Laserfiche WebLink
MSRC Clean Transportation FundingTm <br />2012 Local Government Match Program <br />MEDIUM AND HEAVY-DUTY VEHICLE PURCHASE APPLICATION FORMS <br />PART A - APPLICANT INFORMATION <br />Purchase of Medium and Heavy-Duty Alternative Fuel Vehicles <br />A. Please provide the following applicant information in the space provided. <br />Applicant Name: CITY OF SANTA ANA <br />Address: 215 South Center Street <br />Santa Ana California <br />Contact Person: Rick Longobart Title: Facilities Fleet and Central Stores Manager <br />Telephone Number: 714 926 6332 Fax #: 714 647 3599 <br />E-Mail Address: riongobart0santa-ana org <br />B. Please answer the following questions: <br />YES NO <br />1. Are you submitting a Joint Application with other Cities/Counties? ? 6 <br />2. If "Yes", are you authorized to act in behalf of all participants? ? ? <br />3. If "Yes", please provide the names of all other project participants. <br />Please designate if the other participants are public agencies or <br />private entities: PUBLIC PRIVATE <br />a) ? ? <br />b) ? 0 <br />YES NO <br />4. If you answered "Yes" to questions 1 and 2, above, have you <br />attached a letter from each entity designating a lead agency and ? ? <br />authorizing that agency to act on behalf of the other participants? <br />55A-12