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g+�uugq r=r <br />DEPARTMENT OF HEALTH AND HUMAN SERVICES <br />3 <br />Office of the Secretary <br />Recipient Information <br />Recipient Name <br />SANTA ANA, CITY OF <br />20 Civic Center Plz FI 8 <br />Santa Ann- CA 92701-4058 <br />Congressional District of Recipient <br />46 <br />Payment Account Number and Type <br />195600079SA3 <br />Employer Identification Number (EIN) Data <br />9560007S5 <br />Universal Numbering System (DUNS) <br />083I53247 <br />Recipient's Unique Entity Identifier <br />Not Available <br />31. Assistance Type <br />Project Grant <br />32. Type of Award <br />Other <br />34. Accounting Classification Codes <br />Notice of Award <br />Award# 1 CPIMP211286-01-00 <br />FAIN# CPIMP211286 <br />Federal Award Date: 06/18/2021 <br />33. <br />Approved Budget <br />(Excludes Direct Assistance) <br />I. <br />Financial Assistance from the Federal Awarding Agency Only <br />II. <br />Total project costs including grant funds and all other financial <br />participation <br />a. <br />Salaries and Wages <br />S289.750.00 <br />b. <br />Fringe Benefits <br />S57.950.00 <br />c. Total Personnel Costs <br />S347.700.00 <br />d. <br />Equipment <br />S0.00 <br />e. <br />Supplies <br />SII.114.00 <br />f. <br />Travel <br />S5.000.00 <br />g. <br />Construction <br />S0.00 <br />h. <br />Other <br />S0.00 <br />i. <br />Contractual <br />S3,849,804.00 <br />j. <br />TOTAL DIRECT COSTS <br />$4,213,618.00 <br />IL INDIRECT COSTS <br />$36,392.00 <br />1. <br />TOTAL APPROVED BUDGET <br />$4,250,000.00 <br />m. <br />Federal Share <br />$4,000,000.00 <br />n. <br />Non -Federal Share <br />$250,000.00 <br />N'Y-ACCOUNINO. DOCUDIE]'r NO. ADMINISI RA'I O'ECODE ORJLCT CI.Ass AM'I AC" I]ON 1+6ANC'IAL ASSISTANCE: I APPROPMAI N <br />1-199C4BF CP1MP1286C5 MPD-52 41.51 F'4M0.000.09 1 75-2122-0140 <br />City Council <br />M <br />7/20/2021 <br />Page 2 <br />