ATTACHMENT A
iCITY OF PASADENA MANUAL OF PERSONNEL & ADMINISTRATIVE RULES SECTION 10 | FINANCIAL POLICIES
CITY OF PASADENA
DONATION / GIFT ACCEPTANCE FORM
Name of Donor: us Auto Trust (parent Company); Hyund Glendale LLC dba Hyundai of Glendale Address: 4^1 South Brand Blvd.City:GlendaleState:. CAZip:91294 Description of donation: 2025 Hyundai Santa Fe XRT
Donor estimate of current value:
Potential immediate or initial acquisition or installation cost, an on-going maintenance or replacement cost: $5'000
Intended use:The DePartment intends to outfit this vehicle and use it across the Training Division, Emergency Medical Services (EMS) Division, and for general operational needs.
Conditions of acceptance or donor designation:.
Remarks:
City Department receiving donation/gift: Fire Department APPROVED / DISAPPROVED (Please circle)
^2^ 2sO^cl A^<6£-^
DateDepartment Head Signature
DateCity Manager Signature
DateApproved by City Council
DateMayor Signature
Note: The City of Pasadena cannot guarantee future funding for repair, maintenance, us or replacement of donated items.
CC: City Council, Finance Department, City Clerk
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