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GY10 Emergency Management Performance Grant <br />City Application Cover Sheet <br />Applicant (City): City of Santa Ana <br />Authorized Agent Information: Contact Information: <br />Steve R. Snyder Steve R. Snyder <br />Name of Authorized Agent Name of grant contact person <br />1439 S. Broadway ssnydernasanta-ana.org <br />Mailing Address Contact Email Address <br />Santa Ana, Ca. 92707 (714) 245-8748 _ <br />City, State, Zip Code Contact Phone Number <br />Maximum EMPG Amount Authorized (from Allocation Sheet) $38,108 <br />Total Amount Requested from Budget Worksheet $38,108 <br />Application Checklist — All items below must be attached to this coversheet <br />® EMPG Application Form <br />® Project Goals & Objectives <br />® Budget Sheet (50150 Match) <br />® City Council Resolution <br />® Grant Assurances <br />Statement of Certification — City Authorized Agent <br />By signing below, I hereby certlJy that I am the duly appointed Authorized Agent and have the <br />authority to apply for the FY2010 Homeland Security Grant Program, and the City's <br />application represents the needs for the Emergency Management Performance Grant. <br />A24` Steve R. Snyder <br />Signature of Authgr ed Agent Printed Name <br />Captain/Emergency Manager <br />Title <br />11/08/10 <br />Date <br />CFDA 97.042 <br />Emergency Management Performance Grant <br />Department of Homeland Security <br />