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MSRC Clean Transportation FundingTM <br />2012 Local Government Match Program <br />ELECTRIC VEHICLE CHARGING INFRASTRUCTURE FORMS <br />PART A - APPLICANT INFORMATION <br />Electric Vehicle Charging Infrastructure <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 Loneobart Title: Facilities, Fleet and Central Stores Manager <br />Telephone Number: 714 926 6332 Fax #: 714 647 3599 <br />E-Mail Address: riongobart@santa-ana.org <br />B. Please answer the following questions: <br />YES NO <br />4. Are you submitting a Joint Application with other Cities/Counties? 171 V <br />5. If "Yes", are you authorized to act in behalf of all participants? ? (73 <br />6. 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 />C) ? ? <br />d) 173 173 <br />YES NO <br />5. If you answered "Yes" to questions land 2, above, have you <br />attached a letter from each entity designating a lead agency and Q ? <br />authorizing that agency to act on behalf of the other participants? <br />5 <br />55A-16