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City of Santa Ana <br />23-HHAP-10015 <br />Page 13 of 24 <br />Grantee warrants that all information, facts, asse rtions and representations <br />contained in the application and approved modifications and additions thereto are <br />true, correct, and complete to the best of Grantee's knowledge. In the event that any <br />part of the application and any approved modification and addition thereto is untrue, <br />incorrect, incomplete, or misleading in such a manner that would substantially affect <br />Cal ICH approval, disbursement, or monitoring of the funding and the grants or <br />activities governed by this Agreement, then Cal ICH may declare a breach of this <br />Agreement and take such action or pursue such remedies as are legally available. <br />4)Reporting/Audits <br />a)Annual Reports <br />By January 1, 2024, and annually on that date thereafter until all funds have <br />been expended, the Grantee shall submit an annual report to Cal ICH in a <br />format provided by Cal ICH. Annual Reports will include a request for data on <br />expenditures and people served with HHAP-4 funding, details on specific <br />projects selected for the use of HHAP-4 funding, and data regarding the progress <br />towards outcome goals. If the Grantee fails to provide such documentation, Cal <br />ICH may recapture any portion of the amount authorized by this Agreement with <br />a 14-day written notification. No later than October 1, 2027, the Grantee shall <br />submit a final report, in a format provided by Cal ICH, as well as a detailed <br />explanation of all uses of the Program funds. <br />b)Quarterly Expenditure Reports <br />In addition to the annual reports, Cal ICH requires the Grantee to submit <br />quarterly expenditure reports due no later than 30 days following the end of each <br />fiscal quarter. Grantee shall submit a report to Cal ICH on a form and method <br />provided by Cal ICH that includes the ongoing tracking of the specific uses and <br />expenditures of any program funds broken out by eligible uses listed, including <br />the current status of those funds, as well as any additional information Cal ICH <br />deems appropriate or necessary. If the Grantee fails to provide such <br />documentation, Cal ICH may recapture any portion of the amount authorized by <br />this Agreement with a 14-day written notification. <br />c)Reporting Requirements <br />i)Annual Report: The annual report shall contain detailed information in <br />accordance with Health and Safety Code section 50223, subdivision (a). <br />This information includes the following, as well as any additional information <br />deemed appropriate or necessary by Cal ICH: <br />(1)Data collection shall include, but not be limited to, infonnation regarding <br />individuals and families served, including demographic information, <br />information regarding partnerships among entities or lack thereof, and <br />participant and regional outcomes. <br />TE Initial Here_ <br />EXHIBIT 1