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(c) The Improvement described on Exhibit "A" hereto is covered against all risks <br />{ pursuant to the policy of insurance required by the Facility Lease Agreement dated <br />as of September 1, 2000 between the County and the Dodgers. <br />2. In the event that the Dodgers are to be reimbursed For invoices previously paid by the <br />( Dodgers for such items, written evidence of such prior payment and the amount thereoris <br />d also attached to this Requisition. <br />3. Attached hereto are the Following (check each item attached), each of which is true and <br />correct in all respects: <br />4 (� A true copy of the applicable purchase order and, where applicable, a duplicate <br />original of any change order approved by the Dodgers increasing the costs of the <br />Improvements in an amount in excess of the original price therefor; <br />(_) Bills of sale for any component of the Improvements for which a bill of sale may be <br />delivered; and/or <br />A true copy of the Payee's statement or invoice. <br />4. Please disburse the following amount to the following Payee (if more than one Payee, <br />please attach additional pages hereto setting Forth the following information): <br />Payee: <br />Amount: <br />Address: <br />Invoice No.: <br />S. To induce the County to approve this Requisition and authorize the Capital Reserve <br />Account Agent to disburse funds held in the Capital Reserve Account, the undersigned <br />certifies that there are no outstanding construction liens against the Facility. <br />G-2 <br />