07-12-21 Regular meeting of the La Porte City Council

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EXHIBIT A FORM OF CERTIFICATE UNITED STATES OF AMERICA STATE OF TEXAS CITY OF LA PORTE, TEXAS, CERTIFICATE OF OBLIGATION SERIES 2021 NUMBER DENOMINATION 1 R- $________________ REGISTERED REGISTERED 222 INTEREST RATE:ISSUANCEDATE:MATURITY DATE:CUSIP: % August __, 2021 March 15, ____ DATED DATE: July 1, 2021 REGISTERED OWNER: PRINCIPAL AMOUNT: DOLLARS THE CITY OF LA PORTE, TEXAS, a municipal corporation of the State of Texas (the “City”), for value received, hereby promises to pay to the Registered Owner identified above or its registered assigns, on the Maturity Date specified above (oron earlier redemption as herein provided), upon presentation and surrender of this Certificate at the principal corporate trust office of Zions Bancorporation, National Association, or its successor (the “Paying Agent/Registrar”), the principal amount identified above (or so much thereof as shall not have been paid or deemed to have been paid upon prior redemption) payable in any coin or currency of the United States of America which on the date of payment of such principal is legal tender for the payment of debts due to the United States of America, and to pay interest thereon at the rate shown above, calculated on a basis of a 360-day year composed of twelve 30-day months, from the later of the Issuance Date identified above or the most recent interest payment date to which interest has been paid or 3 duly provided for. Interest on this Certificate is payable on March 15, 2022, and each September 1 Initial Certificate shall be numbered I-1. 2 Omitted from initial Certificate. 3 The first sentence of the initial Certificate shall read as follows: THE CITY OF LA PORTE, TEXAS, a municipal corporation of the State of Texas (the “City”), for value received, hereby promises to pay to the Registered Owner identified above or its registered assigns, on March 15 of each of the years and in the principal amounts set forth in the following schedule: \[Insert information regarding years of maturity, principal amounts and interest rates from Section 3.3 of the Ordinance.\] (or on earlier redemption as herein provided), upon presentation and surrender of this Certificate at the principal corporate trust office of Zions Bancorporation, National Association, or its successor (the “Paying Agent/Registrar”), the principal amounts identified above (or so much thereof as shall not have been paid or deemed to have been paid upon prior redemption) payable in any coin or currency of the United States of America which on the date of payment of such principal is legal tender for the payment A-1 099900.24203 EMF_US 85689791v2