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EXHIBIT 5 <br />Reimbursement Policy Status (RPS-1) <br />Reimbursement Policy Status Form <br />Per OC Community Resources Contract Reimbursement Policy, in regards to the Contract # <br />listed herein, Contractor is designated with the Documentation Status of Abbreviated unless <br />Comprehensive is checked below. If the contractor’s designation should change to <br />Abbreviated, a new status form shall be approved. All related documentation requirements <br />are in full force, until further notice. <br />Contractor: City of Santa Ana Effective Date: Upon Execution <br />Contract #: MA-012-25010265 <br />Documentation Status: ☐ Abbreviated ☒ Comprehensive <br />************************************************************************************************************* <br />Program Authorization by: Auditor Controller Authorization by: <br />Print Name Print Name <br />Signed by: Signed by: <br />Date: Date: <br />Two signatures are required to implement the form. <br />Distribution: <br />Contractor <br />Auditor Controller <br />Contract File <br />Program File <br />EXHIBIT 1