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APPENDIX C <br />FORM OF ANNUAL CITY CERTIFICATION REGARDING <br />BUDGET AND APPROPRIATION OF DEBT SERVICE <br />AND COMPLIANCE WITH CONTINUING DISCLOSURE UNDERTAKINGS <br />The undersigned hereby states and certifies that: <br />(i) I am the duly appointed, qualified and acting of the City of San <br />Leandro, a charter city and municipal corporation duly organized and existing under the <br />Constitution and laws of the State of California (the "City "), and as such, I am familiar with the <br />facts herein certified and am authorized and qualified to certify the same; <br />(ii) the City has previously issued its City of San Leandro 2012 Taxable Pension <br />Obligation Bonds in the aggregate principal amount of $ (the "Bonds ") under an <br />Indenture of Trust dated as of 1, 2012 (the "Indenture "), between the City and U.S. <br />Bank National Association, as trustee; <br />(iii) during the fiscal year commencing July 1, 20_ (the "Ensuing Fiscal Year"), the <br />aggregate amount of principal and interest coming due on the Bonds is $ <br />(iv) on 20 the City Council of the City duly adopted it Resolution No. <br />_ at a meeting which was called and held pursuant to law and with all public notice required <br />by law and at which a quorum was present and acting at the time of adoption, adopting a <br />budget for the City (the "Adopted Budget ") with respect to the Ensuing Fiscal Year; <br />(v) pursuant to the Adopted Budget, the City has budgeted the payment of Debt <br />Service coming due during the Ensuing Fiscal Year on the Bonds; <br />(vi) attached hereto is an extract from the Adopted Budget showing a line item for <br />payment of Debt Service coming due during the Ensuing Fiscal Year on the Bonds; and <br />(vii) the City is in compliance with the provisions of the Continuing Disclosure <br />Certificate (as defined in the Indenture), and with all other continuing disclosure undertakings <br />entered into pursuant to Rule 15c2 -12 of the Securities and Exchange Commission. <br />Capitalized terms used herein and not otherwise defined have the meanings given them <br />in the Indenture. <br />Dated: CITY OF SAN LEANDRO <br />M <br />Name: <br />Title: <br />C -1 <br />