
will restrict one townhome unit to moderate income households (up to 100% of Orange
County Median) for a period of 60 years in accord with the affordable housing requirements
for this project. Staff recommends that the City Council/Redevelopment Agency review and
approve the affordable housing agreement.
Funding Source: Not applicable.
Recommended Action: City Council/Redevelopment Agency Action
Motion to:
"Approve the Declaration of Conditions, Covenants and Restrictions for Property (Resale
Restrictions) By and Between the City of Huntington Beach City Council/Redevelopment
Agency and Harbinger Homes, Inc., and authorize the Mayor/Agency Chair, Executive
Director, and City Clerk to sign and execute (Attachment No. 1)."
Alternative Action(s):
The City Council/Redevelopment Agency may make the following alternative motion(s):
"Continue the Declaration of Conditions, Covenants and Restrictions for Property By and
Between the City of Huntington Beach and Harbinger Homes, Inc., and direct staff
accordingly."
REQUEST FOR CITY COU NCI L/REDEVELOPIVI ENT AGENCY ACTION
MEETING DATE: July 5, 2005 DEPARTMENT ID NUMBER: PL 05-20
Analysis:
A. PROJECT PROPOSAL:
Applicant: Harbinger Homes, Inc., 2728 17" Street, Huntington Beach, CA 92648
Location: 19028 Delaware Street (Southwest corner of Delaware Street and Garfield
Avenue)
The affordable housing agreement will restrict one on -site, for sale, unit to moderate income
households (100% of the Orange County Median) for a period of 60 years.
The Zoning Administrator approved the Harbinger Homes, Inc. project on June 2, 2004. The
project consists of eight two-story, three bedroom condominium dwelling units with attached
garages on a 0.61-acre site.
B. ANALYSIS:
The proposed agreement is consistent with the citywide affordable housing ordinance. One
of the eight units will be restricted for -sale to households earning less than 100% of the
Orange County median. For a four -person household this is the equivalent of $75,700 in
annual gross income based on the 2005 Income Standard distributed by HUD. The
maximum sales price will be based on this requirement.
The City Attorney's Office has prepared the standard affordable housing agreement
(Attached). The applicant has signed the agreement, and staff recommends the City Council
approve the request. The Redevelopment Agency is co -recommending this action because
it will be incurring the future costs of monitoring the affordability agreement under the
Agency's Administrative Fund. A project does not need to be located within a
redevelopment project area for the Agency to monitor the agreement.
Environmental Status:
The subject request is not subject to the California Environmental Quality Act pursuant to
Section 15061 (b) (3).
1. 1Covenants and Restrictions for Property Resale Restrictions -
Affordable Housina Aareement
RCA Author: Medel/MBB
PL05-2OCovenantTrl 6675 -2- 6/16/2005 3:58 PM
ATTACHMENT I
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO:
City of Huntington Beach
2000 Main Street
Huntington Beach, CA 92648
Attn: City Clerk
Recorded in Official Records, Orange County
Tom Daly, Clerk -Recorder
FEE
2005000571360 10:51am 07/25/05
227 92 D03 11
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
(Space above for Recorder's use)
This document is exempt from recording fees
pursuant to Government Code Section 27383.
DECLARATION OF CONDITIONS, COVENANTS
AND RESTRICTIONS FOR PROPERTY
(RESALE RESTRICTIONS)
This Declaration Of Conditions, Covenants And Restrictions For Property (the
"Declaration") is made as of January 11, 2005, by and between HARBINGER HOMES, INC.
(the "Covenantor"), and THE CITY OF HUNTINGTON BEACH, a California municipal
corporation (the "City") and the REDEVELOPMENT AGENCY OF THE CITY OF
HUNTINGTON BEACH, a public body corporate and politic (the "Agency"). Collectively, the
City and Agency will be referred to as the "Covenantee".
RECITALS
A. Covenantor will be owner of record of that certain real property located in the
City of Huntington Beach, County of Orange, State of California legally described in the
attached Exhibit "A".
B. On " L 4, 20 0 9- 1 the Ct"ry CooyaclL_ (City Council
-9�� approved F1QAL-TLkaraFinal Tract Map or Pareel MtT Number 16675. City
imposed conditions of approval on the Project, requiring Covenantor to submit an Affordable
Housing Agreement Plan (the "Declaration") for review and approval by the Planning
Department. The City further required that the plan or declaration shall provide 10.0% of the
total number of units or I number of units to be affordable housing for households earning less
than 100% of the Orange County Median Income for a period of sixty years. The execution and
recordation of this Declaration is intended to fully satisfy that condition.
NOW, THEREFORE, the parties hereto agree and covenant as follows:
I Affordability Covenants. Covenantor agrees for itself and its successors and
assigns, and every successor to Covenantor's interest in the affordable unit, or any part thereof,
that the property located at 19028 Delaware Street, which consists of I units, shall be designated
g/agree/05 affordable/harbinger I
as affordable and shall be held subject to this Declaration for sixty years from the date of Notice
of Completion of units built in Tract Number 16675 as follows:
(a) Each affordable unit shall only be owned and occupied by Covenantor or
by "Moderate Income Households", which shall mean persons or families earning less than one
hundred percent (100%) or less of the Orange County median income, adjusted for household
size appropriate for the property as determined by the Agency based on statistics published by
the United States Department of Housing & Urban Development or established by the State of
California, pursuant to Health and Safety Code Section 50093, or a successor statute.
(b) The affordable unit shall only be sold at an "Affordable Housing Cost" to
Moderate Income Households. Affordable Housing Cost shall mean the permitted gross sales
price of the unit as set forth in the Affordable Housing Price/Income Guidelines or successor
guidelines published, from time to time, by the City for such purpose.
(c) The term of this agreement shall commence on the date this document is
recorded with the Orange County Recorder's Office and continue for sixty years ("Affordability
Period"). The covenant contained in this Section I shall run with the affordable unit and shall
automatically terminate and be of no further force or effect upon the expiration of the
Affordability Period.
2. Transfer of affordable unit. No transfer of the affordable unit shall occur until
the City determines (a) that the proposed purchaser intends to occupy the affordable unit as the
proposed purchaser's principal residence, (b) that the proposed purchaser is a Moderate Income
Household, and (c) that the proposed transfer occurs at an Affordable Housing Cost. In the event
that Coveriantor (including successors and assigns) desires to sell the affordable unit, Covenantor
shall send written notice thereof to the City at the following address:
City of Huntington Beach
2000 Main Street
Huntington Beach, CA 92648
Attention: Director of Economic Development
Within seven (7) days of receiving such notice, the City shall send Covenantor
transfer application forms prepared by the City. Such forms shall contain a certification of the
proposed purchaser's intent with respect to his/her/its residency of the affordable unit and
his/her/its gross income, and an affidavit of the proposed purchaser disclosing and certifying the
amount of the proposed purchase price. The City shall not be obligated to approve a transfer
unless and until the proposed purchaser has submitted to the City such information and
completed such forms. In the interest of expediting the close of escrow for such proposed
transactions, the City shall reasonably approve or disapprove such submissions as soon as
practicable after submission of such forms, and in no event later than fourteen (14) days after
submission of a completed form. If the City fails to approve or disapprove a submission within
such fourteen (14) day period, the City shall be deemed to have approved such transfer in
accordance with the foregoing. Prior to conveyance of the affordable unit, each approved
purchaser shall also submit to the City an executed disclosure statement which certifies that the
g/agree/05 affordable/harbinger 2
purchaser is aware that the purchaser buying the affordable unit may only sell the unit at an
Affordable Housing Cost to a Moderate Income Household, that the maximum permitted sales
price may be less than fair market value and that the affordable unit must be owner -occupied at
all times and cannot be rented or leased. Covenantor shall cooperate with the City in providing
such forms to proposed purchasers and in assisting proposed purchasers to prepare such forms
and to provide any required information to the City in connection with only the Covenantor's
sale of the affordable unit, provided that the Covenantor shall not be obligated to incur any out-
of-pocket costs in connection therewith, other than employee time dedicated to providing such
assistance.
THE COVENANTOR AND EACH SUCCESSOR, HEIR, OR
ASSIGN OF COVENANTOR UNDERSTAND THAT THE
DETERMINATION OF THE AFFORDABLE HOUSING COST
CAN BE MADE ONLY AT THE TIME OF THE PROPOSED
TRANSFER, TAKING INTO CONSIDERATION INTEREST
RATES, THE TERMS OF SALE OFFERED TO AND THE
ECONOMIC CIRCUMSTANCES OF THE PROPOSED
PURCHASER AND OTHER FACTORS THAT CANNOT BE
ACCURATELY PREDICTED, AND THAT THE TRANSFER
PRICE PERMITTED HEREUNDER MAY BE LESS THAN THE
FAIR MARKET VALUE OF THE PROPERTY AND MAY NOT
INCREASE OR DECREASE IN THE SAME MANNER AS OTHER
SIMILAR REAL PROPERTY WHICH IS NOT ENCUMBERED BY
THIS RESTRICTION. COVENANTOR AND EACH SUCCESSOR,
HEIR, OR ASSIGN OF COVENANTOR FURTHER
ACKNOWLEDGES THAT AT ALL TIMES IN SETTING THE
TRANSFER PRICE, THE PRIMARY OBJECTIVE OF THE CITY
AND THIS DECLARATION IS TO PROVIDE HOUSING TO
MODERATE INCOME HOUSEHOLDS AT AN AFFORDABLE
HOUSING COST.
Covenantor's Initials
3. Covenantor shall include in the escrow instructions and Purchase and Sale
Agreements with buyers a provision which requires each buyer to record a covenant which will
run with the land and bind all successors -in -interest or assignees that will ensure that all
subsequent buyers and occupants qualify as Moderate Income households. Said covenant shall
remain in full force and effect for the Affordability Period as set forth in Section 1.
4. Non -Discrimination Covenants. Covenantor covenants by and for itself, its
successors and assigns, and all persons claiming under or through them that there shall be no
discrimination against or segregation of any person or group of persons on account of race, color,
religion, sex, sexual orientation, creed, ancestry, national or ethnic origin, age, family or martial
status, handicap or disability, in the sale, transfer, use, occupancy, tenure, or enjoyment of the
affordable unit, nor shall Covenantor itself or any person claiming under or through it, establish
or permit any such practice or practices of discrimination or segregation with reference to the
g/agree/05 affordable/harbinger 3
selection, location, number, use or occupancy of tenants, subtenants, or vendees in the affordable
unit.
Covenantor and its successors and assigns shall refrain from restricting the sale of
the affordable unit on the basis of race, color, religion, sex, sexual orientation, creed, ancestry,
national or ethnic origin, age, family or martial status, handicap or disability, of any person. All
such deeds or contracts shall contain or be subject to substantially the following
nondiscrimination or nonsegregation clause:
(a) In deeds: "The grantee herein covenants by and for himself or
herself, his or her heirs, executors, administrators and assigns, and all persons claiming under or
through them, that there shall be no discrimination against or segregation of, any person or group
of persons on account of race, color, religion, sex, sexual orientation, creed, ancestry, national or
ethnic origin, age, family or martial status, handicap or disability, in the sale, transfer, use,
occupancy, tenure or enjoyment of the land herein conveyed, nor shall the grantee himself or
herself or any person claiming under or through him or her, establish or permit any such practice
or practices of discrimination or segregation with reference to the selection, location, number,
use or occupancy of tenants, or vendees in the land herein conveyed. The foregoing covenants
shall run with the land."
(b) In contracts: "There shall be no discrimination against or segregation of,
any person, or group of persons on account of race, color, religion, sex, sexual orientation, creed,
ancestry, national or ethnic origin, age, family or martial status, handicap or disability, in the
sale, transfer, use, occupancy, tenure or enjoyment of the premises, nor shall the transferor
himself or herself or any person claiming under or through him or her, establish or permit any
such practice or practices of discrimination or segregation with reference to the selection,
location, number, use of occupancy of tenants, subtenants or vendee of the premises."
(c) In leases: "The lessee herein covenants by and for himself or herself, his
or her heirs, executors, administrators, and assignees, and all persons claiming under or through
him or her, and this lease is made and accepted upon and subject to the following conditions:
"That there shall be no discrimination against or segregation
of any person or group of persons, on account of race, color,
religion, sex, sexual orientation, creed, ancestry, national or
ethnic origin, age, family or martial status, handicap or
disability in the leasing, subleasing, transferring, use,
occupancy, tenure, or enjoyment of the premises herein
leased nor shall the lessee himself or herself, or any person
claiming under or through him or her, establish or permit any
such practice or practices of discrimination or segregation
with reference to the selection, location, number, use, or
occupancy of tenants, lessees, sublessees, subtenants, or
vendees in the premises herein leased."
g/agree/05 affordable/harbinger 4
5. Covenants Do Not Impair Lien. No violation or breach of the covenants,
conditions, restrictions, provisions or limitations contained in this Declaration shall defeat or
render invalid or in any way impair the lien or charge of any mortgage or deed of trust or
security interest.
6. Covenants For Benefit of City. All covenants without regard to technical
classification or designation shall be binding for the benefit of the Covenantee and such
covenants shall run in favor of Covenantee for the entire period during which time such
covenants shall be in force and effect, without regard to whether the Covenantee is or remains an
owner of any land or interest therein to which such covenants relate. The Covenantee, in the
event of any breach of any such covenants, shall have the right to exercise all the rights and
remedies and to maintain any such action at law or suits in equity or other proper legal
proceedings to enforce and to cure such breach to which it or any other beneficiaries of these
covenants may be entitled during the term specified for such covenants, except the covenants
against discrimination which may be enforced at law or in equity at any time in perpetuity.
7. Counterparts. This Agreement may be executed in a number of
counterparts, each of which shall be an original, but all of which shall constitute one and the
same document.
8. Applicable Law.
(a) If any provision of this Agreement or portion thereof, or the application of
any provision to any person or circumstances, shall to any extent be held invalid, inoperative, or
unenforceable, the remainder of this Agreement, or the application of such provision or portion
thereof to any other persons or circumstances, shall not be affected thereby and it shall not be
deeded that any such invalid provision affects the consideration for this Agreement; and each
provision of this Agreement shall be valid and enforceable to the fullest extent permitted by law.
(b) This Agreement shall be construed in accordance with the laws of the
State of California.
[Signatures and Jurats to Follow]
g/agree/05 affordable/harbinger 5
IN WITNESS WHEREOF, the Covenantee and Covenantor have caused this instrument
to be executed on their behalf by their respective officers hereunto duly authorized as of the date
set forth above.
COVENANTOR:
HARBINGER HOMES, INC., a California
corporation
By: K,
Title: PZasiVEWr
By: K, 41;� a
Title:
COVENANTEE:
CITY OF HUNTINGTON BEACH,
a California municipal corporation
lerk
THE REDEVELOPMENT AGENCY OF THE
CITY OF HUNTINGTON BEACH, a public
body co olitic
By:
4iM Deputy Executive Director
APPROVED AS TO FORM:
F ill 5-12-611V -<'
/,., City Attorney / Agency Counsel bW21A 105
REVIEWED AND APPROVED:
Cify Administrator
g/agree/05 affordable/harbinger 6
STATE OF CALIFORNIA
ss.
COUNTY OF ORANGE
On 2;� , 200j�, before me, the undersigned, a Notary Public in and
for said State, personally appeared A'eAr-.ft!r Y ',;;�
personally known to me (or proved
to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the
within instrument and acknowledged to me that he/she executed the same in his/her authorized
capacity, and that by his/her signature on the instrument the persons or the entities upon behalf of
which the person acted executed the instrument.
WITNESS my hand and official seal.
&46�01- A�W��
Signature"of Notary Public IV f
STATE OF CALIFORNIA
ss.
COUNTY OF ORANGE
COM11116dOn # 1483192
NOW PuM - caftffft
00
0X"PCQU*
M
LO-1 VC"n-bVftAw13.1
(SEAL)
On '200 S 7before me, the undersigned, a Notary Public in and
for said State, personally appeared lKew& —/ Svv7,,',,,7W --personally
known to me (or proved to me on the basis of safisfactory evidence) to be the person whose
name is subscribed to the within instrument and acknowledged to me that he/she executed the
same in his/her authorized capacity, and that by his/her signature on the instrument the persons
or the entities upon behalf of which the person acted executed the instrument.
WITNESS my hand and official seal
614,
SignaturPof Notary Public
(SEAL)
T.
g/agree/05 affordable/harbinger 7
I;[$] III Z I LXJ 14 110 Jj:1*YT"jV--
State of California
ss.
County of Orange I
on July 14,2005 before me - --------- Robin Roberts, Notary Public -------
Date Nam and Title of Officer (e.g., KJane Doe, Notary Public")
personally appeared Jill Hardy
Narne(s) of Signer(s)
2 personally known to me
0 proved to me on the basis of satisfactory
evidence
to be the person(o whose name(.&) islawe
subscribed to the within instrument and
acknowledged to me that Ope4shefthey executed
the same in Wo/her/their authorized
capacity(io6), and that by 1:lWher/tkeir
signature(-9) on the instrument the person(&), or
ROO-ER—IS
018,77
COMOL # 1552700 <, the entity upon behalf of which the person(a4
C^ acted, executed the instrument.
��rl Feb. 14.ZaN;-
WITNESS my hand and official seal.
Place Notary Seal Above Signature of Notary Public
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Descripfion of Attached Document Declaration of Conditions, Covenants and Restrictions -
Title or Type of Document: Harbinger Homes
Document Date: April 4, 2005 Number of Pages: 8
Signer(* Other Than Named Above:
Capacity(Wo) Claimed by Signer
Signer's Name: Jill Hardy
El Individual
0 Corporate Officer — Title(s):
0 Partner — El Limited El General
0 Attorney in Fact
0 .'rustee
0 Guardian or Conservator
a Other: Mayor
Signer Is Representing: City of Huntington Beach
0 1999 National No" Association - 9350 Do Sow Ave., P.O. BOX 2402 - ChatsmioM, CA 91313-2402 - wAwnafionahotary.org Prod. 14o. 5907 Flaorder. Call Toll -Free 1-800-876-M7
State of California
ss.
County of Orange I
On July 14,2005 —, before me - ----- --- Robin Roberts, Notary Public ---- 9
Date Name and Title of Officer (e.g., "Jane Doe, Notary Puble)
personally appeared Joan L. Flynn
Name(s) of Signer(s)
0 personally known to me
El proved to me on the basis of satisfactory
evidence
to be the person(o whose narne(&) is/afe
subscribed to the within instrument and
acknowledged to me that 4edshe/ttwy executed
the same in WWherfteiir authorized
capacity(ios), and that by hWher/tkoir
signature(* on the instrument the person(.&), or
1 —05%- ROBIN ROBERTS the entity upon behalf of which the person(&)
Umm. 11552700 acted, executed the instrument.
Noun PUKC-WOM
COM L 14. 2001
Q� I
WITNESS my hand and official seal.
-94,L Z043�
Place Notary Seal Above Signaiure of Notary Public
: OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document,
Description of Attached Document Declaration of Conditions, Covenants and Restrictions -
Title or Type of Document: Harbinger Homes
Document Date: April 4, 2005 Number of Pages: 8
Signer(* Other Than Named Above:
Capacity(We) Claimed by Signer
Signer's Name: Joan L. Flynn
0 Individual
El Corporate Officer— Title(s):
EJ Partner — 0 Limited El General
El Attorney in Fact
0 "rustee
0 Guardian or Conservator
N Other: - City Clerk
Signer Is Representing: City of Huntington Beach
0 1999 Narional Notery Aftoclation - 9350 Do SotD Ave., P.O. Box 2402 - Chatsworth, CA 91313-2402 - www.naOvdkmtwy.org Prod. No. M7 PAorder Call Toll -Free 1-800-876-6827
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
ss.
County of Orange I
On July 14, 2005 before me - ----- - -- Robin Roberts, Notary Public -------
Date Name and Title of Officer (e.g., "Jane Doe, Notary Public")
personally appeared ----- - - ---- ------- - - Robert F. Beardsley -------- - — -- — - ---------- -------
Narne(s) of Signer(s)
personally known to me
El proved to me on the basis of satisfactory
evidence
to be the person(e) whose name(s) is/ai;e
subscribed to the within instrument and
acknowledged to me that he/ahe,44e�6executed
the same in hisifb"Uak authorized
------- ----- capacity(i&6), and that by his/MvMftltr
ROBIN ROBERTS signature(s) on the instrument the person(s), or
Comm. # 1552700
the entity upon behalf of which the person(s)
acted, executed the instrument.
14. 1
WITNESS my hand and official seal.
Place Notary Seal Above Signature of Notary Public
: OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document
Description of Attached Document Declaration of Conditions, Covenants and
Title or Type of Document: Restrictions - Harbinger Homes
Document Date: April 4, 2005 Number of Pages:
Signer* Other Than Named Above:
Capacity(Wo) Claimed by Signer
Signer's Name: Robert F. Beardsley
D Individual
K Corporate Officer — Title(s): Acting Deputy Executive Director
El Partner — 0 Limited El General
11 Attorney in Fact
El .-rustee
0 Guardian or Conservator
[-� Other:
Signer Is Representing: The Redevelopment Agency of the City of Huntington Beach
8
0 1999 National Notary Assodatim - 9350 Do SoW Ave., P.O. Box 2402 - Chatirwoft CA 91313-2402 - wwwnaborwkiotary.org Prod. 140. 5W7 Reorder. Call Toll -Free 1-800-876-6827
Exhibit "X'
LEGAL DESCRIPTION OF TBE AFFORDABLE UNIT
Unit I of Tract Map no. 16675 as shown on a map recorded in Book 866, Pages 47
through 48, inclusive, miscellaneous maps, as instrument number 200500381278 in the
office of the Orange County Recorder.
FROM :HARBINGER HOMES,INC. FAX NO. :19496461103 May. 19 2005 02:OBPM P2
State of California LS
Kevin Shelley
Secretary of State
STATEMENT OF INFORMATION
(Donw9fic Stock Corporaijon)
FEES IFfling and Disdosure): V5-00. If amendment, see inshuc&m.
IMPORTANT — READ INSTRUCTIONS BEFORE COMPLETMG THIS FOW
CORPORATE NAME (Please do not after it name is preprented,)
C1664971
HARBINGER HOMES. INC-
2728 17TH STREET
HUNTINGTON BEACH CA GIMS
This Spwo For Fft Use Orly
DUE DATE: 05-31.05
"FALIFORNIA
CORPORATE DISCLOSURE ACT (corporatmis Cods teefion ismi)
publicly traded corporation must file with the Secretary of StMe a Corporate Vi,-� StatIftivent (Form; SI-PT) annually, w" 1 S
yj
after the end 6i*i�is fiscal year. Please see reverse for aWifional information L22!�ft pubidy traded corporations.
NO CHANGE STATEMENT
2. f-I It there has been no change in any of the information odmained in the last Smerrmt of lintormation filed wwM the Secretary of stwo. check
the box and proceed ta*em 15.
If there have been any changes to the inforwrisItion con"ned in dw last Statement. d Intomubm filed with the Swetary of State, or no
in its enfirety.
statement has boon previously filed, this towniust be 2.x 1
,.=ed
COMPLETE ADDRESSES FOR THE FOLLOWD46 (Do not a6braviato the narm of the cily� Yom 3 and 4 ewwo be P.O. Boxes.)
3. !jTREETADDRESS�OFPRI PAL EXECUTIVE OFFICE A ATE ZIP CODE
VIL cz" CITY AST
4. STREET ADDRESSPF PRINCIPAL BUSINESS OFFICE IN CAUFORNIA, IF ANY CITY STATE ZIPCIDOE-
% 2�0 LIS IV 44�- V i 1; Ly e - i hklesv" CA CA CI 2-11: ZI
NAMES AND COMPLETE ADDRESSES OF THE FOLLOWING OFFllC1ERS (The I - mast hum these ftw offims. A wrIparable,fte
for the apecific officor may be added. however, the pmprinted Wes on! this kxm nxja not be alarad
5. CHIEF EXECUTIVE QFFICER/ ADDRESS CITY ^ND ZP CODE
ccsf`
a. Sp TARY) ADDRESS C1rY AND
7'C-%T&A+TE0' Az4 kA— Lj-zi�- Z'j
7, C"7 FINAf�L OF�ICERJ ADORM CffY AM'_13TA-M CODE
7-0 -s -7
V. -% Ave - C� -Ag- A��, Lk 4z
NAMES AND COMPLETE ADDRESSES OF ALL DIRECTORS. INMUDING DIRIECTOFtS WHO ARE ALSO OFFICERS (The mWalion
must have at least ona director. Attach additional paW, it necassary.)
I- NAIV
'VOITY AND ODE
mqt' Z-7-1
9. NAME ADDRESS- CITY MOSTATE ZPCGM
10. NAME ApDRM CITY AND STATE ZIP COOE
ii. NUMBER OF VACANCIES ON THE BOARD OF DIRECTORS. IF ANY:
AGE14T FOR SERVICE OF: PROCESS. (if
address, If the agent is another corporation, the agent must have on file with the California Socn9my cd'S'We a oetff=ft pursuant ID Corporations Code
oide
section 1505 and Item 13 must be left blank.)
12, NAME OF AGENT R)A S�RVICE OF PROCESS
'5x-\k-nk j 2,' �
13. ADDRESS OF AGENT FOR SERVICE OF PROCESS IN MIFORNIA; IF AN 9W1WW%IAIL CITY STATE ZffvCDDE-
CA
TYPE OF BUSINESS
14. 019SCRIBE THE TYPE OF BUSINESS OF THE CORPORATION
is. BY SUBMITTING THIS STATEME14T OF INFORMATION TO THE SECRETARY OF STATE. T%E COR111`01RAT10111 CERMII&S THU JNF0ftMTION C4DWAMIED Hi Rw
INCLUDING ANY ATTACHMENTS, IS TRUE AND CORRE CT .1 A
FJ� s'p'jjTj-t
TYPE OR PAINT NAME OF PERSON COMPLETING THE FOM SIGIAATUIRE T711UE DATE
SI-200 WC (REV 0912W4) APPFOVED BY SECRIEFAWOF-9WE-1-
0270M
RCA ROUTING SHEET
INITIATING DEPARTMENT:
Planning
SUBJECT:
Affordable Housing Agreement for Harbinger Homes, Inc.
COUNCIL MEETING DATE:
I July 5, 2005
RCA ATTACHMENTS
STATUS
Ordinance (w/exhibits & legislative draft if applicable)
Not Applicable
Resolution (w/exhibits & legislative draft if applicable)
Not Ap
licable
Tract Map, Location Map and/or other Exhibits
Not Ap
ficable
Contract/Agreement (w/exhibits if applicable)
(Signed Ln full by the City Attomey)
Attached
Subleases, Third Party Agreements, etc.
(Approved as to fonn by City Attomey)
Not Applicable
Certificates of Insurance (Approved by the City Attomey)
Not Applicable
Financial Impact Statement (Unbudget, over $5,000)
Not Applicable
Bonds (If applicable)
Not Applicable
Staff Report (if applicable)
Not Ap
licable
Commission, Board or Committee Report (if applicable)
Not Applicable
Find ings/Cond itions for Approval and/or Denial
Not Applicable
EXPLANATION FOR MISSING ATTACHMENTS
REVIEWED
RETURNED
FORWAP�JDED
Administrative Staff
4A 09)
Assistant City Administrator (Initial)
City Administrator (Initial)
City Cler
EXPLANAT,10N FOR RETURN OF ITEM:
RCA Author: HZ/SH/MBB/RM