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OMB Number: 4040-0004 <br />F-i-inn Pate- Ill/31/7(X19 <br />Application for Federal Assistance SF-424 Version 02 <br />16. Congressional Districts Of: <br />*a. Applicant: 39, 41, 45, 46, 47 & 48 *b. Program Project: 39, 41, 45, 46, 47 & 48 <br />17. Proposed Project: <br />*a. Start Date: 07/01/2013 *b. End Date: 06/30/2014 <br />18. Estimated Funding ($): <br />*a. Federal 1,471,187 <br />*b. Applicant <br />*c. State <br />*d. Local <br />*e. Other (Prior Yr) <br />*f. Program Income <br />*g. TOTAL 1,471,187 <br />*19. Is Application Subject to Review By State Under Executive Order 12372 Process? <br />? a. This application was made available to the State under the Executive Order 12372 Process for review on <br />? b. Program is subject to E.O. 12372 but has not been selected by the State for review. <br />® c. Program is not covered by E. O. 12372 <br />*20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.) <br />? Yes ® No <br />2 L *By signing this application, I certify ( l) to the statements contained in the list of certifications** and (2) that the statements herein <br />are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any <br />resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, <br />civil, or administrative penalties. (U. S. Code, Title 218, Section 1001) <br />® **I AGREE <br />** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or <br />agency specific instructions <br />Authorized Representative: <br />Prefix: *First Name: Kevin <br />Middle Name: <br />*Last Name: O'Rourke <br />Suffix: <br />*Title: Interim City Manager <br />*Telephone Number 714-647-5200 *Telephone Number: 714-647-5200 <br />* Email: korourke@santa-ana.org <br />*Signature of Authorized Representative: *Date Signed: <br />Autnor¢ed tar Local Keproducuon <br />16 <br />Standard Form 424 (Revised 10/2005) <br />Prescribed by OMB Circular A-102 <br />DRAFT 04/22/2013 <br />29A-21