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Exhibit A-3 –Acknowledgement Letter <br />[Alternative to be used if Licensee obtains all Regulatory Approvals within 365 (366 in <br />any leap year) days after Pole and/ or Associated Facilities License is issued.] <br />Re: __[X]_____ Pole License <br /> __[X]___ Associated Facilities License <br />Dear [Licensee]: <br />This countersigned copy of your Acknowledgment Letter serves as the City’s notice to <br />Licensee that the City has: (1) received the Security Deposit and First Year’s License Fee for <br />this License; (2) approved the requested Pole Locations and the plans and specifications for <br />installation of Equipment on the License Area; (3) received satisfactory evidence of insurance, <br />including contractors’ insurance, bonds and Business License; and (4) received copies of the <br />Regulatory Approvals listed above, as well as a copy of the Emissions Report Licensee <br />submitted to the Community Development Department. <br />The City concurs with the Commencement Date for this License as specified above. <br />[After reviewing the Regulatory Approvals, the City has determined that the correct <br />Commencement Date for this Pole License is:, 20 .] The Licensee Fee <br />and Default Fee Schedule and City Installation Guidelines for the License are attached. Upon <br />receipt, they will be deemed to be attached to the License as Exhibits A-4 and A-5, <br />respectively. <br />Licensee is authorized proceed with the installation of Equipment on the License Area <br />identified in Exhibit A-1 to the Pole License in accordance with the Approved Plans and other <br />requirements of the Master License. <br />CITY OF SAN LEANDRO, a California charter city <br />By: <br />Jeff Kay (or designee) <br />City Manager <br />Date: <br />Enc. <br />[ ]Licensee Fee and Default Fee Schedule <br />[ ]City Installation Guidelines