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NUMBER <br />R-1 <br />REGISTERED <br />INTEREST RATE': <br />aka <br />DATED DATE: <br />REGISTERED OWNER: <br />PRINCIPAL AMOUNT: <br />EXHIBIT A <br />FORM OF CERTIFICATE <br />UNITED STATES OF AMERICA <br />STATE OF TEXAS <br />CITY OF LA PORTE, TEXAS, <br />CERTIFICATE OF OBLIGATION <br />SERIES 2021 <br />ISSUANCE DATE: <br />August _, 2021 <br />July 1, 2021 <br />MATURITY DATE': <br />March 15, <br />DENOMINATION <br />REGISTERED <br />CUSIP': <br />DOLLARS <br />THE CITY OF LA PORTE, TEXAS, a municipal corporation of the State of Texas (the <br />"City"), for value received, hereby promises to pay to the Registered Owner identified above or <br />its registered assigns, on the Maturity Date specified above (or on earlier redemption as herein <br />provided), upon presentation and surrender of this Certificate at the principal corporate trust office <br />of Zions Bancorporation, National Association, or its successor (the "Paying Agent/Registrar"), <br />the principal amount identified above (or so much thereof as shall not have been paid or deemed <br />to have been paid upon prior redemption) payable in any coin or currency of the United States of <br />America which on the date of payment of such principal is legal tender for the payment of debts <br />due to the United States of America, and to pay interest thereon at the rate shown above, calculated <br />on a basis of a 360-day year composed of twelve 30-day months, from the later of the Issuance <br />Date identified above or the most recent interest payment date to which interest has been paid or <br />duly provided for.' Interest on this Certificate is payable on March 15, 2022, and each September <br />' Initial Certificate shall be numbered 1-1. <br />' Omitted from initial Certificate. <br />' The first sentence of the initial Certificate shall read as follows: <br />THE CITY OF LA PORTE, TEXAS, a municipal corporation of the State of Texas (the "City"), for value received, <br />hereby promises to pay to the Registered Owner identified above or its registered assigns, on March 15 of each of the <br />years and in the principal amounts set forth in the following schedule: [Insert information regarding years of maturity, <br />principal amounts and interest rates from Section 3.3 of the Ordinance.] (or on earlier redemption as herein provided), <br />upon presentation and surrender of this Certificate at the principal corporate trust office of Zions Bancorporation, <br />National Association, or its successor (the "Paying Agent/Registrar"), the principal amounts identified above (or so <br />much thereof as shall not have been paid or deemed to have been paid upon prior redemption) payable in any coin or <br />currency of the United States of America which on the date of payment of such principal is legal tender for the payment <br />A-1 <br />09 W.2N203 EMF_US 85689]91v2 <br />