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Impacted Tenants List (Exhibit A) <br />This List will become Exhibit A of the Grant Agreement that you will enter into with the City of Santa Ana. <br />Households with a Housing Choice Voucher, also known as Section 8, or those who receive other <br />government rental assistance are not eligible. Tenants that you plan to evict are not eligible. It is your <br />decision to include which tenants qualify on this list. Please ensure you have: 1) a signed copy of the <br />Lease Agreement verifying occupancy for all tenants on the impacted Tenants List for whom you are <br />seeking assistance; 2) documentation on file for all tenants on the Impacted Tenants List that <br />demonstrate that the tenant has been impacted by Coronavirus and have lost jobs, had their work hours <br />reduced, or have experienced a loss of income due to the economic or health impacts of Coronavirus and <br />who have been unable to maintain their rent payments under their lease agreements. Insufficient or <br />missing documentation may cause a delay in processing or, in some cases, a denial of the application. <br />Additional documentation maybe requested during the review of your application. I hereby attest that the <br />Impacted Tenants listed below will be released from any remaining obligation for any rent arrears owed <br />(2091a) following payment by the City of Santa Ana (80%). <br />to <br />Property Name Broadway Plaza Apartments <br />Property Address 1610 N. Broadway Ave Santa Ana CA 92706 <br />Tax ID For Payment 26-1292598 <br />Full Name of Tenant <br />(as stated on the Lease) <br />Address of Tenant's Rental Unit <br />Total Amount <br />of Rent <br />Aurora Gonzales Sa redo <br />9 <br />1610 Broadway Ave #113 Santa Ana CA 92706 <br />Arrears Owed <br />Jonathan Chavez, Viviana Bautista <br />1610 Broadway Ave #121 Santa Ana CA.92706 <br />$6150.00 <br />Alejandra Corazon Orozco, Juan Manuel <br />$4525.00 <br />Mora Plaza <br />1610 Broadway Ave #214 Santa Ana CA 92706 <br />$8095,00 <br />Jose Luis Figueora Sanchez, Alicia Urbina <br />_Morales <br />1610 Broadway Ave #217 Santa Ana CA 92706 <br />$6000,00 <br />Anali Ledesma Victoria, Maria Moreno <br />Rivadeneira <br />1610 Broadway Ave #302 Santa Ana CA 92706 <br />$7600.0o <br />Stephanie Romero <br />Lismenia Galvez, Jasmine Rafael, Ruiz <br />1610 Broadway Ave #311 Santa Ana CA 92706 <br />$7410.00 <br />Torres. <br />1610 Broadway Ave #314 Santa Ana CA 92706 <br />$6025.00 <br />Gustavo Aldolfo Hoyos, Hugo Cruz, Michael <br />Paz Oio <br />1610 Broadway Ave #316 Santa AnCA 92 <br />a 706 <br />$10,350.00 <br />Luis Ramirez -Trinidad, Mieya Ramirez <br />Cisneros, Marco Ramirez Ramirez, Luis <br />Angel Ramirez Ramirez <br />1610 Broadway Ave #333 Santa Ana CA 92706 <br />$8550.00 <br />Juan Carlos Guizar, Jaime Marie Ortega 1610 Broadway Ave #410 Santa Ana CA 92706 <br />Jua Vasquez Rosalio, Dulce Tania Vasquez $5300.00 <br />Correa 1610 Broadway Ave #431 Santa Ana CA 92706 $4950.00 <br />Ruben Jimenez Perez, Nora Isura Gonzalez <br />De Perez 1610 Broadway Ave #227 Santa Ana CA 92706 $3550,00 <br />Total Amount of Assistance Requested $78,dd addi <br />'Ational pages if necessary. If you have multiple properties and you are unable to 505.00 <br />accept payment on behalf of all of them, please list each property separately and provide the <br />Coronavirus Emergency Rental Relief Fund for Landlords <br />Application <br />Page 13 <br />