MEMORANDUM OF UNDERSTANDING BETWEEN
THE CITY OF HUNTINGTON BEACH
AND
THE AMERICAN LEGION HUNTINGTON BEACH POST 133
FOR THE USE OF CITY FACILITIES AND PROVISION OF VETERANS SERVICES THIS MEMORANDUM OF UNDERSTANDING ("MOU") is made and entered into on November 29t, 2022, by and between the CITY OF HUNTINGTON BEACH, a municipal corporation of the State of California (hereinafter referred to as "CITY"'), and THE AMERICAN LEGION HUNTINGTON BEACH POST 133, a California non-profit corporation (hereinafter referred to as "POST 133").
WHEREAS, POST 133 is a non-profit that aids in the lives of veterans and transitioning service members in filing claims for the many benefits available to them through the Department of Veterans Affairs (VA) and provides valuable services to veterans within the CITY of Huntington Beach and its surrounding communities.
WHEREAS, the Mayor and City Council wish to provide a location and resources, named in this MOU, authorizing use of a meeting space for veterans within the City of Huntington Beach, which will be organized by POST 133, and;
WHEREAS, CITY wishes to reestablish a longstanding partnership with POST 133 that began in 1923. At that time, CITY provided dedicated space for POST 133 at the previous Memorial Hall, until the time of its demolition in 1974. CITY has continued over the years to provide POST 133 with meeting space at various locations, and; WHEREAS, the purpose of this MOU is to address responsibilities of each of the parties related to the use of available space in the Memorial Hall, 1718 Orange Avenue, located at 17' Street Park and coordination of patriotic events and programs to serve the Huntington Beach community.
NOW, THEREFORE, the City Council of Huntington Beach hereby agrees to enter into a MOU with POST 133 and finds that such MOU is in the interest of serving a valuable public purpose for the general public and our community.
SECTION 1. TERM
This MOU will become effective on the date it is approved by City Council and shall terminate five-years (5) thereafter on December 31, 2027, except with respect to any obligations hereunder which are to be performed thereafter. Upon mutual written consent of the Parties, this MOU may be extended for one (1) additional five-year (5) term.
SECTION 2. OBLIGATIONS OF CITY
The obligations of the CITY pursuant to this MOU shall be as follows:
Memorial Hall
1. CITY shall provide, at no cost to POST 133, the use of a dedicated office space in the building known as Memorial Hall, located at 1718 Orange Avenue, in 17" Street Park, to maintain its records and correspondence and conduct official POST 133 business and activities. All furnishings and office supplies for said office space are the responsibility of POST 133, at their sole cost and expense.
2. CITY shall be responsible for all routine operations of Memorial Hall, including, but not limited to, scheduling of rentals and programming, routine facilities maintenance, utilities costs, and future capital improvements as needed.
3. CITY shall provide POST 133's designated representative(s) a key-card or other appropriate access method to enter Memorial Hall for use by POST 133. POST 133 shall not enter the building during non-scheduled hours, and may not interrupt private rental events held at Memorial Hall. If POST 133 needs to enter the building during non- scheduled hours, arrangements must be made in advance with CITY in effort to avoid disruption of other scheduled events.
4. CITY shall, with confirmation of availability and at no cost, provide POST 133 with the use of meeting room space within Memorial Hall for holding monthly membership meetings in which to conduct routine POST 133 business.
5. CITY shall provide space and staffing resources when available to assist with additional events, including, but not limited to Memorial Day, Patriot Day (9/11), and Veteran's Day.
CITY may ask POST 133 to participate in other CITY organized or sponsored events, subject to POST 133's availability.
6. CITY shall consider, based on availability, additional event spaces for POST 133 at CITY- owned facilities, subject to standard CITY permit and reservation processes.
7. CITY shall erect a historical plaque on the grounds of 1718 Orange Avenue, memorializing Memorial Hall, to include recognition of the historic relationship between the CITY and POST 133.
SECTION 3. OBLIGATIONS OF POST 133
The obligations of POST 133 pursuant to this MOU shall be as follows:
Memorial Hall
1. POST 133 shall maintain and replace the American flag and POW flag as needed.
2. POST 133 shall maintain the appearance and cleanliness of the office space provided by CITY. POST 133 shall not use the office area for storage beyond items that can be maintained efficiently within the office space. Storage of event items and use of electrical cords, shall be maintained in a manner to comply with the CITY's fire code regulations, and may not cause overcrowding of the space or overload of the electrical system. The office space is subject to Fire inspection. CITY reserves the right to request stored items to be removed. CITY will make every effort to notify POST 133 before entering the POST 133 office area, but CITY retains the right to enter the area at any time for inspections or to conduct maintenance. POST 133 may not add any additional locks to the office doors or change the existing locks.
3. POST 133 shall conduct post-meeting/post-event clean-up and ensure the facility is returned to normal conditions after meetings and events, removing all items except tables and chairs from the meeting space. All POST 133 property must be contained within the office space after use and may not utilize common spaces outside of the provided office space.
4. POST 133 shall obtain Director or their designee's approval prior to scheduling events outside of normal membership meetings.
Other CITY Activities
1. POST 133 shall organize and coordinate standard annual patriotic and veteran oriented events, unless otherwise requested by CITY. These events include, but may not be limited to Memorial Day, Patriot Day (9/11), and Veterans Day events. CITY may request veteran and/or military related services at other events, subject to POST 133 availability.
SECTION 4. ACCESS TO CITY MARKS AND LOGOS
POST 133 shall have the right to use the official Huntington Beach City logo and CITY's "Surf City Huntington Beach" trademark with the prior written approval of CITY'S Director of Community and Library Services or their designee. POST 133 will use neither logo for commercial purposes.
SECTION 5. HOLD HARMLESS
POST 133 and CITY shall protect, defend, indemnify and hold harmless each other, their officers, officials, employees, and agents from and against any and all liability, loss, damage, expenses, costs (including without limitation, costs and fees of litigation of every nature) arising out of or in connection with performance of this MOU or its failure to comply with any of their obligations contained in this MOU except such loss or damage which was caused by the sole negligence or willful misconduct of the other.
SECTION 6. WORKERS' COMPENSATION INSURANCE
Pursuant to California Labor Code Section 1861, POST 133 acknowledges awareness of Section 3700 et seq. of said Code, which requires every employer to be insured against liability for workers' compensation; POST 133 covenants that it will comply with such provisions prior to commencing performance of the work hereunder.
In the event POST 133 directly hires employees, POST 133 shall maintain workers' compensation insurance in an amount of not less than One Hundred Thousand Dollars ($100,000) bodily injury by accident, each occurrence, One Hundred Thousand Dollars ($100,000) bodily injury by disease, each employee, Two Hundred Fifty Thousand Dollars ($250,000) bodily injury by disease, policy limit.
SECTION 7. GENERAL LIABILITY INSURANCE
In addition to the workers' compensation insurance (if needed) and POST 133's covenant to indemnify CITY, POST 133 shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage. Said policy shall indemnify POST 133, its officers, agents and employees, while acting within the scope of their duties, against any and all claims arising out of or in connection with this MOU, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of $1,000,000 per occurrence. If coverage is provided under a form which includes a designated general aggregate limit, the aggregate limit must be no less than $1,000,000. Said policy shall name CITY, its agents, its officers, employees and volunteers as Additional Insureds, and shall specifically provide that any other insurance coverage which may be applicable shall be deemed excess coverage and that POST 133's insurance shall be primary.
Under no circumstances shall the above-mentioned insurance contain a self-insured retention, or a "deductible," or any other similar form of limitation on the required coverage.
SECTION 8. CERTIFICATES OF INSURANCE; ADDITIONAL INSURED
ENDORSEMENTS
Prior to commencement of this MOU, POST 133 shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverage as required by this MOU; these certificates shall:
(a) provide the name and policy number of each carrier and policy; (b) state that the policy is currently in force; and
(c) promise to provide that such policies shall not be canceled or modified without thirty (30) days' prior written notice of CITY; however, ten (10) days' prior written notice in the event of cancellation for nonpayment of premium.
POST 133 shall maintain the foregoing insurance coverage in force during the entire term of the MOU or any renewals or extensions thereof or during any holdover period.
The requirement for carrying the foregoing insurance coverage shall not derogate from POST 133's defense, hold harmless and indemnification obligations as set forth in this MOU. CITY or its representatives shall at all times have the right to demand the original or a copy of any or all the policies of insurance. POST 133 shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required.
SECTION 9. ASSIGNING AS BREACH
Neither party shall encumber, assign, or otherwise transfer this MOU, or any right or interest in this MOU, without the express written consent of the other party. A consent by party to one assignment or transfer to another person shall not be deemed to be a consent to any subsequent assignment or transfer to another person. Any encumbrance, assignment or transfer, without the prior written consent of the other party, whether it is voluntary or involuntary, by operation of law or otherwise, is void and shall, at the option of the other party, terminate this MOU.
SECTION 10. CONFLICT OF INTEREST
POST 133 shall employ no CITY official or any regular CITY employee in the work performed pursuant to this MOU. No officer or employee of CITY shall have any financial interest in this MOU in violation of the applicable provisions of the California Government Code.
SECTION 11. PHOTOGRAPHY
CITY may grant permits to persons engaged in the production of still and motion pictures, television programs, advertising and related activities, to take photographs and/or motion pictures of POST 133 activities. However, consistent with good safety practices, CITY will endeavor to give 24-hour advance notification of such activities to POST 133. In addition, if CITY receives compensation from such persons for such production, CITY will grant 50% of such compensation to POST 133 for support of POST 133's activities as set forth under this MOU.
SECTION 12. NONDISCLOSURES/PRESS RELEASES
POST 133 shall consult with CITY prior to issuing any press releases or otherwise making any public statements with respect to this MOU, the transactions contemplated herein, or matters arising here from.
SECTION 13. WAIVER OF BREACH
The waiver by either POST 133 or CITY of any breach by POST 133 or CITY of any of the provisions of this MOU, irrespective of the length of time for which such failure continues, shall not constitute a waiver of such breach or a waiver of any subsequent breach by the other party, either of the same or another provision of this MOU.
SECTION 14. NOTICE
Any written notice, given under the terms of this MOU, shall be either delivered personally or mailed, certified mail, postage prepaid, addressed to the party concerned, as follows:
Director of Community and Library Services American Legion, Post 133 City of Huntington Beach PO Box 133
2000 Main Street Huntington Beach, CA 92648
Huntington Beach, CA 92648
If a party desires to change the address for notices set forth herein, said party shall provide 30 days advance written notice to the other party of any such change.
SECTION 15. ATTORNEY'S FEES
In the event suit is brought by either party to enforce the terms and provisions of this MOU or to secure the performance hereof, each party shall bear its own attorney's fees. The prevailing party shall not be entitled to recover its attorney's fees from the non-prevailing party.
SECTION 16. SECTION TITLES
The section titles in this MOU are inserted only as a matter of convenience and for reference, and in no way define, limit or describe the scope of intent of this MOU or in any way affect this MOU.
SECTION 17. MODIFICATIONS IN WRITING
This MOU contains and embraces the entire MOU between the parties hereto and neither it nor any part of it may be changed, altered, modified, limited or extended orally or by any other MOU between the parties unless such MOU be expressed in writing, signed and acknowledged by CITY and POST 133, or their successors in interest.
SECTION 18. PARTIAL INVALIDITY
Should any provision of this MOU be held by court of competent jurisdiction to be either invalid, void, or unenforceable, the remaining provisions of this MOU shall remain in full force and their effect unimpaired by the holding, so long as the reasonable expectations of the parties hereto are not materially impaired.
SECTION 19. MOU IN COUNTERPARTS
This MOU may be executed in counterparts, each of which shall be deemed an original, but all of which taken together shall constitute one and the same document.
SECTION 20. ENTIRELY
The foregoing sets forth the entire MOU between the parties.
IN WITNESS WHEREOF, the parties hereto have caused this MOU to be executed by and through their authorized officers the day, month and year first above written.
AMERICAN LEGION, POST 133 CITY OF HUNTINGTON BEACH, a
Municipal corporation of the State of
California
Babana Deguy
ROss DOHRMANN Mayor
Print Name
APPROVED AS TO FORM:
COMMANDeR Post 133
City Attorney Mu
ATTEST: INITIATED AND APPROVED:
@obin Istanislaw
City Clerk 12/5/2263 Director of Community & Library Services REVIEWED AND APPROVED:
City Manager
AEV
ACORD® DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
12-14-2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements).
Liberty Mulual Insurance No. Exl): 800-962-7132 [FAC. NO): 800-845-3666 (A/C,
PO Box 188065 ADDRESS: [email protected] INSURERS) AFFORDING COVERAGE NAIC #
Fairfleld OH 45018 INSURERA: West American Insurance Company 44393 INSURED INSURER B:
American Legion Post 133 INSURER C:
Po Box 133 INSURER D:
INSURER E:
Huntinglon Beach CA 92648 INSURER F:
CERTIFICATE NUMBER: 0084920844 REVISION NUMBER: 2016-03
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE INSD WYD POLICY NUMBER LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00
DAMAGE TO RENTED
_ CLAIMS-MADE X OCCUR PREMISES (Ea occurrence) $ 500,000.00 MED EXP (Any one person) $ 15,000.00
A x X BLW65414610 12-01-2022 12-01-2023 PERSONAL. & ADV INJURY $ 1,000,000.00 GENT. AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 X POLICY XI LOC PRODUCTS - COMP/OP AGG $ 2,000,000.00
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMI
Ea accident
ANY AUTO APPROVED AS TO FORM BODILY INJURY (Per person) $ OWNEC SCHEDULED BODILY INJURY (Per accident) s
AUTOS ONLY AUTOS
HIRED VON-OWNED $
AUTOS ONLY AUTOS ONLY
SY: MICHARLE. GATES
UMBRELLA LIAB CITY ATTORNEY
OCCUR CITY OF HUNTINGTON BEACH EACH OCCURRENCE
EXCESS LIAB CLAIMS MADE AGGREGATE
DED RETENTIONS
WORKERS COMPENSATION IBERTUTE I TOTH
AND EMPLOYERS' LIABILITY Y/N
WYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT
OFFICER/MEMBEREXCLUDED: NIA
E.L. DISEASE - EA EMPLOYEE S
es. describe und
ESCRIPTION OF OPERATIONS bole E.L. DISEASE - POLICY LIMIT. $ DESCRIPTION OF OPERAYIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Romarks Schedul, may bo allached if moro space is required) See Addillonal Remarks Schedule*
CERTIFICATE HOLDER CANCELLATION
Cily of Huntington Beach, It's Officers, Elected or
Appointed Officials, Employees, Agents, And Volunteers
AUTHORIZED REPRESENTATIVE
2000 Maln Street
Huntington Beach CA 92648
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 65414610
LOC #:
ACORD® ADDITIONAL REMARKS SCHEDULE Page of
AGENCY NAMEDINSURED
Liberty Mutual Insurance American Legion Post 133
POLICY NUMBER Po Box 133
BLW65414610 Huntington Beach CA 92648
CARRIER NAIC CODE
West American Insurance Company 44393 EFFECTIVE DATE: 12-01-2022
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 0025 . FORM TITLE: 2016-03
ACORD 101(2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
•
POLICY NUMBER: BLW65414610 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED
PERSON OR ORGANIZATION
This endorsement modifles Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s):
City of Huntington Beach,
It's Officers, Elected or Appointed Officials, Employees, Agents, and Volunteers 2000 Main Street
Huntington Beach, CA 92648
Information required to complete this Schedule, If not shown above, will be shown in the Declarations.
A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these Include as an additional insured the person(s) or additional insureds, the following is added to organizations) shown in the Schedule, but only Section III - Limits Of Insurance:
with respect to liability for "bodily injury", "property or "personal and advertising injury" f coverage provided to the additional insured i:
required by a contract or agreement, the most wi
caused, in whole or In part, • by your acts or
omissions or the acts or omissions of those acting i puny or insural of the adlional insured is the on your behalf:
1. Required by the contract or agreement; or
1. In the performance of your ongoing operations;
2. Avallable under the applicable Limits of
Insurance shown in the Declarations;
2. In connection with your premises owned by or whichever is less. rented to you.
However: This endorsement shall not increase the
applicable Limits of Insurance shown in the
. The insurance afforded to such additiona
Insured only applies to the extent permitted b
law; and
2. If coverage provided to the additional insured is
required by a contract or agreement, the
Insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 •
POLICY NUMBER: BLW65414610 COMMERCIAL GENERAL LIABILITY CG 90 43 08 12
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION - INCLUDING PRIMARY / NON-
CONTRIBUTORY AND WAIVER OF SUBROGATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s): Location(s) Of Covered Operations
City of Huntington Beach, 1718 Orange Ave., Hunt1ngton Beach, Ca 92648
It's Officers, Elected or Appointed Officials,
Employees, Agents, and Volunteers
2000 Main Street
Huntington Beach, CA 92648
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. To the extent permitted by law, Section I! - Who Is An Insured is amended to Include as an additional insured the person(s) or organizations) shown in the Schedule, but only with respect to liability for "bodily injury", "properly damage" or "personal and adverlising injury" arising out of your ongoing operations at the locations) designated above.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:
This insurance does not apply to "bodily injury" or "properly damage" occurring after:
All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or
2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.
c. PRIMARY AND NON-CONTRIBUTORY
followin 4, Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS Is amended as This provision applies to any person or organization who is named in the schedule of this endorsement as an additional insured or scheduled as an additional insured under any other form or endorsement under this policy. © 2012 Liberly Mutual Insurance
CG 90 43 08 12 Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 1 of 2
1. The following is added to paragraph a. Primary Insurance:
To the extent permitted by law, this insurance is primary insurance as respects to our coverage to an additional insured person or organization, where the written contract or written agreement requires that this Insurance be primary and non-contributory. In that event, we will not seek contribution from any other any other insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured.
2. The following is added to paragraph b. Excess Insurance:
When a written contract or written agreement does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the additional insured is designated a Named Insured. Regardless of the written contract or written agreement, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies.
D. WAIVER OF SUBROGATION
To the extent permitted by law, we waive any rights of recovery we may have against the persons or organizations shown in the Schedule above because of payments we make for "bodily injury" or "properly damage" arising out of your ongoing operations, when required in a written contract or agreement. This waiver applies only to the persons or organizations shown in the Schedule above.
© 2012 Liberty Mutual Insurance
CG 90 43 08 12 Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 2 of 2 :
Resolution No. 2008-63
CITY OF HUNTINGTON BEACH
Suality 2000 Main Street, Huntington Beach, CA 92648-2702
DECLARATION OF PERMITTEE
Hantin
•
I certify that no vehicle(s) will be used or operated in the performance of the tasks) or events) for which this permit is granted.
I authorize the City of Huntington Beach to immediately and retroactively revoke the license or permit issued in connection with or in the performance of said tasks) or events(s) if any vehicle(s) is used.
Signature of Permittee: Russ Sohrmam
Print Name: Russ Dohrmann
Company Name (if applicable): American Legion Huntington Beach Post 133 11/22/20
Date Signed:
16407 EXHXBIT 1
ATTACHMENT #5
Resolution No. 2008-63
Sur Lity
CITY OF HUNTINGTON BEACH
2000 Main Street, Huntington Beach, CA 92648-2702
Huntin
Declaration of Non-Employer Status :
The State of California requires every enterprise or business to provide workers compensation insurance coverage. If you have no employees, you may make a declaration to that effect by completing and signing this form and returning to:! City of Huntington Beach
2000 Main Street
Huntington Beach, CA 92648-2702
I certify that in the performance of the activity or work for which this permit is issued, I shall not employ any person in any manner so as to become subjectito California Workers' Compensation Insurance requirements. i authorize the City of Huntington Beach to immediately and retroactively revoke the license or permit issued under this declaration if I hire any employee(s) or become subject to the provision of the laws requiring Workers' Compensation Insurance.
American Legion Huntington Beach Post 133
Company / Organization:
PO box 133, Huntington Beach, CA 92648
Address:
Applicant [please print): Russ Dohrmann
Commander
Title, if any:
Applicant's Signature: uss Datesnam
11/22/20
Date Signed:
(949) 510-4151
Telephone Number:
ATTACHMENT #7