Agmt07 Nextel of California, Inc.- Frequency reconfiguaration Agmt

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Exhibit A IncunmbentInforDlanon The following questions are required for processing Electronic Funds Transfers and if Incumbent wants Nextel to complete the FCC filings on its behalf. All information contained herein shall be kept strictly confidential and will be used only in completion of the Frequency Reconfiguration transaction. I. INCUMBENT INFORMATION Please provide the following information: Company/Name: Aeowool? C-li'1 Contact: S6T. oJ 1M s'TONfS'f Address: \ ~O\ v'V\A~ 'SoT. City/State/Zip: Qeo\An~ C'T'1 Phone: lLJ '"'is . 7 ~() . b; ro Fax: ~<:;t) . 3~' 5:ll.o POC,.;1 t.-~ Title: eoMmuNICAno,.JS Sf/P€Rv1S~R. C.A. l1 &..\0 ,,~ If not identified in the contract, please provide the following: If Incumbent is a Partnership, please provide name, address and phone numbers of all other partners: Nanm~1 A Nanme: Address: Address: City/State/Zip: Phone: City/State/Zip: Phone: n. BANK ACCOUNT INFORMATION (Required for payment via electronic funds transfer.) Name of Bank: V\~~ ~~{~~ ~(AY)~ Address of Bank: 5( C~ '\ Q n c\ . 'lope:; I lOt-\-) P'~O'l ~~S~;.i~: ~~~r~<;;~~~i~ ~ 11410Y ABA (Routmg #): _ _ \ _ _ (''') _ __.:'" _ Account#: 4 '~t - o~ .s4~ Name on Account: \~ t '~edwcm ex" Federal, State or Individual SS #: q~ - ~ (30 \ \, II> Name of Brokerage Firm (if applicable): Brokerage Account # (if applicable): In the event Incumbent will not provide information for electronic funds transfer, Incumbent acknowledges that all payments made c e~k ./ be mailed within thirty (30) days of the date of performance required by Incumbent ~ or h p ',,(ent) as~ s' ed in the Agreement. I v:3' - Acknowledged by Incunmbent: V V (signature required only if Incumbent does not want an electronic funds transfer) Page 13 of 15 r-- . , l,~ " . Attest.~ n "\\..,.. ~.... ~ ) Pat cia Howe, City Clerk Final Version November 10, 2006